Does he require dialysis? Dialysis?

A 46 year old male patient who is a known diabetic since 22 years and is on 40 units of insulin ( 20 pre mean and 30 post) and known hypertensive since 1 year, had oliguria since a month and 8 days ago developed breathless and pedal odema . On further investigations on 18/09/23 his hemoglobin was 9.3, RBS 242, HBA1C 8.8, Urea 73 and creatinine 4.1. Has has high grade bilateral pitting odema, right sided pleural effusion, periorbital odema, and swollen abdomen but no ascites. His 2D echo showed mild to moderate MR, moderate LV dysfunction, LVEF 40%, mild global and regional hypokinesia of LV and dilated cardiomyopathy. The doctor told he has stage 5 CKD On 20/09/23 was urea was 83, creatinine 4.7 On 23/09/23 was Hb was 8.2, urea was 115, creatinine 5.8, Sodium 127.0, Potassium 4.6, Chloride was 101.5. On 24/09/23 Hb 7.5. , urea 149, creatinine was 5.87, Sodium was 122.8, Potassium 4.8, Chloride was 99.1, auric acid 10.3. How severe is his condition. Does he require dialysis ?