Urine Albumin, Quantitative Random


Sunquest Code:UMALBR  
Epic Code:LAB3838Epic Name:Albumin Random Urine Quantitative
Synonyms:Quantitative Random (LHE sites only); Urine Microalbumin
Methodology:Nephelometric
St Johns/St Joseph/Woodwinds: Dye binding BCP
Test Includes:Creatinine Urine mg/dL; Albumin Urine mg/L; Albumin Urine mg/g Cr
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:NKDEP/IFCC consensus guidelines (2009) state: Use of the term "Urine Albumin" is recommended; "Microalbumin" is discouraged
Associated Links:

Urine Collection Procedure



Collection Instructions

Specimen:Urine, random collection
Optimal Volume:Submit entire collection, analysis requires 0.6 mL
Container:Plastic leakproof container, sterile
Collection Instructions:Acceptable urine samples: Second morning urine, first morning urine with simultaneous albumin and creatinine. Frozen urine is not recommended.


Processing and Shipping

Specimen Processing:Mix collection well before aliquot is taken. Aliquot 1 mL, 0.6 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Chemistry  (M Health Maple Grove Clinic, Range, UMMC-West Bank, UMMC-East Bank, Oxboro Bloom, Lakes, Northland, M Health Clinic and Surgery Center, St. Joseph's)


Interpretive

Reference Range:St Joseph: 0-1.99 mg/dL; <20 mg/g creatinine

All other sites:
Age  
0-17 y 0-25 mg/g creatinine
18 y & older, Female 0-25 mg/g creatinine
18 y & older, Male 0-17 mg/g creatinine
 
Use:Early predictor of clinical diabetic nephropathy. Kidney changes include a rise in urinary albumin secretion detectable only by sensitive assays. At this stage, Albustix is negative and renal function is normal by standard assays.


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