If creatine remains stable ,no need for dialysis,rising trend will require dialysis. Very good control of diabetes and blood pressure to be observed. May require calcium supplementation along with vit D3. If hemoglobin drops haemopoietic drugs along with erythropoietin to be supplented. High protein diet to be avoided and any infection to be rigourously treated. Eventually a progressive disease but progression can be slowed down by these measures.