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[–] AddictedToBadIdeas 0 points 0 points (+0|-0) ago 

The kidney's failing is a point of no return. At a certain point there is too much sugar in a diabetic whale and the kidney's just emergency override to push it through, shredding the kidney in the process. Kidney's will still work partially even after this, so they don't remove them even if they do a transplant. But without a huge diet change and weight loss the sugar gets pushed through again, destroying the new kidney as soon as it's in place.