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Serum or Plasma Substance Concentration (Bromocresol Green Dye Binding) for Urinary Protein/Albumin Ratio (24-Hour Collection)

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

This test measures the ratio of protein and albumin in your urine over 24 hours using a dye-binding method. It helps assess kidney function and detect protein loss in urine, which can signal conditions like kidney disease or other health issues.

Quick summary

["This test helps track kidney health by checking for abnormal 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
88268-8
Short code
P aeruginosa sodA Bld Pos Ql Probe
Synonyms
P aeruginosa sodA Bld Pos Ql Probe
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe
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 This Test Is Done

Your doctor may order this test if you have symptoms like swelling, frequent urination, or unexplained weight changes. It’s also used to monitor kidney function in people with diabetes, high blood pressure, or a history of kidney problems. Some tests may be done before kidney procedures or to check for proteinuria (protein in urine).

What to Expect Before the Test

For a 24-hour urine collection, you’ll collect all urine for a full day, typically starting after your first morning urine. Drink plenty of water but avoid foods that might affect urine color (like beets or berries). Follow your doctor’s instructions carefully to ensure accurate results.

How the Test Works

Your urine is tested for both total protein and albumin using a dye called bromocresol green. The ratio helps identify if protein is being lost in urine, which can indicate kidney damage or other health concerns.

What the Results Mean

Higher-than-normal ratios may suggest kidney problems, such as glomerulonephritis, diabetic nephropathy, or other conditions causing protein leakage. Lower ratios may indicate normal kidney function or conditions like liver disease (where protein is retained). Always discuss results with your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

BCG Urinary Protein:Albumin Ratio (24-hour)

Frequently asked questions

What does a high urinary protein:albumin ratio indicate?
A high ratio may signal kidney damage or disease, such as nephrotic syndrome, glomerulonephritis, or diabetic kidney disease. It can also appear in conditions like preeclampsia or certain autoimmune disorders. Early detection helps manage these conditions more effectively.
What does a normal or low ratio mean?
A normal or low ratio suggests your kidneys are filtering urine properly and retaining protein. However, repeated tests may still be needed to monitor kidney health, especially if you have risk factors like diabetes or high blood pressure.
Can diet or medications affect this test?
Yes, certain foods (like high-sodium or protein-rich meals), medications (e.g., NSAIDs, ACE inhibitors), or even stress can influence urine protein levels. Follow your doctor’s instructions for diet and medication adjustments before testing to get accurate 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