Hello, can someone that is familiar with a cat that is both diabetic and CKD please take a look at our lab results and offer any advise on where to go from here? A little background...Kekoa is 14 1/2-15 years old. His kidney values were all normal on 10/20/17 the day of his surgery to remove a tumor from his bladder. He did not recover well and ended up in ICU just 4 days later being treated for a diabetic crisis. His glucose and kidney values were through the roof. He did not eat after surgery and did not get the insulin he needed. The fluid treatment did help bring his Kidney values down, but still left him in the low-high range. He was retested in November to see how his values were hanging and they were same as when he left the ICU. Two months later now and his BUN went from 29 to 46, creatinine went up from 2.4 to 2.5. I took him to his regular vet last night (another FDMB member recognized that he may need Cerenia for some nausea symptoms that I didn't recognize). He got the injection last night and I since we were there, I asked for them to run a SMDA test. They came back with the results this morning and he's at 20. My vet wants me to put him on a RC renal diet, but I know that won't be good for his diabetes. Which condition do I treat first? Any advise is much appreciated. Also, how bad do you think he is? Stage? https://drive.google.com/file/d/1NIepjV-Nme2EJwAAcYvROQP1PTyHqccY/view?usp=sharing https://drive.google.com/file/d/1QwohDP7uv4DDm9uBzzMVRbIT4Xj7D6Uq/view?usp=sharing Thank you!