I am a 46 year old healthy female. No HTN. BUN11/Cr 1.14. My GFR is 51. I requested an ACR from my new physician. She only wanted to order the random microalbumin, without the creatinine. Is that a sufficient initial test, especially if the result is normal?

The random urine creatinine will not be sufficient for diagnosis of chronic kidney disease (CKD).  The diagnosis of CKD requires a urine microalbumin to creatinine ratio.  The random urine microalbumin will only give information if microalbumin is present but does not provide any information about CKD and whether this is present.

 

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