I was diagnosed with CKD in 2008. My creatinine has fluctuated from as low as 1.2 & as high as 2.2 The GFR has been as low as 25% & the high at 43%. I have just switched nephrologists & am seeing a new one today. My former nephrologist never asked if I have a family history of kidney issues including kidney stones. I was never given a renal nor kidney stone diet. In fact the former nephrologist said a renal diet was not necessary UNTIL I went on dialysis. Due to several people I know on dialysis I have chosen to not do dialysis & hope I can stop the ongoing kidney failure. The former nephrologist told me she does not deal with kidney stones! If you are not happy with the quality of your specialist see a new one that will stop the progression as I am doing today!