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The urine albumin test or albumin/creatinine ratio (ACR) is used to screen people with chronic conditions, such as diabetes and high blood pressure (hypertension) that put them at an increased risk of developing kidney disease.
When the kidneys spill albumin, it can mean serious kidney damage is present. This can lead to chronic kidney disease. An albumin urine test can be done on a sample of urine that is collected: 1  At a random time. 2  This is usually after the first time you urinate in the morning.3  Over a 24-hour period. 4  Over a specific period of time, such as 4 hours or overnight.n albumin urine test can be done on a sample of urine that is collected: 1  At a random time. 2  Over a 24-hour period. 3  Over a specific period of time, such as 4 hours or overnight.