Brief Answer: Hi, Mrs XXXXXXX you can manage your health at home. Detailed Answer: Hi XXXX Thank you for posting your query. The need for medical supervision depends on the severity of disease you have. I presume you were diagnosed with chronic kidney disease recently, as you have diabetes, hypertension and obesity since some time. your reports point to severe renal disease, but still you can manage your health at home, unless you have an acute illness or an indication for hemodialysis. Even for dialysis, there are home based options which will allow patients to remain in their place. In your case, I suggest to keep a watch on your dialy urine output, weight changes (which are rapid in kidney patients) and intake. As long as you do not have shortness of breath or sudden fall in urine quantity, you need not be hospitalized. Hope this answered your query, if you have further queries, you may feel free to ask. Wishing you good health. Regards.

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