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24-Hour Urinary Albumin-to-Creatinine Ratio (UACR) or Albumin-to-Creatinine Ratio (ACR) via Mass Concentration

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

This test measures the amount of albumin, a protein, in your urine over 24 hours. It helps assess whether your kidneys are allowing too much protein to pass into your urine, which can indicate kidney damage or disease.

Quick summary

["This test helps check for early kidney problems by measuring protein loss in urine over a full day."]

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

Key facts at a glance

LOINC
15188-6
Short code
Kappa LC 24h Ur-mCnc
Synonyms
Kappa LC 24h Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Matters

Kidneys normally filter waste and extra fluid from your blood. If they’re damaged, they may let proteins like albumin pass into your urine instead of keeping them in your blood. Measuring albumin in urine helps doctors spot early signs of kidney issues, such as diabetic nephropathy or other forms of kidney disease, before symptoms appear.

How the Test Works

You’ll collect all your urine over 24 hours and send it to the lab. The lab then measures the amount of albumin in your urine sample using a specialized technique to determine its concentration relative to creatinine (a waste product from muscles).

What to Expect Before the Test

No special preparation is needed, but you may be asked to drink extra water the day before to help your kidneys produce more urine. Wear comfortable clothing and plan to collect urine in a clean container throughout the day.

What to Expect During the Test

You’ll collect every drop of urine for 24 hours, including during sleep. Use a special container or bottle to store it, and refrigerate it if needed. Bring the full container to your doctor’s office or lab for testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Albumin in urine (24-hour urine test)

Frequently asked questions

What does a high or low result mean?
A higher-than-normal albumin-to-creatinine ratio may suggest kidney damage or disease, especially if you have conditions like diabetes or high blood pressure. A normal result means your kidneys are likely filtering proteins properly. Your doctor will interpret results in the context of your overall health and other tests.
How often should I get this test?
Your doctor may recommend this test periodically if you have risk factors for kidney problems, such as diabetes, high blood pressure, or a family history of kidney disease. Follow your doctor’s advice for timing and frequency.
Can I eat or drink anything before the test?
Yes, you can eat and drink normally. Avoid special diets or medications unless instructed by your doctor, as they may affect your results.
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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