@larry1943, Never give up. New discoveries are made nearly every day and miracles happen. I too am a diabetic with heart failure and COPD along with CKD and I know what it's like to get discouraged, to resist the idea of dialysis, and to focus on lab results. You are here and I am here today. In this right now moment. And good things may happen today even if it's just that the sun comes out or we see a blade of new grass or hear a bird singing. Hang in there! A lot of people care about you!