🧬 Your Kidney Function Results – Stage 2

Mild reduction in kidney function (eGFR 60‑89 mL/min). Early action can slow or stop progression.

✅ Routine monitoring – see your GP within 1 year if stable.

📊 Estimated Glomerular Filtration Rate (eGFR)

0 mL/min Stage 2 – Mildly reduced (60‑89)

Interpretation: Your kidneys are filtering blood at 60‑89% of normal. Many people with stage 2 CKD have no symptoms. The key is to identify and manage underlying causes (diabetes, high blood pressure, proteinuria) to prevent progression.

✅ Altered kidney function – but with lifestyle changes and medication, you can preserve function for many years.

⚠️ Risk Factors Identified

Total modifiable risk factors: 0 (the more you control, the better the outcome).

✅ Age not a risk factor – keep up healthy habits.

✅ Healthy BMI range – maintain with good nutrition.

🧪 Urine Protein Analysis

✅ No protein detected in urine – good.

🍬 Urine Glucose & Diabetes Risk

✅ No glucose in urine – low risk of diabetes.

📋 What to do in Stage 2 CKD

Blood pressure target: < 130/80 mmHg. If you have diabetes or proteinuria, aim for < 125/75.
Blood sugar control: If diabetic, keep HbA1c < 7% (individualised).
Dietary adjustments: Reduce salt (≤5g/day), avoid processed meats, eat vegetables and whole grains. Consider consulting a renal dietitian.
Medications: ACE inhibitors or ARBs are often used to protect kidneys, especially if proteinuria is present.
Avoid nephrotoxins: NSAIDs (ibuprofen, naproxen), high‑dose proton pump inhibitors, certain antibiotics – always consult your doctor.
Monitor regularly: Repeat eGFR and urine protein every 6‑12 months, or more often if risk factors worsen.

⚠️ When eGFR may be unreliable

The estimated GFR can be misleading in the following situations:

Acute changes in kidney function
Recent consumption of cooked meat
Exceptional dietary intake (e.g., creatine supplements)
Extremes of body size (very muscular or very low muscle mass)
Diseases of skeletal muscle
Children under 18 years
Severe liver disease
Drugs interfering with creatinine excretion (e.g., cimetidine, trimethoprim)
Pregnancy

Note: Most people with stage 2 CKD have no symptoms. It is often discovered during routine testing for diabetes or high blood pressure – the two leading causes of kidney disease.

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