In New York there is a place that specializes in Kidney Disease Treatment (if you light your fire place with 100 dollar bills you could get a bed)

Anyhow, this is what "they say" makes it progress faster, so alternately, this is the list of what "NOT to DO":

How quickly does Kidney Disease progress?

The progression of kidney disease can be very different from patient to patient. In general, there are several things that can make kidney disease progress faster, which include the following:

long-term use or large doses of certain pain medications, called NSAID medications, including Advil, Aleve, ibuprofen, Motrin, naproxen, and more

uncontrolled blood sugars / diabetes

uncontrolled blood pressure

uncontrolled cholesterol

obesity

smoking

So Don't Smoke, Lose Weight, Control Your Blood Sugar, Control your Blood Pressure and Control Your Cholesterol

HOWEVER you need to do it (meds, hard work, voodoo) - that's the formula - no secret

Conversely - don't do those things and it could get really bad

The best thing is to keep your diabetes under tight control.Glucose between 4-7..8/72-134 for over 70% of the time.

If you are no worse than Stage 2 keeping your A1C at/below 7.0% would get to age 60 most probably (unless you have existing heart/vascular issues)

Stage 3A, less likely, Stage 3B unlikely you would make it 10 more years without significantly progressing unless you kept your A1C below 6.5%

Basic rule of thumb for a "complication" already being experienced

A1C <7.0% buys you 10 years
A1C <6.5% buys you 15 to 20 years
A1C <6.0% generally will let you outlast the progression

And that is for Kidney/Heart Disease, Stroke/Heart Attack Risk, Retinopathy, Vascular Dementia and Peripheral Neuropathy

A1C control (or lack of) can draw nearly a straight line to progression or halting/delaying complications of Diabetes

It's the implementation that takes all the work - the "solution" is pretty simple

Pat has first hand experience and ten years of dialysis is "unusual", it is a deadly disease when it gets to end stage and tends to move quickly (5 years typical life expectancy of a dialysis patient without a transplant)

Not everyone will advance to end stage kidney disease (Stage 5) and even though the majority that die from kidney disease are diabetics

As Pat notes, blood sugar control is key to stopping, slowing down, preventing in the first place, Kidney Disease

The UK changed their blood sugar range recommendations a few years back from the 4.0-10.0 mmols/72-180 range that most of the world recommends to a tighter 4.0 - 8.5 mmols/72-153 range

Sticking to that tighter range protects the Kidney's (CKD), Eye's (Retinopathy) and Brain (Diabetes Dementia) - my personal range is 4.0-8.0 with a target Time in Range of >85%

So if you already have some level of Kidney Disease - I was Stage 2 long before I was diagnosed with Diabetes, then near perfect blood sugar control is the best way to stop it from getting worse "from Diabetes"

Now whatever existing (condition) I have/had that left me Stage 2 is still there. But while I have been Diabetic now since 2016 I am "still" Stage 2 (but to be fair have lost another 8% of function during that 7'ish year period but I'm still in the midpoint range and if nothing changes won't hit Stage 3A for 5 or 10 more years)

That means I probably won't live long enough to even see stage 4 - I am beating the Diabetes Beast trying to take out my Kidney's, at least right now)

I have progressed to the later stages-currently on dialysis.What would you like to know?