Evolve Health · Specialty
Nephrology and kidney care
Specialist care for kidney disease, high blood pressure and the metabolic conditions that affect how your kidneys work. We focus on finding problems early, slowing their progress and building one plan around you, from a first abnormal lab result through dialysis and transplant care. Available at select Evolve Health offices in Florida.
- Every stage of kidney disease
- Blood pressure and kidneys, together
- Dialysis and transplant coordination
Nephrology services
Everything our nephrology team treats and coordinates. Filter by what you are looking for; each service gets its own in-depth guide as it is published.
Showing all 8 services
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Chronic kidney disease (CKD) management
Kidney disease Chronic kidney disease (CKD) is a gradual loss of kidney function over time, described in stages 1 through 5. It usually has no symptoms early on, so it is most often found through blood and urine tests. See a nephrologist if your kidney lab results are abnormal or you have been told your kidney function is reduced. Treatment focuses on slowing the loss through blood pressure control, diabetes management, medication adjustments and lifestyle changes. We check your labs regularly and adjust the plan as they change. -
Hypertension & kidney-related blood pressure
Blood pressure High blood pressure damages the small blood vessels in the kidneys, and kidney disease in turn raises blood pressure. See a nephrologist if your blood pressure is hard to control, stays high on several medications (resistant hypertension), or is high alongside abnormal kidney tests. We look for the underlying cause, including kidney disease, and treat it. Controlling blood pressure is one of the most important ways to protect both your kidneys and your heart. -
Diabetic kidney disease
Kidney disease Diabetes can damage the kidneys over time. This is called diabetic kidney disease, or diabetic nephropathy. It rarely causes symptoms early, so it is found through regular blood and urine tests. See a nephrologist if those tests show protein in your urine or reduced kidney function. Care means controlling blood sugar and blood pressure, using medications that protect the kidneys, and monitoring your kidney labs and urine protein. Consistent management can significantly slow the disease and reduce complications. -
Electrolyte & metabolic disorders
Blood pressure Electrolytes are minerals in your blood, such as potassium and sodium. Your kidneys keep them, and the acid level of your blood, in balance. When kidney function drops, the levels can run too high or too low, and that can cause serious complications if it is not corrected. These imbalances are usually found on a blood test. See a nephrologist if your results are abnormal more than once. We find the cause, correct the level with careful medical management, and repeat your tests to confirm it holds. -
Proteinuria & glomerular disease
Kidney disease Healthy kidneys keep protein in the blood. Protein in the urine, called proteinuria, can be an early sign of kidney damage. Sometimes the cause is a disorder of the kidney's filters (the glomeruli), such as glomerulonephritis or nephrotic syndrome, and some of these are related to the immune system. See a nephrologist if a urine test shows protein, especially if you also have swelling in your legs or ankles. We look for the cause and build a treatment plan around it to protect your kidneys. -
Acute kidney injury & hospital follow-up
Kidney disease Acute kidney injury is a sudden drop in kidney function, often caused by an illness, dehydration or a medication. It is usually found and first treated in the hospital. See a nephrologist after you go home, so your kidney function is watched while it recovers. We repeat your labs, review your medications and treat anything that is slowing recovery. The aim is to support recovery and prevent lasting damage. -
Kidney failure & transplant care
Dialysis & transplant · Kidney disease Kidney failure, also called end-stage kidney disease, means the kidneys can no longer remove enough waste and fluid from the body (stage 5 CKD). The treatments are dialysis or a kidney transplant, and planning well ahead of time gives you more choice. We manage your care at this stage, help with transplant evaluation, prepare you before surgery and monitor you afterward. We coordinate closely with transplant centers so your care stays continuous. -
Dialysis management & renal replacement therapy
Dialysis & transplant Dialysis does the work of the kidneys when they can no longer remove enough waste and fluid from the body, which usually happens in advanced kidney failure. Hemodialysis filters your blood through a machine. Peritoneal dialysis is done at home. Your nephrologist helps decide the right timing and prepares you well ahead of time. We guide you through the options, the planning and the ongoing care.
Don't see what you need? Just ask. Nephrology is offered at select Florida offices; each location page lists what is available there.
How nephrology works at Evolve Health
One consultation, one plan for your kidneys and your blood pressure, and regular monitoring so changes are caught early.
Start with your labs
Your nephrologist reviews your kidney labs, such as creatinine, eGFR and urine protein, along with your blood pressure history and medications, and explains where your kidney health stands in plain language.
One plan for kidneys and blood pressure
Blood pressure, blood sugar and medication choices all affect your kidneys, so they are managed together in a single plan, adjusted at each visit as your results change.
Monitoring that stays ahead of change
Kidney disease moves slowly. Regular labs and check-ins catch changes early, and if dialysis or a transplant is ever needed, the planning starts with a team that already knows you.
When to see a nephrologist
Kidney disease is often silent until it is advanced, so the first sign is usually a lab result rather than a symptom. Book a consultation if any of these apply to you.
