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Laboratory standard—upper limit of normal range for microalbumin, albumin/creatinine ratio N[NN].N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termMicroalbumin level—upper limit of normal range (albumin/creatinine ratio)
Synonymous names:Help on this termAlbumin/creatinine ratio
METEOR identifier:Help on this term270344
Registration status:Help on this term
  • Health, Standard 01/03/2005
Definition:Help on this termThe laboratory standard for the value of microalbumin measured as an albumin/creatinine ratio that is the upper boundary of the normal reference range.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Laboratory standard—upper limit of normal range for microalbumin
METEOR identifier:Help on this term269772
Registration status:Help on this term
  • Health, Standard 01/03/2005
Definition:Help on this termLaboratory standard for the value of microalbumin that is the upper boundary of the normal reference range.
Context:Help on this termPublic health, health care and clinical settings.
Object class:Help on this termLaboratory standard
Property:Help on this termUpper limit of normal range for microalbumin

Value domain attributes

Identifying and definitional attributes

Value domain:Albumin/creatinine ratio N[NN].N
METEOR identifier:Help on this term310475
Registration status:Help on this term
  • Health, Standard 21/09/2005
Definition:Help on this termA ratio of the amount of albumin to the amount of creatinine in milligrams per millimole (mg/mmol).

Representational attributes

Representation class:Help on this termRatio
Data type:Help on this termNumber
Format:Help on this termN[NN].N
Maximum character length:Help on this term4
Supplementary values:Help on this term
ValueMeaning
999.9Not stated/inadequately described
Unit of measure:Help on this termMilligram per millimole (mg/mmol)
Unit of measure precision:Help on this term1

Data element attributes

Collection and usage attributes

Guide for use:Help on this termRecord the upper limit of the microalbumin normal reference range for the laboratory.
Collection methods:Help on this term

Microalbumin is not detected by reagent strips for urinary proteins, and requires immunoassay.

Measurement of microalbumin levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authority.

As urinary albumin varies with posture and exercise it is important to collect the urine under very standard conditions; short-term (2 hours) during rest, overnight (approximately 8 hours) or an early morning sample. For screening purposes an early morning urine specimen is adequate and if the albumin/creatinine ratio is found to be greater than 3.5mg/mmol then a timed overnight sample should be obtained for estimation of the albumin excretion rate.

Source and reference attributes

Submitting organisation:Help on this termNational Diabetes Data Working Group
Origin:Help on this term

National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary.

Relational attributes

Related metadata references:Help on this term
Supersedes PDFMicroalbumin - units, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.3 KB) No registration status
Supersedes PDFMicroalbumin - upper limit of normal range, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.8 KB) No registration status
Has been superseded by Laboratory standard—upper limit of normal range for microalbumin, albumin/creatinine ratio (ACR) result code N
  • Health, Recorded 02/03/2017
See also Person—microalbumin level (measured), albumin/creatinine ratio N[NN].N
  • Health, Standard 01/03/2005
Implementation in Data Set Specifications:Help on this term
All attributes +

Diabetes (clinical) DSSHealth, Superseded 21/09/2005

DSS specific attributes +

DSS specific information:

Microalbuminuria is a strong predictor of macrovascular disease and diabetic nephropathy. Incipient diabetic nephropathy can be detected by urine testing for microalbumin. Incipient diabetic nephropathy is suspected when microalbuminuria is detected in 2 of 3 samples collected over a 6-month period in patients in whom other causes of an increased urinary albumin excretion have been excluded.

Diagnosis of microalbuminuria is established if 2 of the 3 measurements are abnormal. A small amount of protein (albumin) in the urine (microalbuminuria) is an early sign of kidney damage.

If microalbuminuria is present:

  • review diabetes control and improve if necessary
  • consider treatment with Angiotensin-converting enzyme (ACE) inhibitor
  • consider referral to a physician experienced in the care of diabetic renal disease

If macroalbuminuria is present:

  • quantitate albuminuria by measuring 24-hour urinary protein.
  • refer to a physician experienced in the care of diabetic renal disease.

Diabetes (clinical) NBPDSHealth, Standard 21/09/2005

DSS specific attributes +

DSS specific information:

Microalbuminuria is a strong predictor of macrovascular disease and diabetic nephropathy. Incipient diabetic nephropathy can be detected by urine testing for microalbumin. Incipient diabetic nephropathy is suspected when microalbuminuria is detected in 2 of 3 samples collected over a 6-month period in patients in whom other causes of an increased urinary albumin excretion have been excluded.

Diagnosis of microalbuminuria is established if 2 of the 3 measurements are abnormal. A small amount of protein (albumin) in the urine (microalbuminuria) is an early sign of kidney damage.

If microalbuminuria is present:

  • review diabetes control and improve if necessary
  • consider treatment with Angiotensin-converting enzyme (ACE) inhibitor
  • consider referral to a physician experienced in the care of diabetic renal disease

If macroalbuminuria is present:

  • quantify albuminuria by measuring 24-hour urinary protein.
  • refer to a physician experienced in the care of diabetic renal disease.

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