Diabetic Kidney Disease (Stages 1–4)

Rising creatinine, proteinuria and a declining GFR are signs your kidneys need protection now. Our nephrology-guided program is designed to slow progression and protect kidney function — before dialysis becomes necessary.

Meet Our Specialists
Overview

Slowing decline before it becomes irreversible

Diabetic kidney disease often progresses silently through stages 1–4. Early detection of a falling eGFR and protein in the urine allows intervention that can meaningfully slow decline — long before symptoms appear.

Every kidney program at Boston Diabetes is reviewed by our U.S. nephrology advisor Dr. Barbara Ann Greco, MD (Harvard Medical School / UMass Chan — over 35 years in kidney care and transplantation). Meet our specialists guiding your care.

Signs we monitor

  • Rising serum creatinine
  • Falling eGFR
  • Protein or albumin in urine (proteinuria)
  • Swelling in feet or ankles
  • Uncontrolled blood pressure
  • Fatigue or reduced appetite

Protect function before dialysis

Structured renal-risk management can delay or prevent progression to end-stage disease. The earlier we intervene, the more kidney function we can preserve.

The Boston Standard Care Pathway

Every program follows the same three-stage pathway — comprehensive assessment, personalized intervention, and continuous outcome measurement.

Care Pathway

Three stages, one goal — protect your kidneys

1

Comprehensive Assessment

eGFR staging, urine ACR, a full blood-pressure profile and a review of your current medications to establish where your kidneys stand.

2

Personalized Intervention

Kidney-protective therapy with tailored blood-pressure and glucose targets, dietary guidance, and careful avoidance of nephrotoxic drugs.

3

Continuous Measurement

Repeat eGFR and ACR tracking confirms that progression is slowing — so care stays guided by results, not assumptions.

Related Programs

Explore other complication programs

Protect your kidneys — starting today

Early nephrology care changes outcomes.

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