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To assist in the identification and management of early diabetes in order to avoid or delay onset of diabetic associated kidney disease.
There are no food, fluid, activity, or medication restrictions unless by medical direction. Either a random or a 24-hr urine collection may be ordered. As appropriate, provide the required urine collection container and specimen collection instructions.
|Test||Conventional and SI Units|
|24-hr microalbumin to creatinine ratio||Less than 30 mg/g creatinine/24 hr|
|Normal||Less than 30 mg/24 hr|
|Microalbuminuria||30–299 mg/24 hr|
|Clinical albuminuria||300 mg or greater/24 hr|
|The American Diabetes Association (ADA) recommends annual measurement of microalbumin (spot or 24-hr, as requested by the health-care provider [HCP]) with serum creatinine (Cr) and estimated glomerular filtration rate (eGFR). Numerous factors, such as hydration status, the presence of an infection, or significant hyperglycemia, can produce falsely increased or decreased microalbumin levels. The National Kidney Foundation defines microalbuminuria as equal to or greater than 30 mg/g Cr/24 hr based on eGFR measurements.|
Critical Findings and Potential Interventions