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Renal system · kidneys

Chronic kidney disease care in Hudson and Trinity, FL

Regular monitoring and coordinated care to help protect kidney function over time.

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Medically reviewed by Dr. John Hanna, MDBoard certified internal medicine · September 29, 2026
Chronic conditions
Clinician reviewing lab results with an older adult in an exam room
In short

Chronic kidney disease care is ongoing primary care that helps adults protect kidney function over time. It includes regular blood and urine testing, blood pressure and blood sugar control, a careful review of medications that affect the kidneys, nutrition guidance, and timely coordination with a kidney specialist (nephrologist) when needed.

Ready to schedule? New patients age 18 and older are welcome.

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Chronic kidney disease care is ongoing monitoring and treatment for adults whose kidney function has decreased over time. Early kidney disease usually causes no symptoms, and it is often found on routine lab work. With good management, progression can often be slowed. At our Hudson and Trinity offices, Internal Medicine MD monitors kidney function, adjusts medications that affect the kidneys, and coordinates with nephrology at the right time.

What kidney disease care includes

Your kidneys filter waste and extra fluid from your blood and help control blood pressure. Two common tests track how they are doing: a blood test that estimates filtering rate (eGFR) and a urine test that checks for protein (albumin). Your provider uses these results over time to guide care.

  • Regular kidney function blood and urine tests, with in office blood draws
  • Blood pressure control and diabetes management, two of the most important ways to protect the kidneys
  • Medication review, including over the counter pain relievers and supplements that can affect the kidneys
  • Dose adjustments for medications cleared by the kidneys
  • Guidance on nutrition, fluids, salt, and activity
  • Timely referral and coordination with a nephrologist when needed

Kidney disease often occurs alongside diabetes, high blood pressure, and heart disease. Treating these conditions together helps protect both the kidneys and the heart.

What to expect at your visit

Your first visit includes a review of your lab history, medical conditions, and every medication and supplement you take. Bring any past lab results or records from other providers, since the trend over time is often more useful than a single result. Your provider may order blood and urine tests, which can often be collected during the same visit.

Your provider will explain your results in plain language, including what stage of kidney disease you have, if any, and what it means for your daily life. Together you will set goals for blood pressure, blood sugar, and other factors that support kidney health.

Follow up visits track your lab trends and adjust your plan as needed. Some medications are adjusted or changed to be gentler on the kidneys. Your provider will also let you know which over the counter medicines to check with the team about first. If your kidney function changes, or if more specialized care would help, the team will coordinate a nephrology referral and share your records so care stays connected.

Have questions about your care? New patients age 18 and older are welcome.

Check your insurance

Who this care is for

This care is for adults with chronic kidney disease in its earlier or middle stages, people with diabetes or high blood pressure who need kidney monitoring, and anyone whose recent lab work shows a change in kidney function. It also supports patients who already see a nephrologist and want their primary care coordinated with that specialist. People with kidney disease and another chronic condition may also qualify for Chronic Care Management.

Insurance and coverage

Kidney disease visits and medically necessary lab testing are commonly covered by Medicare and many commercial plans. Participation varies by plan and office, so please call to verify your coverage.

Seek urgent care for very little or no urine, sudden swelling in the legs or face, shortness of breath, confusion, or severe weakness. Call 911 if symptoms are severe.

Frequently asked questions

What are the early signs of kidney disease?

Early kidney disease often has no symptoms. It is usually found through blood and urine tests, which is why regular lab work is important for people with diabetes or high blood pressure.

Can chronic kidney disease be slowed?

In many cases, yes. Controlling blood pressure and blood sugar, reviewing medications, and following a kidney friendly plan can help slow progression.

Which pain relievers are safe for my kidneys?

Some common over the counter pain relievers can affect kidney function. Ask your provider which options are right for you before taking any new medicine.

When will I need to see a nephrologist?

Your provider may refer you if kidney function declines, protein in the urine increases, or other concerns come up. The team coordinates the referral and shares your records.

How often should kidney function be checked?

The schedule depends on your stage and other conditions. Many people are tested once or several times a year, and your provider will set the right interval for you.

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