High blood pressure is both a cause and a symptom of kidney disease. Research shows 80% of patients with diabetes have high blood pressure. There are over 26 million individuals in the United States living with Chronic Kidney Disease (CKD) and 11 million of those individuals are diabetics. The purpose of this study is to assess whether high blood pressure increases the risk of kidney disease. High blood pressure is marked by extracellular fluid volume expansion. The data collected is from individuals with high blood pressure and chronic kidney failure. Chronic kidney failure can increase blood pressure. Some of the research suggests renal failure is the cause of high blood pressure in patients with CKF. Evidence from multiple clinical trials demonstrates a cause and effect of high blood pressure with correlation to chronic kidney failure. There is inconclusive evidence of high blood pressure causing kidney disease. However high blood pressure is a major risk factor for chronic kidney disease and renal failure. Patients with chronic kidney disease are advised to monitor risk factors including high blood pressure in collaboration to modify lifestyle. Research shows modifications in lifestyle including controlling blood pressure has improved symptoms related to renal failure. Data suggests patients have a team of physicians to control the lifestyle modifications such as primary care providers, endocrinologists, and nephrologists.