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Hemoglobin A1c (HbA1c) with 24-hour urine collection for creatinine clearance

Published: August 9, 2026Updated: August 16, 2026

This test measures your average blood sugar over the past 2–3 months and checks how well your kidneys are functioning by analyzing a 24-hour urine sample for creatinine.

Quick summary

["Helps monitor diabetes control and kidney health in one combined test."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
72197-7
Short code
HEDIS 2013 CWP-D
Synonyms
HEDIS 2013 CWP-D
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters for Diabetes Management

HbA1c reflects your blood sugar levels over time, giving doctors a clearer picture of how well your diabetes is controlled. It’s a key tool for adjusting treatments like medication or diet. A stable HbA1c level helps prevent long-term complications like nerve damage or kidney issues.

Understanding Your Urine Sample for Kidney Function

The 24-hour urine creatinine test helps assess how well your kidneys filter waste. This is important because diabetes can damage kidneys over time. Your doctor may use this alongside other tests to check for kidney problems.

How the Test Works

Your blood is tested for HbA1c using a standard immunoassay method. Your urine is collected over 24 hours to measure creatinine, which is processed via a method like nephelometry or enzymatic analysis. Results are compared to standard ranges to interpret kidney function.

What to Expect Before the Test

For the urine test, you’ll need to collect all urine for a full 24-hour period. Drink regular fluids but avoid special diets unless instructed. For the blood test, you’ll have a simple fingerstick or vein draw, usually done at your doctor’s office or lab.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Diabetes and Kidney Health Link

Short name

HbA1c + Kidney Function Test

Frequently asked questions

HbA1c helps track long-term blood sugar control, while creatinine levels in urine assess kidney function. Together, these tests help identify risks for diabetes-related complications like neuropathy or chronic kidney disease. Early detection allows for timely interventions.
This test is often used in patients with diabetes to ensure both blood sugar and kidney health are stable. If results are outside normal ranges, your doctor may recommend lifestyle changes or additional monitoring.
What do abnormal HbA1c results mean?
An elevated HbA1c (typically above 7%) suggests poor blood sugar control, which may require adjustments to your diabetes management plan. A low HbA1c (below 6%) might indicate overly strict control, but this can also mask symptoms. For creatinine levels, higher values in urine may signal kidney strain, while lower values could raise concerns about dehydration or kidney function issues.
Can I eat or drink anything before the urine test?
Yes, you can drink water normally, but avoid special diets or supplements unless your doctor specifies. Some tests may require you to avoid certain foods (like high-protein diets) to get accurate results. Always follow your lab’s or doctor’s instructions.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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