It's something better discussed with your nephrologist and the answer is likely to differ between them.
I see it as an unfair disease. There is always something that I can do to improve my chances of slowing down the disease and improve my quality of life. Hopefully push dialysis as far as possible but it has no guarantees whatsoever. I might catch the flu and have my GFR suddenly drop or cross the street and get hit by a bus.
But I will still do it and put my focus on things I can control rather than those I can't. It gives me a sense of control and strongly believe it gives me more chances to have better outcomes than if I did nothing.
For example, controlling your co-morbidities (e.g. diabetes) have been shown to slow down the progression of the disease and there seems to be mounting evidence that following a plant-based diet slow down the progression of the disease as well. Exercise have been shown to improve many aspect of the disease as well.
I don't have diabetic nephropathy and I am certain that you can find inspiring stories from members who has it using the search engine. But if I am not careful I could certainly have this problem because there is a lot of diabetics in my family. Hope this help.
I agree with Michael, also we are all different in how we progress through life. It's all down to DNA, in part, what we do to stay healthy, eat right, exercise and so on and so forth. There is no patent answer. Recently I asked my neph what my future looks like, and he answered it depends on how long you live.
I think the question you need to ask is does it have to progress to stage 3, 4.and 5? The answer is no. Control the diabetes, and you will be surprised the results. At Stage 2, you should be able to maintain for a long time if you follow a PRESCRITION diet and exercise, keep your glucose low and level, and make sure no other medications are impacting your health. I know from your other posts that you are concerned that this is imminent death. Soooo far from the truth. I really hope you find a doctor who will work with you, give you honest and good information and stop Googling.
Get a good endocrinologist who is up to date on the best diabetic and renal drugs. There are a whole bunch of news ones out there that are SGLT2 and GLP1 inhibitors.
What a nice way to start the day.. Very grateful for your insightful and well thought information..To some of us,who are new here,you are our everything (endocrinologists, nephrologists, renal dieticians etc).It's unfortunate,that from this end of the world,such professionals are hardly available..We rely alot on the internet.Now that we've joined this wonderful community, don't feel offended when we seek clarification on some issues impacting on our kidney disease status..
Am glad for taking your time to address my worries..
Opened the links posted by Bassetmommer..I must admit,they have really helped me..will discuss everything my GP during my next appointment.
When you posted the other day you were referred to kidneyschool.org and the DaVita online classes.
Have you read them and taken the class, or have you just been reading outdated info on the internet and causing yourself anxiety?
There is new medication and the prognosis for diabetic nephropathy is improving all the time.
Don't look ahead like you are on a trip to doomsville. That is no way to live and it's hard for your family and friends to be supportive when you are being unnecessarily negative.
Try the book Stopping Kidney Disease by Lee Hull. Many on here have been helped by it. It includes diet and a ton of info which you need. You can order it online, on Amazon, or maybe at your local library.
Thanks a lot Sophiebun11..Have clicked the links,and surely,they give hope..About the book, stopping kidney disease,by Lee Hull will try to get a copy(if any) at my local library next week or order through Amazon.Thank you for always thinking about my /our problem.. You have become the Dynamo that, party drives my life
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