How do I care for a wife with diabetes and chronic kidney failure?

BS, BP,ACEi. Management of chronic diabetic renal disease requires blood sugar control, BP control, preferably with an ace inhibitor or an arb. Usually diuretics will be needed. In addition dialysis education and preparation with an eye towards choosing and preparing for a dialysis modality (hemodialysis, peritoneal dialysis) are important. Consider seeing a nephrologist for more focused advice.