This CKD was sprung on me about 3 1/2 years ago when I moved to NC. My first Dr. appointment and blood test told me I had stage 3 CKD. I wondered if my trip to FL. and not drinking water all that time would have caused it. then I got a copy of a test from my old doctor in Ohio and THERE IT WAS! The aide who had called me the results said everything was fine. After a while I called that dr. and he said he did not know I had CKD (there it was at the very bottom of the test copy. So that just told me he ordered tests and did not care to read them. Then after a little more time passed, I sent to the hospital in Ohio asking for 18 years of test results - after a couple months and quite a few dollars I got 3 packages of results from 3 doctors. ALL of the tests said stage 2 or 3 CKD. My mind was blown; I tried to get one of those doctors to talk with me and not one would. Then I tried an Ohio office of medical lawyers. Absolutely nothing could be done. I was not on a kidney diet then. Now I am trying to do so. However I ask you Is it necessary? I am 94 will be 95 in October.