Well, I've put in 12-1/2 hours at the clinic. While perusing the files, I saw that this will be an experience of regularly losing patients. You have chronic and end stage renal failure. I dread losing someone. But it's life and I'll deal. Did you know that diabetes is the leading cause of kidney failure in the US? Put that sugar down, get on the scales and then let's all go for a long, long walk!!! I imagine I'll change some things about my eating and exercising.