UACR Reader · KDIGO 2024

UACR (Urine Albumin-to-Creatinine Ratio) Reader

Enter urine albumin and urine creatinine (or the ratio directly) to map onto KDIGO 2024 A1–A3 categories and see what to do next.

What this tool does

Convert urine albumin and creatinine into UACR and read the A1/A2/A3 albuminuria category.

What you need

Urine albumin and creatinine from your report (or the ratio already calculated) with units.

What the result means

The category and what it means; A2 or above is usually re-tested within 3 months — infection, exercise and menstruation can raise it temporarily.

Enter the values above

Privacy: all calculations run on your device; no values are sent to a server or third party. Log-type tools store data only in your browser (localStorage); clearing browsing data removes it.

This is not a diagnosis. It maps the numbers you entered onto published guideline categories; a real assessment needs a clinician, your history, repeat testing and other investigations.

Scope and limitations

  • UACR corrects for urine concentration using creatinine, so people with very low muscle mass (UACR over-estimated) or very high (under-estimated) have error.
  • Dipstick proteinuria is not UACR: dipsticks detect total protein with low sensitivity, so a negative dipstick does not exclude A2.
  • If your lab reports a urine protein-to-creatinine ratio (UPCR), this tool does not apply; UPCR cut-offs are 150 and 500 mg/g.
  • This tool does not determine the cause; that requires a clinician, blood tests, imaging and sometimes biopsy.

Formula & cut-off sources

  1. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of CKD (Ch.1 albuminuria categories A1–A3). Kidney Int 2024;105(4S):S117–S314
  2. American Diabetes Association. Standards of Care in Diabetes—2025 (Sec. 11 CKD and Risk Management). Diabetes Care 2025;48(Suppl 1)

To discuss with your doctor

  1. Do I need a repeat test within 3 months?
  2. What is my blood-pressure target? Should I start an ACEi/ARB?
  3. Can I take an SGLT2 inhibitor?
  4. Do I need a nephrology referral?

Next step

After this result, people usually continue with: