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Urine Creatinine to Albumin Ratio (UACR) or Urinary Albumin-to-Creatinine Ratio (UACR)

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

This test measures the ratio of albumin (a protein) and creatinine (a waste product) in your urine to help assess kidney function and detect early kidney damage.

Quick summary

["Helps monitor kidney health and identify kidney disease risk early."]

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

Key facts at a glance

LOINC
35988-5
Short code
XR tomo Femur-L
Synonyms
XR tomo Femur-L
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
xr-tomography
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 Is This Test Done?

Your doctor may order this test if you have symptoms like swelling, frequent urination, or high blood pressure, or if you have conditions like diabetes or high blood pressure that increase kidney risk. It’s also used to check kidney function before certain treatments or surgeries.

What Does the Test Measure?

The test compares the amount of albumin (a small protein) and creatinine (a waste product filtered by the kidneys) in your urine. High albumin levels relative to creatinine may signal kidney damage or disease, while normal levels suggest healthy kidney function.

How Is the Test Performed?

You’ll collect a urine sample in a clean container at home or in a lab. The sample is then sent to a lab for testing using a method that detects both albumin and creatinine levels.

What Are the Results?

Results are typically reported as a ratio (e.g., mg/g). A higher ratio may indicate kidney issues, while a lower ratio suggests normal kidney function. Your doctor will interpret results based on your overall health and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test is critical for early detection of kidney problems, especially in people with diabetes, high blood pressure, or a family history of kidney disease. It helps guide treatment plans to slow or prevent kidney damage.

Short name

UACR

Frequently asked questions

What does a high UACR result mean?
A high UACR may indicate kidney damage or early kidney disease, such as diabetic nephropathy or glomerulonephritis. Your doctor will review your results alongside other tests and symptoms to determine next steps, which may include blood pressure or diabetes management adjustments.
How often should I get this test?
Frequency depends on your health. People with diabetes or high blood pressure may need this test every 3–12 months, while others with no risk factors may only need it if recommended by their doctor. Follow your healthcare provider’s guidance.
Can I eat or drink before this test?
No special preparation is needed. You can eat and drink normally, but avoid excessive alcohol or caffeine before collecting your urine sample to avoid affecting 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