Quick Reference on UACR and GFR

In Evaluating Patients with Diabetes for Kidney Disease

 

Urine Albumin-to-Creatinine Ratio (UACR)

The two key markers for kidney disease are urine albumin and estimated glomerular filtration rate (eGFR).

For patients with type 1 diabetes for 5 years or more or with type 2 diabetes, the American Diabetes Association and the National Kidney Disease Education Program (NKDEP) recommend that health care professionals:

Reducing urine albumin to the normal or near-normal range may improve renal and cardiovascular prognoses.

Albumin (mg/dL)   = UACR in mg/g ≈ Albumin excretion in mg/day
Creatinine (g/dL)

UACR is a ratio between two measured substances. Unlike a spot urine test for albumin, it is unaffected by variation in urine concentration.

If kidney disease is detected, it should be addressed as part of a comprehensive approach to the treatment of diabetes.

 

 

Estimated GFR

The two key markers for kidney disease are eGFR and urine albumin.

The American Diabetes Association and NKDEP recommend that health care professionals:

If kidney disease is detected, it should be addressed as part of a comprehensive approach to the treatment of diabetes.

 

For more information visit http://nkdep.nih.gov/resources/uacr_gfr_quickreference.htm

 

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