Signify Health Blog

Early Kidney Disease Warning Signs: How One In-Home Visit Changed a Life

Written by Heidi Schwarzwald, MD, MPH | 3/26/26 2:00 PM

 

Each March, National Kidney Month gives us an important reminder: chronic kidney disease is common, serious and often completely silent. But sometimes, one conversation — one moment of connection — can make all the difference.

At Signify Health, we see this every day during our in‑home health visits. Recently, a story from our team reminded me of just how powerful early detection can be.

A life‑changing in‑home health visit

Last year, one of our clinicians, Emily, a nurse practitioner in Indiana, prepared for a routine In‑Home Health Evaluation (IHE) with a health plan member. Before the visit, Emily reviewed the member's health information, and three things stood out:

  • A history of diabetes
  • A history of cardiovascular disease
  • Concerning kidney test results from a few months earlier

Emily knew when these factors were considered together, it significantly increased a person’s risk for chronic kidney disease (CKD). During the IHE visit, Emily encouraged the member to follow up with their primary care provider (PCP) for additional kidney testing.

Afterwards, the member called Signify Health to say thank you. The follow‑up visit with their PCP revealed stage 3 chronic kidney disease that was caught much earlier than it would have been without another test. If Emily hadn’t brought it up, the member said, “there’s no telling what would have happened.”

Stories like this are meaningful because they highlight a simple truth: Early kidney testing saves lives.

The silent threat of kidney disease

More than 35.5 million adults, over one in seven people, in the U.S. are estimated to have chronic kidney disease, but up to 90% of them don’t know it. CKD is often called a “silent killer” because symptoms rarely appear in the early stages. Most people feel healthy while kidney function quietly declines.

Kidneys filter more than 50 gallons of blood per day to remove waste, regulate blood pressure, balance minerals and support red blood cell production. If your kidneys are not working well, toxic waste and extra fluid accumulate in your body and may lead to high blood pressure, heart disease, stroke and even early death. By the time signs like swelling, fatigue or changes in urination appear, the disease may already be advanced.

That’s why testing is so important. A blood test (creatinine/eGFR) and urine test (albumin) can reveal kidney problems long before symptoms start.

Who’s most at risk?

Some health conditions raise your chances of developing CKD:

  • Diabetes and high blood pressure, which are the top two causes
  • Heart disease
  • Obesity
  • Family history of kidney disease
  • Older age: CKD affects 34% of people over 65
  • Long‑term use of NSAIDs such as ibuprofen or naproxen

If any of these apply to you, routine screening is especially important.

How to take charge of your kidney health

The good news? You have more control over your kidney health than you might think. Here are steps you can take today:

  1. Get tested regularly1: Simple blood and urine tests are the only reliable way to catch CKD early.
  2. Manage blood pressure and blood sugar: Keeping both in a healthy range protects your kidneys from long‑term damage.
  3. Choose foods that support kidney and heart health1: Focus on fruits, vegetables, whole grains, lean proteins and low‑fat dairy. Limit sodium, added sugars and processed foods.
  4. Stay active2: Aim for about 30 minutes of activity most days to support healthy weight, blood pressure and blood sugar.
  5. Use medications carefully: Frequent or long‑term use of over‑the‑counter pain relievers, especially NSAIDs (e.g., ibuprofen, naproxen)3, can harm kidneys.
  6. Hydrate, but don’t overdo it4: Drink enough water to stay hydrated. Excessive drinking offers no added benefit.
  7. Quit smoking4: Smoking reduces blood flow to the kidneys and accelerates damage. Quitting is one of the best things you can do for your overall health.

Making early detection easier: kidney testing at home

For many people, getting to a clinic isn’t easy. That’s why Signify Health offers no‑cost, in‑home health visits for eligible health plan members. It’s a convenient way to check blood pressure and review risk factors, and eligible members can receive preventive or diagnostic screenings or tests such as a kidney health test right at home.

These visits help catch health issues earlier, connect people with their primary care providers and empower members to take charge of their health. Whether kidney health testing occurs in the home or a referral for testing is made during the visit, members gain insights into their kidney health — just like the health plan member who discovered she had stage 3 CKD thanks to Emily’s visit.

Your kidneys work hard for you: take care of them

Chronic kidney disease is common and often silent, but with early screening and healthy habits, it’s also highly preventable. Consider taking one simple step today: get tested. A single test can make all the difference. 

You can check to see if you are eligible for an In-Home Health Evaluation at no cost to you. Go to www.hellosignify.com or call 1-855-984-6121.

Footnotes:

  1. http://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/prevention
  2. http://www.consumerreports.org/health/kidney-disease/keep-your-kidneys-working-well-a1234563939
  3. http://www.health.harvard.edu/staying-healthy/how-can-i-keep-my-kidneys-healthy
  4. https://health.clevelandclinic.org/how-to-keep-kidneys-healthy