@rrr1952 I have stage 3B CKD from norovirus 2 years ago, and IBD (microscoic colitis). I am on Jardiance, an SLGT2 inhibitor even tho I don't have heart disease, diabetes, or high blood pressure (was 120/70, now 105/73). Because of the IBD I don't tolerate NSAIDs, ACE or statin meds, some preservatives, or artificial sweeteners (we went low sugar years ago and don't miss it). So, to make a short story long, I moderate my water intake like @cheyne does because of water loss from IBD. Mostly pescatarian now, we need protein but not as much as the American diet. No beef, limit sodium, potassium, and phosphates. A lot of it is portion control. Hopefully you can find a good renal diatician to help you integrate your CKD and diabetes diets (there must be some out there). Also, exercise is very important to kidney and heart health. I think in the end, the balance is somewhat like a Mediterranean diet, but it should be individualized to your specific health issues.