Stage 2 chronic kidney disease (CKD)
What is stage 2 chronic kidney disease (CKD)?
In stage 2 chronic kidney disease (CKD), estimated glomerular filtration rate (eGFR) is between 60 and 89 ml/min/1.73m2 and other tests have identified signs of kidney damage. The kidneys largely keep their ability to filter blood, meaning there might not be any noticeable health changes.
How stage 2 CKD impacts your health
A urine albumin creatinine ratio (uACR) test identifies the level of protein in the urine, a sign of kidney damage. If the uACR level is less than 3 mg/mmol, there is a low risk of CKD getting worse. Higher uACR numbers increase your chances of CKD worsening and risk of cardiovascular disease (CVD).
Signs and symptoms of stage 2 CKD
Stage 2 CKD may not have any symptoms. Some patients may have some of the symptoms of kidney damage seen in later stages of CKD.
Treatments for stage 2 CKD
Managing stage 2 CKD effectively can help slow its progression and reduce the risk of associated health problems such as cardiovascular disease. Here are some key things to consider:
- Management of other medical conditions. Conditions such as high blood pressure and diabetes can damage the kidneys, so it is important to follow a GP’s advice, including taking any medications and attending appointments.
- Stop smoking. Smoking can increase the risk and rate of progression to kidney failure. It also increases the risk of cardiovascular disease (CVD) which increases the risk of CKD.
- Eat a healthy and balanced diet. Avoid consuming too much salt as this increases blood pressure and can put strain on the kidneys. For more information on healthy eating for kidney patients visit our dedicated page.
- Avoid drinking excessive amounts of alcohol. Avoid drinking over 14 units a week regularly.
- Exercise regularly. The NHS recommends at least 150 minutes of moderate exercise a week. Starting with short walks is a great way to begin.
- Having overweight. Losing weight through a healthy diet and exercise can improve your health.
- Avoid the use of certain painkillers, called nonsteroidal anti-inflammatory drugs (NSAIDs), such as Ibuprofen, where possible, as these can cause kidney damage if taken too often.
For more information on how to look after your kidneys, download our Get kidney fit booklet.
Your doctor may also prescribe medications to help prevent cardiovascular disease, such as a statin (a cholesterol lowering drug).
In some cases, depending on the level of protein identified on your uACR test, and whether you have diabetes, your doctor may prescribe a medication called an SGLT-2 inhibitor to try and slow the progression of CKD and reduce the risk of complications such as cardiovascular disease.
Important questions to ask
In some cases, depending on the level of protein identified on your uACR test, and whether you have diabetes, your doctor may prescribe a medication called an SGLT-2 inhibitor to try and slow the progression of CKD and reduce the risk of complications such as cardiovascular disease.
- What are the results of my eGFR and uACR tests?
- Do I have protein in my urine?
- When are the next recommended tests for my eGFR and uACR?
- Should I make any lifestyle changes?
- Do I have diabetes or prediabetes?
- Do I have high blood pressure?
- Does this diagnosis impact the management of any other conditions that I may have?

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