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Urine Albumin Test (24-Hour) Explained — What It Is, How It Works, and What Your Results Mean Is your doctor asking you to collect urine for 24 hours? This video explains the 24-Hour Urine Albumin Test in simple, everyday language so you know exactly what to expect and what your results mean. WHAT IS THIS TEST? The 24-Hour Urine Albumin Test measures the total amount of albumin your kidneys leak into your urine over a full day. Albumin is a protein made by the liver that normally stays in the blood. Healthy kidneys filter waste but keep albumin in. When kidneys are damaged, albumin leaks into the urine. Collecting urine for 24 hours gives your doctor the most accurate picture of how much albumin is escaping. WHY DO DOCTORS ORDER IT? — To screen for early kidney damage in diabetes — To check kidney health in people with high blood pressure — To confirm or follow up on an abnormal spot urine or ACR test result SIGNS YOU MAY HAVE NOTICED: Foamy urine, swollen feet, or a puffy face. Many people with early kidney damage have no symptoms at all, which is why testing matters. HOW IS IT DONE? You do not need to fast. Your doctor gives you a large container. When you wake up on the collection day, you urinate into the toilet first and note the time. After that, you collect every drop of urine for the next 24 hours into the container, including the first urination the following morning at the same time. Keep the container refrigerated between collections. The sample is processed in the lab using immunoturbidimetry. Results are reported in mg per 24 hours. NORMAL RANGES Normal: Less than 30 mg per 24 hours Microalbuminuria (early damage): 30 to 300 mg per 24 hours Overt proteinuria (significant damage): More than 300 mg per 24 hours These ranges apply to both men and women. WHAT DO ABNORMAL RESULTS MEAN? High levels may indicate early kidney damage from diabetes, kidney injury from high blood pressure, or increased risk of heart and blood vessel disease. Normal levels mean your kidneys are filtering well and keeping albumin in the blood where it belongs. A single abnormal result does not confirm kidney disease. Temporary increases can be caused by heavy exercise, fever, urinary tract infections, dehydration, or poor blood sugar control. Your doctor will usually repeat the test before making a diagnosis. DISCLAIMER: This video is for educational purposes only. It is not a substitute for medical advice. Always consult your doctor about your test results.