New Resources: Urine-to-Creatinine Ratio Test (uACR) - Guides for Clinicians and Patients

September 22, 2025

MCT2D is excited to announce the release of two new handouts focused on the urine albumin-to-creatinine ratio (uACR) test, a key measure for detecting early kidney damage in people living with type 2 diabetes.

For Patients

For People Living with Type 2 Diabetes Urine Albumin-to-Creatinine Ratio (uACR) Test

This handout is designed for patients and caregivers. It explains:
  • What the uACR test is: a simple urine test that measures protein levels to detect early kidney damage.
  • Why it matters: early detection helps protect kidney and heart health.
  • How often to test: at least once a year, or more often if recommended by your care team.
  • What you can do: manage blood sugar, blood pressure, medications, and healthy lifestyle choices

For Clinicians

For Clinicians Treating Type 2 Diabetes
Urine Albumin-to-Creatinine
Ratio (uACR) Test

This resource supports providers in discussing and ordering the uACR test. It includes:
  • Definitions of albumin, creatinine, and uACR.
  • Explanation of why the ratio (not just albumin) is critical for accurate results.
  • Information on uACR values and their clinical implications for kidney and cardiovascular health

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Developed by Kidney Experts

Both tools were co-authored by the MCT2D Kidney Initiative leads:
  • Michael Heung, MD, MS – Program Director
  • Rajiv Saran, MD, MBBS, MS – Nephrology Content Expert
  • Julie Wright Nunes, MD, MPH – Nephrology Content Expert
These new resources are part of MCT2D’s ongoing commitment to improving kidney health and diabetes care across Michigan.
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