Chronic kidney disease(CKD) and diabetes are common diseases that affect a large proportion of the population. Depending on the severity of the CKD, drug regimens, including those for glycemic control, and dietary intake may require adjustments. Aggressive identification and treatment of risk factors for cardiovascular disease as well as complications of CKD are recommended given the very high risk of adverse cardiovascular events in patients with both diabetes and CKD. Multidisciplinary care, including teamwork among physicians, nurses, pharmacists, dietitians, and social workers, may provide the optimal system for maximizing the care of complex chronic disease patients. Life style, nutritional, and pharmacologic interventions are effective in slowing the progression of kidney disease even in those with diabetes and may prevent or delay the development of complications and need for renal replacement therapy (dialysis or transplantation). As trusted providers of information and advice on self-management, diabetes educators are in a unique position to assist patients in coping with the fear and complexity of kidney disease.