+1 to positive thinking. Kidneys are an amazing organ. Much depends on long-term testing of creatinine, and proteinuria, (although I'm going to ask for a Cystatin test). Kidney function can go up and down over time. I would say a good diet (eliminate processed foods, too much salt and potassium) read labels, and watch your blood pressure. Just to mention...many people live long and productive lives in late stages 4 and 5. Even without dialysis. My nephrologist at Mayo Clinic told me this. It depends on the disease and what's causing the decline. And often there are no symptoms. My eGFR is at 27 and creatinine at 1.99. Don't let Google scare you. A positive attitude will help you! You are not alone. :))