Find a nephrologist- Abnormal kidney labs, such as a high creatinine or a low eGFR
- Protein or blood in your urine
- Blood pressure that stays high despite medication
- Diabetes with early signs of kidney changes
- Swelling in the legs or ankles, or changes in urination
- A recent hospital stay with a sudden drop in kidney function
- A family history of kidney disease
- Age over 60 with diabetes or high blood pressure
Your first visit
- BringPhoto ID, insurance card, any referral, and recent lab results or imaging.
- MedicationsA list of everything you take, including over-the-counter pain relievers and supplements. Some affect the kidneys.
- Your numbersHome blood pressure readings and blood sugar logs, if you keep them.
- ReferralDepends on your insurance plan. Some patients can book directly; our staff can check your coverage before the visit.
One connected team
Kidneys, blood pressure and the rest of your health
Diabetes and high blood pressure affect more than the kidneys. Many of our nephrology patients also see an Evolve Health podiatrist for diabetic foot care, and both providers work from the same plan, so nothing about your health is managed in isolation.
All specialtiesNephrology close to home
Nephrology is offered at select Evolve Health offices in Florida. Find the closest one, meet the team, and book your consultation online.
Nephrology questions, answered
Early signs, lab results, blood pressure, dialysis, referrals and what to expect from a nephrologist.
A nephrologist is a doctor who specializes in kidney health and treats conditions such as chronic kidney disease (CKD), high blood pressure, electrolyte imbalances and kidney failure. See a nephrologist if you have abnormal kidney lab results, protein in your urine, blood pressure that is hard to control, or kidney complications related to diabetes.
Early kidney disease usually has no noticeable symptoms. As it progresses, you may notice fatigue, swelling in the legs or ankles, changes in urination and high blood pressure. Because symptoms are subtle, routine blood and urine tests are the most reliable way to catch kidney disease early.
Yes. A blood test measures creatinine and estimates how well your kidneys filter (eGFR), and a urine test checks for protein or other abnormalities. Together they can detect kidney disease long before symptoms appear, when treatment has the most effect.
CKD is a gradual loss of kidney function over time, described in stages 1 through 5. Treatment focuses on slowing that loss through blood pressure control, diabetes management, medication adjustments and lifestyle changes. Early diagnosis and regular monitoring are the keys to delaying kidney failure.
Creatinine is a waste product your kidneys filter, so a high level can mean reduced kidney function. Dehydration and some medications can also raise it temporarily. An elevated result should be reviewed by a healthcare provider or nephrologist to find the cause and decide whether treatment is needed.
High blood pressure damages the small blood vessels in the kidneys, reducing their ability to filter waste. Over time that can lead to chronic kidney disease, and kidney disease in turn raises blood pressure. Controlling blood pressure is one of the most important ways to protect kidney function.
Healthy kidneys keep protein in the blood. When protein shows up in urine, it can be an early sign of kidney damage or of another condition that needs evaluation. Your nephrologist will look for the cause and treat it to protect your kidneys.
Chronic kidney disease usually cannot be fully reversed, but it can often be slowed significantly. Controlling blood pressure, managing diabetes, adjusting medications and making lifestyle changes all help preserve kidney function. The earlier care starts, the more function can be kept.
By controlling blood sugar, optimizing blood pressure and using medications that protect the kidneys, with regular monitoring of kidney labs and urine protein. Consistent management can significantly slow progression and reduce complications.
Dialysis is needed when the kidneys can no longer remove enough waste and fluid from the body, which usually happens in advanced kidney failure (stage 5 CKD). Your nephrologist helps determine the right timing and prepares you for dialysis, a transplant or other treatment options well ahead of time.
A nephrologist treats medical conditions that affect how the kidneys work, such as kidney disease, high blood pressure and electrolyte disorders, without surgery. A urologist treats structural or surgical problems of the urinary tract, such as kidney stones or prostate conditions. The two often work together.
People with diabetes, high blood pressure, cardiovascular disease or obesity, anyone with a family history of kidney disease, and adults over 60. Routine screening with blood and urine tests is recommended for these groups so kidney disease can be found and treated early.
It depends on your insurance plan. Some patients can schedule directly, while others need a referral from a primary care provider. Our team can verify your coverage and guide you through scheduling so you are seen promptly.
At select Evolve Health offices in Florida. Use the locations page to find an office that offers nephrology, meet the team and book online.
Nephrology guides
Plain-language answers to the questions patients ask us most.
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Nephrology
High potassium with kidney disease: what to eat, what to stop, and when it’s urgentWhat a high potassium result means when you have kidney disease, which foods and medicines raise it, what to eat instead, and the signs that mean go to the ER.
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NephrologyPodiatry
Swollen feet and ankles: common causes and when it’s seriousWhy feet and ankles swell, how to tell everyday puffiness from swelling linked to the heart, kidneys, liver, veins or a blood clot, and when to get help.
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NephrologyPodiatry
How to reduce swelling in your feet, ankles and legs fastQuick ways to bring down swollen feet and ankles at home, how to wake up with less swelling, and medical treatments for swelling that keeps coming back.
