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Diabetologist doctor near me The four stages of diabetic nephropathy... Stage 1: Kidney damage present but normal kidney function and a GFR of 90% or above. Stage 2: Kidney damage with some loss of function and a GFR of 60–89%. Stage 3: Mild to severe loss of function and a GFR of 30–59%. Stage 4: Severe loss of function and GFR of 15–29%.