@martychambers It would be good to discuss it fully with your nephrologist. My eGFR ranged from 32 to 42 and it did seem to stabilize it at about 40. It isn't considered that useful for raising eGFR when it is less than 45, but has the heart- and kidney-protective effects of relaxing blood vessels and kidney tubules. My resting systolic went from 120 to 105 (I can't use ACE BP meds0. I didn't have noticeable side effects, maybe peeing more, but I don't have diabetes so blood sugar is more stable. Another SGLT inhibitor is Farxiga, which works similarly. I exercise, stay hydrated, and eat cranberries (may help reduce the chance of UT infections). https://www.ncbi.nlm.nih.gov/books/NBK279141/table/pharmaco-agent-diab2.T.advantages_and_di_1/