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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.
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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. 출처(카드의 각 항목과 대응): KDIGO 2024 CKD Guideline — Kidney Int 2024;105(4S):S117–S314 확인일: 2026-10-16 카드와 대본은 공개 임상 가이드라인에 근거한 일반 건강 교육 정보이며 개인 의료 조언이 아니고 의사·약사·영양사의 평가를 대신하지 않습니다. 공유 시 출처와 이 안내를 유지해 주세요. 최신판은 이 페이지가 기준입니다. https://beyondckd.com/ko/cards/uacr-albuminuria
60초 숏폼 영상 대본
장면과 내레이션. 세로 9:16, 자막은 하단 1/3에. 각 내레이션은 왼쪽 출처와 대응.
| 초 | 화면 | 내레이션 |
|---|---|---|
| 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. |