Confused with Albumin Creatinine Ratio

[Imviiku]

I just got my UACR Report back . Ratio was 22 mg/g ( report says below 30 is normal ) but Urine spot Albumin is 3.4 mg/dl ( <1.9 mg/dl is normal ) . So which result to believe , The UACR one or the Albumin ? Should I get 24 Hours Albumin or is this enough ? I have foamy urine since the last 3 months now & I am taking Dapagliflozin ( Farxiga ) for Diabetes. My BP & Diabetes are both absolutely normal now but Foamy Urine just doesn't go away . I am attaching the image of the Report as well

[Pisces101]

thanks for asking! Eagerly awaiting responses because I have just been looking for information about relations between the two. My albumin level is below 1,2 so they didn’t do the ACR. I was wondering if the ACR should be measured no matter what - and if that is equally or more important?

[Darlenia in reply to Pisces101]

You can calculate the uACR yourself. Simply divide albumin by creatinine. If the result is less than 30 mg/g, you're fine. Your doctor probably noticed over time that your numbers for both were such that the the uACR test wasn't needed.

Albumin is a small protein produced by the liver to build up and repair tissue and helps with enzymes, hormones, immune factors, etc. via the blood and lymph systems whereas creatinine are waste particles from muscle breakdown and more. Both can indicate if the kidneys aren't filtering properly, hence the uACR involves both sets of figures to come up with a ratio. I've noticed albumin is of particular interest for monitoring diabetics since glucose narrows and hardens blood vessels (including the filtration vessels inside kidneys). So some doctors may order certain tests more often than others.

[Pisces101 in reply to Darlenia]

But you would need to know the level of creatinine in the urine?

[Darlenia in reply to Pisces101]

Yes...that's my understanding of it. If you look at Imviiku's lab report above, you can simply take his microalbumin value (3.390) and divide that by his creatinine value (.15) and you will get his ratio - 22.600. This is based on his urine numbers and confirmed in Imviiku's report. 3.390 / .15 = 22.600

[Imviiku in reply to Darlenia]

Should I opt for 24 hour Urine Albumin creatinine ratio just to be completely sure ?

[Darlenia in reply to Imviiku]

I personally don't think that's necessary. You've made great strides in improving your diet, weight, blood pressure and more. It's highly likely your numbers will only improve. I know you're concerned about foamy urine. It's possible that the cause may be medications or changes in your environment like the water system or cleaners, etc. There are many reasons for bubbles in urine. So chat with your doctor about your worries and follow his guidance. I'm sure he cares about you and your concerns.

[renegade70 in reply to Darlenia]

i agree with you.

[userotc]

The normal level for mum's urine albumin here in UK is shown as N/A whereas ACR has a figure so maybe that means ACR more important (or a weird NHS quirk?). I think this is also indicated by Darlenia in a previous post on this healthunlocked.com/nkf-ckd/...

[Darlenia in reply to userotc]

Yes, ACR is an important ratio that examines both albumin (a small protein produced by the liver to protect blood vessels and move important elements around) and creatinine (waste products processed by the kidneys) to evaluate kidney performance. It covers two very important areas. You don't want to see high levels of either - it can mean the filtration vessels inside the kidneys aren't performing well.

I understand that it only takes 5 minutes for all blood to run through through the constantly filtering kidneys. I find that to be really cool.

[Imviiku in reply to userotc]

So spot Albumin can fluctuate, what matters is the Ratio ?

[userotc in reply to Imviiku]

As Darlenia has indicated, both are likely to be important but yes the balance between each is likely more important so ACR more so.

Also albumin and ACR are more important with diabetes than not. Youll find a link to a scientific report on that if you search a post I did a couple of weeks ago on Single kidney-ers or I'll send.

[Imviiku in reply to userotc]

Thank you so much

[renegade70]

albumin/creatine ratio is the important number.