[header] How to feed an older dog with kidney disease [title] Talk with your vet about diet choices. [step] When your vet diagnoses your dog with kidney disease, they will talk with you about dietary options for your dog. Commercial dog food formulated specifically for dogs with kidney disease are available. 
You could also prepare a homemade diet for your dog. [substeps] Feeding a homemade diet requires a large time commitment and careful attention to nutrient balance.