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Also reported in: mg/mmol
A normal ACR below 30 mg/g means albumin loss into the urine is within the normal range. The kidney filter is maintaining protein retention adequately. This result effectively rules out current microalbuminuria, though annual monitoring is important for at-risk individuals.
An undetectable urine ACR means no measurable albumin is passing through the kidney filter. Healthy kidneys retain all albumin in the blood, and an undetectable ratio is consistent with this barrier is perfectly intact. This is the most reassuring possible result for kidney filter function.
Excellent result. Annual testing is still recommended for those with diabetes or hypertension as a preventive screen.
Urine ACR: {{value}} {{unit}} — undetectable (ref: <{{high}})A very low urine ACR is consistent with that the kidney glomerular filter is maintaining proper protein retention. Almost no albumin is crossing from blood into urine. This corrected ratio is more reliable than raw urine albumin concentration because it adjusts for urine dilution from hydration status.
Great kidney health indicator. No action needed.
Urine ACR: {{value}} {{unit}} — very low (ref: <{{high}})A borderline low ACR is entirely within the healthy range and indicates normal glomerular barrier function. The kidneys are not allowing significant amounts of albumin to pass into the urine. This is a positive screening result for kidney health.
No action required. Continue routine annual testing.
Urine ACR: {{value}} {{unit}} — low normal (ref: <{{high}})A normal ACR below 30 mg/g means albumin loss into the urine is within the normal range. The kidney filter is maintaining protein retention adequately. This result effectively rules out current microalbuminuria, though annual monitoring is important for at-risk individuals.
Normal result. No action required. Annual monitoring is recommended for people with diabetes or high blood pressure.
Urine ACR: {{value}} {{unit}} — normal (ref: <{{high}})An optimal ACR below 15 mg/g represents the best possible kidney filter function. The glomerular membrane is retaining virtually all albumin in the bloodstream. This result is associated with the lowest progression risk to kidney disease over time.
Excellent kidney health marker. Maintain the habits that are supporting this result.
Urine ACR: {{value}} {{unit}} — optimal (ref: <15)A borderline elevated ACR of 30–100 mg/g sits at the threshold of microalbuminuria. Small amounts of albumin are crossing the kidney filter, which should not normally happen. This early-stage leakage is often the first detectable sign of diabetic nephropathy or hypertensive kidney damage and can be reversed with early intervention.
Discuss with your doctor. Confirm with a repeat morning sample. Blood pressure and blood sugar control are the primary interventions at this stage.
Urine ACR: {{value}} {{unit}} — borderline — early microalbuminuria possible (ref: <{{high}}; borderline: 30–100)A confirmed elevated ACR between 30 and 300 mg/g represents established microalbuminuria — a recognized stage of early kidney disease. The glomerular barrier is damaged enough to allow significant albumin loss. This also predicts cardiovascular risk independently of other markers and is a key driver in diabetic and hypertensive kidney disease progression.
Medical management is needed. ACE inhibitors or ARBs, blood pressure targets below 130/80, and tight glycemic control in diabetics are the evidence-based interventions.
Urine ACR: {{value}} {{unit}} — elevated — microalbuminuria confirmed (ref: <{{high}}; microalbuminuria: 30–300)A very high ACR above 300 mg/g (macroalbuminuria) signals advanced glomerular damage with massive protein loss. At this stage, the kidney filter is very compromised. The risk of rapid kidney function decline, end-stage kidney disease, and cardiovascular events is noticeably elevated without aggressive management.
Urgent nephrology referral is needed. Aggressive blood pressure control, renin-angiotensin blockade, and treatment of underlying disease are essential to slow progression toward kidney failure.
Urine ACR: {{value}} {{unit}} — very high — macroalbuminuria (ref: <{{high}}; critical: >300)Upload your lab report and get your actual values interpreted in plain English — instantly, with no medical training required.