My GFR was down to 28 before my GP mentioned it and set me up with an appt at the local dialysis center. Ummm....that was a hard NO for me. Both of my parents were on dialysis when they died and I decided to try and improve before resorting to drastic measures with dialysis.

I cut waaay down on red meat, began eating a lot more vegetables, limited myself to one cup of coffee a day, cut out soft drinks entirely, started an exercise regimen. I didn't drink alcohol, smoke or use drugs but would have stopped if I had. Three years down the road at almost 73, my GFR is consistently between 48 and 52, which for my age is good enough. So I definitely believe that being proactive about improving kidney function can be helpful. I have been a T2 diabetic for 18 years, btw.