** Thanks for contacting with your health concern. 1. As he is a patient of chronic renal failure, thus keep in mind that -85-90% of kidney function is lost - GFR must have fallen below 15-30 ml/min. - creatinine level will go on increasing thereby further decreasing the GFR. 2. If you are thinking of dialysis, then one can choose between peritoneal or hemodialysis or in- center dialysis after consulting with the attending Nephrologist [since both have its advantages and disadvantages] 3. since the disease is in advanced stage thus problem with high blood pressure, impaired blood sugar, low blood count [hemoglobin] and bone disorders [calcium/phosphorus, parathormone [PTH] ] are commonly seen, thus check with the values periodically. 4. Apart from being under the regular supervision of your attending Nephrologist, following guidelines are provided i. Avoid potassium in food/diet: like tomato, papaya, cheese, FRUIT JUICES, coconut water, banana, potato, soybean, Glycyrrhiza glabra, raisins, dried apricots, spinach, grapes] ii. protein diet is advisable, but if serum creatinine is high, protein-rich diet is avoided instead protein with essential amino acid is given [albumin infusion] iii. calcium can be given [milk, guava] but again after confirming with calcium levels. iv. restrict sodium intake [if blood pressure is high] exclude high salt diet [pickles, chutney, wafers, sauce, salted biscuits, popcorns, refined and processed foods, pain killers] v. diet low in saturated fat and cholesterol. vi. since anemia in the chronic kidney disease is resistant to conventional therapy thus Erythropoietin injection is the choice. vii. limit phosphorus intake if levels are high. 5. In addition to helping the patient keep their kidneys working as long as possible, the nephrologist will also help prepare the patient for dialysis or a kidney transplant, and also The National Kidney Foundation (NKF) guidelines recommend starting dialysis when kidney function drops to 15 percent or less, by doing everything possible to help prolong kidney function and overall health, the goal is to put off dialysis or transplant for as long as possible.