Hello Sir, The seriousness of your condition is determined by many factors and not by your urinary protein/creatine ratio alone. You have what is also called Berger s Syndrome if you have been biopsied to have iga nephropathy.The biopsy is what tells you not only the diagnosis, but how severe your condition is. For this you need to consult the physician who did your kidney biopsy and diagnosed you with iga nephropathy. Berger s syndrome is rare, attacks the kidneys and can lead to end-stage-renal failure, so this is a serious diagnosis. In general, to try to prevent kidney decline, these are the approaches I use with my patients: 1. Limit sodium in diet to control fluid buildup 2. Take ramipril (ACE Inhibitor) on an empty stomach 1 hour before foods (food decreases absorption by 50%). Avoid salt substitutes, probably because of the potassium content. Iron and magnesium absorption are reduced with this medication. 3.Omnacortil (a form of cortisone) does cause weight gain. Try to stay away from too many carbohydrates and added sugars to control weight. Avoid alcohol and grapefruit juice. 4. Decrease saturated fat in diet by avoiding fatty meats, solid fats, hydrogenated fats. Limit to 10% of total calories. 5. Eat diet low in cholesterol 6. May need to decrease fluids to control edema/fluid retention. 7. Take a look at how much protein you are eating and limit (this will also help lower saturated fat) You did not give me your glomerular filtration rate but generally limiting protein to .8 g/kg and no higher is a prudent recommendation without a complete assessment of your staging. This averages out to 74 gms. of lean protein per day. 8. The prednisone puts you at risk for osteoporosis. Ck. with doctor on what he wants you to do about calcium and vitamin D. Also, maintain vitamin K levels which is found in green vegies for the most part. 9. Some researchers (National Institute of Health) show that fish oil shows kidney damage. Seeing a renal dietitian for an individualized lifestyle plan to preserve your kidney function with ongoing monitoring by a renal Registered Dietitian is recommended. I hope this has answered some of your questions. I am available by private consult should you have more questions. Best Wishes, Kathryn Shattler, MS,RDN