@mucho Welcome to Mayo Clinic Connect. In 2003 my father-in- law had a kidney transplant. I started researching kidney disease. I learned that diabetes and hypertension are the leading causes of kidney disease. I paid attention to this because I have both. In 2005 I was told that I had mild to moderate kidney function. It was not called CKD and did not have a stage or alphabet # associated with it. There were no symptoms and my primary doctor did not seem particularly concerned. I wasn’t satisfied with that and started going to a nephrologist in 2008 (the one who treated my father-in-law.) That was a really good decision. My endocrinologist and nephrologist can collaborate to give me the best treatment possible for my diabetes and my kidneys. In 2016 my nephrologist told me that I have Stage 4 CKD. I have started researching dialysis and kidney transplantation. I like to be proactive. I can tell you that you can live well and for a long time with Stage 4 CKD. Besides your physician do you have any other supports for your health?