@roshkhan I am diabetic and have a history of hypertension (the two leading causes of CKD). My local healthcare team includes an endocrinologist and nephrologist. I also have access to a nutritionist that is knowledgeable about diabetes & CKD. I try to comply with labs, medications and dietary recommendations. The most helpful thing for me has been my faith. I am a Christian and have put my life and every aspect of it in God’s hands. I believe it is my responsibility to take care of myself the best I can and make use of all the medical / health resources I can find then leave the results in God’s hands. From 2016 - the present my eGFR has bounced around between 14 - 42. It is currently 29. I don’t need to understand God’s timing & plan for me to trust that it is ultimately for my good.