I am diabetic and had a history of minor hypertension; hence my CKD. In 2005 I was told that I had mild to moderate kidney disease. In 2008 I self referred to a nephrologist and started learning about kidney function labs, medications (NSAIDS), renal nutrition, dialysis, kidney transplantation, living kidney donation….. In 2016 my eGFR was bouncing between 14 - 42. My nephrologist said that I was probably Stage 4 CKD. Since then I’ve been trying to get my diabetes & blood sugar in the best control I can. I use a continual glucose monitor (CGM) and an insulin pump. My nephrologist has me on medication for blood pressure control and I limit sodium. I found a dietician who is diabetic herself, is trained and has experience in renal nutrition. I follow a low carb, low fat renal diet (limit red meat & adjust calcium, oxalates, phosphorus, potassium etc. according to my labs). My endocrinologist and nephrologist are in the same health care system. They share my medical history, labs and treatment plan so I know that there are no conflicts and everything stays consistent. I currently have an eGFR of 34. I guess I have Stage 3 CKD now. Things are stable and have been for quite awhile.