5 Stages of Chronic Kidney Disease: Everything You Need to Know

Stage Two: The Stealthy Progression

Stage two CKD is still considered mild, and most patients remain asymptomatic, meaning they won’t feel different even though kidney function has begun to decline. A patient is classified as stage two if their eGFR falls between 60 and 89, with lab tests or imaging showing signs of kidney stress. While the kidneys are still filtering waste relatively well, this stage is a crucial window of opportunity to take proactive steps before symptoms develop. Doctors often recommend lifestyle adjustments and medications to slow further damage. Patients at this stage should work with their physician to determine if blood pressure or cholesterol medications (such as ACE inhibitors or ARBs) could help preserve kidney function. Dietary adjustments—such as reducing sodium and protein intake—may also be suggested to ease the burden on the kidneys. Regular blood pressure monitoring at home is highly recommended, as high blood pressure can accelerate kidney decline. Additionally, staying physically active with at least 150 minutes of exercise per week can improve circulation and overall health, benefiting the kidneys. Since CKD at this stage still doesn’t cause symptoms, it’s easy to overlook. However, the choices made at stage two can determine how quickly—or slowly—the disease progresses. Now is the time to take charge of kidney health before the condition becomes harder to manage.