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Albumin Creatinine Ratio Calculator

Calculate ACR to detect and monitor kidney disease through albuminuria assessment

Calculate Albumin Creatinine Ratio

Albumin concentration in urine sample

Creatinine concentration in urine sample

ACR Results

Enter albumin and creatinine values to calculate ACR

Example Calculation

Patient Example

Patient: 63-year-old with diabetes

Urine albumin: 8 mg/dL

Urine creatinine: 110 mg/dL = 0.11 g/dL

Calculation

ACR = Albumin ÷ Creatinine

ACR = 8 mg/dL ÷ 0.11 g/dL

ACR = 72.7 mg/g

Result: Category A2 (Moderately increased albuminuria)

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CKD Classification

A1: Normal

< 30 mg/g

Normal to mildly increased

A2: Moderate

30-300 mg/g

Moderately increased

A3: Severe

> 300 mg/g

Severely increased

Risk Factors

Diabetes mellitus

High blood pressure

Heart disease

Family history of kidney disease

Age over 60 years

Sample Collection

1.

Use first morning urine sample

2.

Clean genital area thoroughly

3.

Collect midstream urine

4.

Deliver to lab promptly

Medical Disclaimer

This calculator is for educational purposes only and should not replace professional medical advice. ACR results should always be interpreted by qualified healthcare professionals in the context of complete clinical assessment.

Important: Elevated ACR results require medical evaluation. Do not delay seeking professional medical care based on these calculations. This tool does not diagnose kidney disease or provide treatment recommendations.

Understanding Albumin Creatinine Ratio

What is ACR?

The albumin-to-creatinine ratio (ACR) is a urine test that measures the amount of albumin (a protein) relative to creatinine in your urine. It's used to detect and monitor kidney disease, particularly in people with diabetes or high blood pressure.

Why is it Important?

  • Early detection of kidney damage
  • Monitor progression of chronic kidney disease
  • Assess cardiovascular risk
  • Guide treatment decisions

Clinical Significance

Normal Kidney Function

Healthy kidneys filter waste but keep important proteins like albumin in the blood. Normal ACR is typically less than 30 mg/g.

Albuminuria

When kidneys are damaged, albumin leaks into urine (albuminuria). This is often the first sign of kidney disease, occurring years before other symptoms appear.

Testing Frequency

  • • Annual screening for high-risk patients
  • • More frequent monitoring if ACR is elevated
  • • Part of routine diabetes management
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