@gingerw The biggest changes are diet and energy level. Ten years ago I was diagnosed as a Type II diabetic. After a long learning curve, I adjusted well to the diagnosis. Through exercise, diet and metformin, everything was under control. I actually enjoyed the foods I was allowed to eat. Then came pancreatic cancer and complications from the chemo. Now I am a Type I diabetic and have stage 4/5 CKD. I've had to give up a lot of the foods that I have enjoyed. I have to watch my intake of phosphorus, potassium and sodium. I try to balance my diet between CKD and diabetes. Maybe I would do better if I watched my diet better, but I've decided that I am also going to enjoy my life. I take lots of meds to compensate for what my kidneys can no longer do or to slow down the deterioration of my kidneys. My nephrologist suggested that I look into a kidney transplant. I wondered if I wanted to go through that since things have been holding steady for so long. She reminded me that I have been on the edge of needing dialysis for a long time and anything could push me over the edge at any time. I was evaluated at Mayo Rochester last August and am on the transplant list as inactive at this time. Coming to Rochester in June for another checkup. If I am still cancer free I will be placed on the active list. My sister is coming later in June to see if she qualifies as a donor. Just waiting to see how things progress.