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Urine Albumin-Creatinine (Random)
Lab test

Urine Albumin-Creatinine (Random)

Recommended for people with diabetes or hypertension as part of annual kidney monitoring, and for anyone with signs of early kidney damage. A random urine sample collected at any time of day — no 24-hour collection required. Results reviewed by a General Medicine clinician.

Receive actionable insights and deep analysis—not just lab values– in as little as 48 hours

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Most insurance accepted

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Available nationwide

Complete insights in as little as 48 hours

1

Book your test

Instantly schedule at 2,000+ labs nationwide, at a time that works for you. Most visits take 15 minutes or less, with both walk-ins and appointments available.

2

Get results in 48 hours

Your results are delivered quickly—and reviewed by medical professionals. You’ll get clear explanations, robust health insights, and recommended next steps tailored to your health needs.

3

Take action with physician guidance

Choose to review your results and manage your plan with a General Medicine physician—or simply use the insights on your own.

4

Track progress over time

Repeat annually to see trends, improvements, and new emerging risks or book individual tests that focus on your set goals

What is a Urine Albumin-Creatinine (Random) Test?

The Urine Albumin-Creatinine test measures the ratio of albumin to creatinine in a random urine sample (ACR) — the standard method for detecting early kidney damage. Correcting for creatinine makes the result reliable regardless of how dilute or concentrated the urine is, providing consistent accuracy from a single sample at any time of day.

Early kidney damage detection

Albumin leaking into urine is one of the earliest signs that the kidney's filtration barrier is being damaged — detectable years before kidney function declines measurably. Early detection allows treatment changes that can significantly slow or prevent progression.

Diabetes and hypertension screening

Both conditions damage the kidneys gradually and silently. Annual ACR testing is standard of care for people with either diagnosis, enabling timely intervention before significant nephron loss has occurred.

Creatinine normalization for accuracy

Urine creatinine is measured alongside albumin to correct for urine concentration variability — ensuring the ACR result reflects true kidney protein leakage rather than simply how dilute the sample was at the time of collection.

What's included

Test type

Urine sample

Collection method

Urine collection

Fasting

Not required

Results processing time

1 to 3 days

Albumin (Urine)

Monitors protein leakage into the urine, which can mean early kidney damage.

Creatinine (Urine)

Measures kidney filtering function by examining creatinine excreted in urine.

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You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

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Frequently Asked Questions

What does the Urine Albumin-Creatinine test measure?

This test measures the ratio of albumin to creatinine in a urine sample (ACR) — used to detect microalbuminuria, an early sign of kidney damage. Correcting albumin for creatinine accounts for urine concentration differences between samples, making random collection as reliable as a timed collection.

Who should get this test regularly?

Anyone with diabetes, hypertension, a family history of kidney disease, or chronic kidney disease should have this test at least annually. It detects early kidney involvement before significant function is lost — making it one of the most important preventive tests for these populations.

Do I need to prepare in any special way?

No fasting is required and no specific timing is needed — it's a random urine sample. However, heavy exercise, fever, and active urinary tract infections can temporarily raise albumin levels. If you have any of these, mention it when your result is reviewed.

What does an elevated result mean?

An ACR above 30 mg/g indicates more albumin than normal is leaking through the kidney filter — a sign of early kidney damage. It should be confirmed with repeat testing. Persistent elevation warrants further evaluation and, often, medication adjustment to protect the kidneys.

Can the result improve with treatment?

Yes — in early kidney disease, appropriate management of blood pressure and blood sugar, combined with medications like ACE inhibitors or ARBs, can reduce or normalize urine albumin and slow progression. This is why early detection through regular testing matters.
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