In 2007 a Renal Educator/Diabetes position was created and recruited to in a rural renal unit. Prior to 2007 limited renal specific, standardised diabetes management procedures and education were available to staff and patients. This new position is supported by the facility Endocrinologist and existing Diabetes Educator in a mentor arrangement. Deficits were identified and collaborative strategies developed to provide a more focused approach for renal diabetic clients. Strategies implemented were; routine blood glucose monitoring and trending for haemodialysis clients, a database of all diabetic clients accessing the renal service and a Chronic Kidney Disease Diabetes Clinic. Education of all renal staff has created an increased level of awareness, enthusiasm and competence in diabetes management for the renal client. As a result, a diabetes portfolio has been implemented with offline time for a registered nurse one day per fortnight to take over the management of haemodialysis diabetic clients. This position consults with the Renal Educator/Diabetes regarding diabetic client management and provides succession training. Patient outcomes are measured via improvement in glycaemic control, HbA1C, level of self management, patient satisfaction and quality of life. Improvements in this client population are seen as baby steps; however those clients who have been successful within the program are truly inspirational. Renal staff are more motivated to participate in minimising the renal diabetes explosion and carry the message that diabetic client management can be simplistic and rewarding when taking baby steps.