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24-Hour Urinary Panel for Protein and Creatinine (Protein-to-Creatinine Ratio)

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

This test measures the amount of protein and creatinine in your urine over a 24-hour period to help assess kidney function and detect proteinuria (excess protein in urine).

Quick summary

["A 24-hour urine test helps track kidney health and identify potential protein loss over time."]

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

Key facts at a glance

LOINC
96399-1
Short code
RBP panel 24h Ur
Synonyms
RBP panel 24h Ur
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Is Done

Your doctor may order this test if you have symptoms like swelling, frequent urination, or unexplained weight changes, or if they suspect kidney disease, diabetes, or other conditions affecting protein excretion. It’s also used to monitor chronic kidney disease or track responses to treatments.

What to Expect Before the Test

You’ll collect all urine for 24 hours (typically from one morning to the next morning). Drink plenty of water but avoid foods high in salt or protein if instructed. Store urine in a cool place and return it to the lab on time.

How the Test Works

The lab analyzes urine samples for protein levels and creatinine (a waste product from muscle metabolism). The ratio helps determine if your kidneys are filtering protein properly, which can indicate kidney damage or disease.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like diabetic nephropathy, glomerulonephritis, or nephrotic syndrome. It can also help track protein loss in conditions like multiple myeloma or certain autoimmune diseases.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24h Urine Protein/Creatinine Ratio

Frequently asked questions

How often should I collect urine for this test?
Follow your healthcare provider’s instructions precisely. Typically, you’ll start collecting urine at a specific time (often midnight) and continue for 24 hours, discarding the first morning urine and saving all subsequent outputs. If you miss any urine, report it to the lab immediately.
What does a high or low ratio mean?
A high ratio may suggest kidney damage, protein loss, or conditions like diabetes or high blood pressure. A low ratio might indicate normal kidney function or conditions where protein isn’t being excreted excessively. Your results will be interpreted by your doctor in context of your symptoms and medical history.
Can I eat or drink anything special before this test?
Generally, you can eat and drink normally unless your doctor specifies otherwise. Some tests may restrict certain foods or fluids, but for this test, hydration is encouraged to ensure accurate urine collection. Always follow your provider’s guidance.
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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