Is there anything i should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s ). thank you.

Dialysis preparation: You should have a good idea of what type of dialysis you want, either hemodialysis (hd) or peritoneal dialysis (pd). Each has its advantages and disadvantages. Once you and your nephrologist have decided, have a av fistula created for hd or implant a peritoneal catheter for pd. The best thing you can do is to start dialysis without a central vein catheter. Speak to your nephrologist about this.

Yes: If you have renal insufficiency ("pre-dialysis" kidney disease) you should consider getting a fistula placed. Since you have some klidney function you are a better surgical candidate, will heal better, and can get a native vein fistula (the best kind). Don't wait until you start dialysis because you may need a catheter (which is not good).