Hemoglobin A1c (HbA1c) with 24-hour urine collection for total urinary creatinine
This test measures your average blood sugar levels over the past 2–3 months and checks how much creatinine you excrete in urine over 24 hours. It helps assess long-term blood sugar control and kidney function together.
["Helps track diabetes management and kidney health in one combined test."]
Key facts at a glance
- LOINC
- 71714-0
- Short code
- BRUCABMR
- Synonyms
- B abortus Ab Mlk Ql HIRT
- Category
- chemistry
- Sample
- serum
- Container
- Sterile, sealed milk collection vial; leak-proof plastic or glass container without preservative
- Units
- N/A
- Ref low
- 1.5
- Ref high
- 9
- Fasting
- false
- Population
- adult
- Sex
- female
- Age range
- 18–65 years
- Method
- aggl-ring-test-heat-inact
- CPT
- 83002
- SNOMED
- 50866001
- Specimen volume
- 10-30 mL of fresh raw milk (bulk tank or individual animal sample)
- Stability
- Refrigerated (2-8°C): up to 72 hours; Do not freeze; Test fresh milk preferably within 24 hours of collection
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 2–24 hours
- Order
- routine
Why This Test Matters for Blood Sugar Control
HbA1c reflects your blood sugar levels over time by measuring the percentage of hemoglobin (the oxygen-carrying part of red blood cells) that’s attached to sugar. This gives doctors a clearer picture than daily blood sugar checks alone.
How Urine Creatinine Works
Urine creatinine measures how well your kidneys filter waste products, including creatinine—a byproduct of muscle metabolism. This helps assess kidney function alongside your HbA1c results.
What to Expect Before the Test
For the urine portion, you’ll collect all urine for 24 hours in a special container. For HbA1c, a blood sample is taken from a vein in your arm. Follow any fasting instructions your doctor provides.
Common Causes of Abnormal Results
High HbA1c may indicate poor diabetes control, while elevated urine creatinine could signal kidney strain. Low creatinine might suggest muscle loss or dehydration. Both results should be interpreted with your full medical history.
Reference range
Follicular: 1.5-9.0 mIU/mLN/A
No special patient preparation required. Sample is a bulk milk tank or individual cow milk sample, not a human patient specimen in typical use
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical significance: HbA1c and urine creatinine together provide a comprehensive view of diabetes management and kidney health. High HbA1c often correlates with long-term complications like nerve damage or heart disease, while abnormal creatinine levels may signal early kidney problems that need monitoring.
Short name
HbA1c + Urine Creatinine (24-hour)
Frequently asked questions
What does an abnormal HbA1c result mean?
Why is urine creatinine checked alongside HbA1c?
Can diet or exercise affect these test results?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy