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The kidney's second number
What is urine albumin (UACR) and why test it?
A normal eGFR doesn't mean your kidneys are fine — many people have never had the second number, UACR, checked.
- 1UACR = urine albumin-to-creatinine ratio. One random urine sample is enough — no 24-hour collection.
- 2Categories: A1 <30 | A2 30–300 | A3 >300 mg/g.
- 3At the same eGFR, higher albuminuria means higher risk of kidney failure and cardiovascular events — the second axis of the KDIGO risk heat map.
- 4It can be changed: blood pressure and glucose control, and medicines such as RAS blockers and SGLT2 inhibitors — discuss with your doctor.
- 5If you have diabetes, hypertension or known CKD, guidelines advise testing at least yearly — more often at higher risk.
Next visit, ask: "Should I have a UACR test?" Log the result in this site's eGFR tracker and watch both trends.
Bildunterschrift (direkt einfügbar)
A normal eGFR doesn't mean your kidneys are fine — many people have never had the second number, UACR, checked. 1. UACR = urine albumin-to-creatinine ratio. One random urine sample is enough — no 24-hour collection. 2. Categories: A1 <30 | A2 30–300 | A3 >300 mg/g. 3. At the same eGFR, higher albuminuria means higher risk of kidney failure and cardiovascular events — the second axis of the KDIGO risk heat map. 4. It can be changed: blood pressure and glucose control, and medicines such as RAS blockers and SGLT2 inhibitors — discuss with your doctor. 5. If you have diabetes, hypertension or known CKD, guidelines advise testing at least yearly — more often at higher risk. Next visit, ask: "Should I have a UACR test?" Log the result in this site's eGFR tracker and watch both trends. Quellen: KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314 Geprüft am: 2026-10-16 Karten und Skripte sind allgemein gehaltene Gesundheitsinformationen, zusammengestellt auf Basis öffentlicher klinischer Leitlinien. Sie stellen keine individuelle medizinische Beratung dar und ersetzen nicht die Beurteilung durch Ihre Ärztin bzw. Ihren Arzt, Ihre Apothekerin bzw. Ihren Apotheker oder Ihre Ernährungsberaterin bzw. Ihren Ernährungsberater. Bitte lassen Sie beim Weitergeben die Quellenangaben und diesen Hinweis unverändert; maßgeblich ist stets die jeweils aktuellste Fassung auf dieser Seite. https://beyondckd.com/de/cards/uacr-albuminuria
60‑Sekunden-Kurzvideo-Skript
Einstellungsplan und Voice-over. Vertikal 9:16; Untertitel vorzugsweise im unteren Drittel platzieren. Jede Zeile ist den Quellen in der linken Spalte zugeordnet.
| Sek. | Bild | Voice-over |
|---|---|---|
| 0–5 | Report: eGFR ticked normal, empty box "UACR ?" | Normal eGFR — so the kidneys are fine? Not necessarily. There is a second number. |
| 5–16 | Urine cup + "one random sample" | UACR is the ratio of albumin to creatinine in urine. One random sample is enough — no all-day collection. It shows whether the kidney filter is leaking protein. |
| 16–28 | Three bands A1 A2 A3 | Under 30 is A1, 30 to 300 is A2, over 300 is A3. The higher the number, the bigger the leak. |
| 28–40 | KDIGO heat map: green → yellow → orange → red | At the same eGFR, more albuminuria means higher risk of kidney failure and heart disease. That is why guidelines grade eGFR and UACR together. |
| 40–52 | BP monitor, glucose meter, pill box | The good news: it can change. Blood pressure and sugar control, and certain kidney-protective medicines, can bring it down — talk to your doctor. |
| 52–60 | Site logo + URL + QR | Next visit, ask one question: should I have a UACR test? Then log it in the Beyond CKD tracker. |
Quellen (jeder Punkt auf der Karte lässt sich zuordnen)
Geprüft am: 2026-10-16