Hemoglobin A1c (HbA1c) with 24-hour urine collection for creatinine clearance
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.
["Helps monitor diabetes control and kidney health in one combined test."]
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.
What do abnormal HbA1c results mean?
Can I eat or drink anything before the urine test?
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