Your guide to the uACR.

What is the uACR?

This test helps to identify kidney disease, with higher levels signifying increase "leakiness" of the kidneys.‍It measures the concentration of a protein called microalbumin and creatinine in a urine sample.

What does it assess?

The urine albumin-creatinine ratio (uACR) assesses kidney health by measuring the amount of albumin, a protein, relative to creatinine in the urine.‍Normally, kidneys filter blood effectively, keeping large molecules like albumin out of the urine.

How do I optmize my uACR?

High blood pressure is a major factor in kidney damage and elevated uACR.‍Maintaining blood pressure within a normal range (typically below 120/80 mmHg) can help protect kidney function. For individuals with diabetes or insulin resistance, consistently high blood sugar levels can damage kidney filtration, leading to increased uACR.‍A balanced diet with controlled carbohydrate intake, regular physical activity, and blood sugar monitoring are essential for kidney health. While protein is important for health, excessive protein can strain the kidneys.‍Aim for a moderate intake, tailored to your body’s needs, especially if you have known kidney concerns. This reduces the filtration demand on the kidneys, potentially lowering uACR.

What does a good and bad uACR look like?

Elevated uACR indicates that the kidneys are not fully retaining albumin, which may signify early kidney disease or damage. High uACR is often an early warning sign in individuals with diabetes or hypertension, who are at increased risk of kidney disease.‍Low uACR levels are generally considered normal and indicate that the kidneys are effectively filtering proteins and maintaining kidney health. A low uACR is generally a sign of healthy kidney function and suggests no significant protein leakage.