Hemoglobin A1c (HbA1c) with 24-hour urine collection for albumin-to-creatinine ratio (UACR) analysis
This test measures your long-term blood sugar control and checks for kidney function by analyzing albumin and creatinine in your urine over 24 hours.
["Helps track diabetes management and kidney health in one combined assessment."]
Key facts at a glance
- LOINC
- 4626-8
- Short code
- Hgb Yakima Bld Ql
- Synonyms
- Hgb Yakima Bld Ql
- Category
- hematology
- Sample
- whole-blood
- Container
- Lavender-top (EDTA)
- Units
- N/A
- Ref low
- 12
- Ref high
- 17.5
- Critical range
- 7 N/A – 20 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 85018
- SNOMED
- 900000000000003004
- Specimen volume
- 3 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 4–24 hours
- Order
- routine
Why HbA1c Matters for Blood Sugar Control
HbA1c reflects your average blood sugar levels over the past 2–3 months, providing insight into how well your diabetes or prediabetes is managed. Lower values suggest better control, while higher values indicate periods of elevated blood sugar.
How the Urine Test Assesses Kidney Health
The 24-hour urine albumin-to-creatinine ratio (UACR) checks for kidney damage by comparing small protein (albumin) levels to creatinine in your urine. Persistent high UACR may signal kidney strain, especially in people with diabetes.
What Normal Results Typically Indicate
A normal HbA1c (typically below 5.7%) suggests good blood sugar management, while a UACR below 30 mg/g is usually within healthy kidney range. However, individual ranges depend on your overall health and diabetes status.
When This Test Might Be Ordered
Your doctor may recommend this test if you have diabetes, prediabetes, or symptoms like frequent urination, swelling, or high blood pressure that could affect kidney function.
Reference range
Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A
No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
HbA1c + UACR profile
Frequently asked questions
What does an abnormal HbA1c result mean?
Why does my doctor need both HbA1c and UACR?
Can I fast before this 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