Microalbumin-to-Creatinine Ratio in Urine (24-hour collection)
This test measures tiny amounts of albumin (a protein) in your urine compared to creatinine (a waste product from muscles). It helps check for early kidney damage or diabetes-related kidney problems.
["Assesses kidney function and diabetes-related kidney risks over a full day’s urine output."]
Key facts at a glance
- LOINC
- 111979-1
- Short code
- Mcro mrph cls cncr tmr Blry tr Endscpy
- Synonyms
- Mcro mrph cls cncr tmr Blry tr Endscpy
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- endoscopy
- 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 Your Health
Your kidneys normally filter waste and excess protein from your blood. If they struggle, small amounts of albumin can leak into urine. This test detects early signs of kidney issues, especially in people with diabetes, high blood pressure, or family history of kidney problems. It’s often used alongside other tests to monitor kidney health over time.
How the Test Works
You’ll collect all your urine for 24 hours and return it to the lab. The lab then measures albumin and creatinine levels in your urine sample. The ratio helps identify if your kidneys are working as they should, especially in people at higher risk for kidney problems.
What to Expect Before the Test
No special preparation is needed, but drink plenty of water to help your kidneys filter properly. Avoid certain medications (like NSAIDs) that may affect kidney function, but always check with your doctor first. If you have diabetes, follow your usual routine unless instructed otherwise.
Common Results and Next Steps
Results are typically compared to your individual baseline or risk profile. Elevated ratios may signal early kidney damage, prompting further testing or adjustments to your treatment plan. Your doctor will discuss findings with you and may recommend follow-ups or lifestyle changes.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Microalbumin:Cr Urine Ratio
Frequently asked questions
What does a high or low ratio mean?
How often should I get this test?
Can I eat or drink anything before the 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