What we test for

Every Modern Checkup strip reads two markers in your urine — albumin and creatinine — and turns them into one number that shows how your kidneys are doing: your uACR. Here’s exactly what each pad measures, and what your number means.

2markers
1minto result
0lab visits
A Modern Checkup test strip held between finger and thumb, both pads visible.

One strip. Two test pads.

Inside is the same test chemistry Siemens makes for the machines in hospital labs. We put it on a strip you read at home — no lab, no appointment.

Extreme macro of the two reagent test pads on the strip.

How to read the two pads

Read the albumin pad at 50 seconds

It sits nearest the handle. Colour change tells us how much albumin is leaking through.

Read the creatinine pad at 60 seconds

The outer pad. It tells us how concentrated the sample is, so hydration can be corrected for.

Two markers, one number

Here is exactly what each pad is measuring and why it earns its place on the strip.

01Albumin· the leak

A protein that belongs in your blood, not your urine. Healthy kidneys keep it in circulation. Stressed or damaged kidneys start letting it slip through — and that leak is the earliest measurable sign of kidney trouble, often years before you feel anything.

From 10 mg/L Earliest warning sign ADA-recommended
02Creatinine· the correction

A steady waste product your muscles produce at a predictable rate. We read it alongside albumin to correct for how dilute your sample is — so a large glass of water before the test cannot flatter your result.

Hydration-corrected Read at 60 sec Paired with albumin
03uACR· the result

Albumin divided by creatinine — the urine albumin-to-creatinine ratio. It is the number kidney specialists, medical guidelines and your own past results can all be measured against. This is what we track for you, month after month.

Reported in mg/g Doctor-standard Charted monthly
Modern Checkup app screen showing a completed uACR result over time.
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What your number means

We sort your uACR into the same three levels a kidney specialist would use.

A1

Under 30 mg/g

Normal to mildly increased

A2

30 – 300 mg/g

Moderately increased

A3

Over 300 mg/g

Severely increased

!

One reading is a snapshot, not a diagnosis.

uACR moves with exercise, illness and hydration. That is exactly why we test monthly — the trend is the signal, and a single number never is.

And what we don’t test for

We would rather be clear about the edges of this test than oversell it.

It doesn’t diagnose kidney disease.

Only a clinician can, using your history and a blood test. An abnormal result is a prompt to book that conversation.

It doesn’t measure blood sugar, cholesterol, or kidney filtering rate.

Those need a blood draw. Albumin in your urine is the sign that shows up first — often years before a filtering test would.

It doesn’t replace your annual physical.

It fills the eleven months in between, so nothing drifts unnoticed.

Start Monitoring for $49/mo

Try it risk free for 30 days

The specifics

The at-home version of a kidney test that labs have run for years — made by Siemens.

FDA 510(k)K991315
Result time60 seconds
StorageRoom temperature
Shelf life18 months
SampleMid-stream or dipped
ReportingSemi-quantitative

Start watching the number that moves first

One strip a month. Two markers. One number, charted for you.

Start Monitoring for $49/mo

Try it risk free for 30 days

The Modern Checkup kit, bottle and phone showing a result.