24-Hour Urinary Albumin-to-Creatinine Ratio (UACR)
This test measures the amount of albumin, a protein, in your urine over 24 hours. It helps assess kidney function and detect early kidney damage, especially in people with diabetes or high blood pressure.
["Helps identify kidney problems early by checking protein loss in urine over a full day."]
Key facts at a glance
- LOINC
- 25682-6
- Short code
- Kappa LC 24h Ur-mRate
- Synonyms
- Kappa LC 24h Ur-mRate
- 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 for Kidney Health
Albumin is normally found in small amounts in urine, but if your kidneys are damaged, more albumin can leak into your urine. A 24-hour urine collection ensures you get an accurate picture of your protein loss, which can help doctors track kidney function over time.
How the Test Works
You’ll collect all your urine for a full 24-hour period, typically starting after you wake up. Your urine is then tested for albumin and creatinine levels. The ratio helps determine how much albumin is being lost relative to how much creatinine (a waste product from muscles) is present.
What to Expect Before the Test
No special preparation is needed, but you’ll need to keep track of all urine output in a container. Drink plenty of water to help flush your system, but avoid foods or medications that might affect urine protein levels (like certain supplements or high-sodium foods).
Common Causes of Abnormal Results
High albumin levels in urine may indicate kidney disease, diabetes, high blood pressure, or other conditions that damage kidney function. Low levels are usually normal, but repeated tests may be needed to confirm results.
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 24-hour urinary albumin-to-creatinine ratio mean?
What does a low 24-hour urinary albumin-to-creatinine ratio mean?
Can diet affect 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