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Standard of care

TEST PASSPORT · REVIEWED JULY 2026

Kidney function + urine ACR

Use filtration and urine albumin together for a more complete kidney-risk view.

Creatinine-based eGFR estimates filtration; urine albumin-to-creatinine ratio detects albumin leakage. Trends and persistence matter more than one isolated result.

Blood & biomarkers diagnostic testing visualization
EGFR + UACR / DECISION GUIDE
ACCESSLab drawBlood + spot urine
TURNAROUNDOften 1–3 daysProvider and location dependent
RELATIVE COST$–$$Total downstream cost matters
COMMERCE STATUSPartner readyBlood + at-home urine collection pathway

HOW TO USE THIS PAGE

Decide whether this test deserves a place in your plan.

  1. 01
    Confirm the question

    Be clear about what decision the result would change before ordering.

  2. 02
    Check fit and preparation

    Review who it helps, who should pause and how to protect the quality of the signal.

  3. 03
    Plan the response

    Know what you will do with a normal, abnormal or unclear result.

01 / WHO SHOULD TAKE IT

Fit the test to
the person.

Testing is useful when the result can change a real decision. These are educational selection criteria, not a diagnosis or personal order.
GOOD-FIT QUESTIONS
  • People with diabetes, hypertension, cardiovascular disease or known kidney risk
  • People with abnormal creatinine/eGFR or urine findings
  • Anyone whose medication needs renal monitoring
PAUSE BEFORE ORDERING
  • Interpreting creatinine without muscle mass, hydration and trend
  • Diagnosing chronic kidney disease from a single transient result

02 / SIGNAL VS. STORY

What it tells you.
What it cannot.

THE SIGNAL
01

Estimated filtration from blood creatinine

02

Urine albumin relative to creatinine

03

Risk category when values are persistent

THE LIMIT
01

eGFR is an estimate and can be affected by muscle mass and creatine intake

02

Exercise, infection and menstruation can transiently affect urine albumin

03

Chronic disease generally requires persistence or other evidence

03 / MARKERS + RANGES

Read the panel
without chasing flags.

The report should show its own method, units and laboratory reference interval. Clinical decision thresholds may be different from a lab interval. We do not invent a universal “optimal” range where authoritative guidance does not support one.
01Creatinine

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

02eGFR

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

03Urine albumin/creatinine ratio

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

04BUN

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

05Potassium

Use the laboratory unit and method, then interpret with symptoms, trend and the decision this marker can change.

MEN, WOMEN + LIFE-STAGE CONTEXT

The correct range is personal context—not pink versus blue numbers.

Where biology differs, we call it out. Clinical interpretation should also reflect organs present, hormone therapy, pregnancy, age, medications and health history.

Women

Pregnancy, menstruation and lower average muscle mass influence testing context; avoid urine contamination when possible.

Men

Higher muscle mass can raise creatinine; urine ACR and sometimes cystatin C can clarify discordant cases.

04 / PREPARATION

Protect the quality
of the signal.

The best assay cannot rescue the wrong timing, wrong specimen or wrong question. Follow the ordering clinician and laboratory instructions when they differ from this general guide.
01Exercise

Avoid unusually hard exercise before a baseline urine ACR when possible.

02Hydration

Use normal hydration; extremes can distort measurements.

03Supplements

Report creatine and high protein intake rather than assuming a creatinine change equals damage.

REPEAT CADENCEAt least risk-based for diabetes/hypertension and clinician-guided for abnormal or treated disease; confirmation is usually required.

05 / AFTER THE RESULT

Turn the number
into a next step.

  1. 01

    Repeat transient abnormalities

  2. 02

    Control blood pressure and glucose when relevant

  3. 03

    Review medicines and kidney-protective treatment with a clinician

DO NOT WAIT ON A CONSUMER TEST

Rapid swelling, breathing difficulty or much less urine

Blood in urine, severe flank pain or confusion

06 / MODERN BIO SELECT

Built for a responsible purchase path.

Pair both measures and route abnormal results to clinical follow-up.
PARTNER READY

Kidney function + urine ACR

Future format
Blood + at-home urine collection pathway
Price position
Future cardiometabolic bundle
Before checkout
Eligibility · method · privacy · total cost · interpretation · abnormal-result routing
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07 / SCIENTIFIC FOUNDATION

Open the source.
Check the claim.

We prefer official guidance, clinical standards and primary scientific records. A source supports the specific point described on this passport—not every marketing use of the test.