HomeAnswersNephrologyalbumin-creatinine ratio

What causes a high albumin-to-creatinine ratio?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am sharing my urine report here. The results show albumin: 3.35 g/dL and creatinine: 2.85 mg/dL. Could you please calculate the albumin-to-creatinine ratio (ACR) and let me know what it indicates?

Thank you.

Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Regarding your concern, the albumin-to-creatinine ratio (ACR) is approximately 1,175,439 mg/g, which is extremely high. Interpretation of ACR levels:

  1. Normal: <30 mg/g.
  2. Microalbuminuria: 30–300 mg/g (early kidney damage).
  3. Macroalbuminuria: >300 mg/g (significant kidney disease).
  4. Severe Proteinuria: >1000 mg/g (suggestive of nephrotic-range proteinuria).

Based on your results, the ACR indicates severe proteinuria, which may be due to nephrotic syndrome, advanced kidney disease, or other serious renal conditions. It is essential to consult a nephrologist for further evaluation and appropriate management.

If you have any further concerns or questions, feel free to reach out. You can schedule a direct appointment or follow up via chat, phone, or video consultation.

Thank you for using iCliniq. Have a great day!

Medically reviewed by iCliniq medical review team
Published At April 10, 2025
Reviewed At April 10, 2025

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

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