Urine albumin-to-creatinine ratio (ACR) mg/mmol → mg/g

Convert urine albumin-to-creatinine ratio (acr) from mg/mmol to mg/g

Sources last checked: 2026-11-03

Urine albumin-to-creatinine ratio (ACR) mg/mmol → mg/g

Convert urine albumin-to-creatinine ratio (acr) from mg/mmol to mg/g

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Converts units only; reference ranges depend on the laboratory, the assay and the patient.

Source: KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int 2024;105(4S):S117–S314 — albuminuria categories given in mg/g and mg/mmol.Open

What is the Urine albumin-to-creatinine ratio (ACR) mg/mmol → mg/g?

This converter turns a urine albumin-to-creatinine ratio (ACR) in mg/mmol — the SI form used in the UK and by many other European laboratories — into mg/g, the form used in the USA, Turkey and by many laboratories in German-speaking countries. It multiplies by 8.84, the number of millimoles in one gram of creatinine (molar mass 113.12 g/mol).

When to use it

  • Reading a UK or SI-based report alongside mg/g-based guidelines or studies
  • Comparing serial ACR values after a change of laboratory
  • Entering a value into a tool or trial protocol that expects mg/g

When not to use it

  • Protein-to-creatinine ratio, which uses the same factor but a different analyte
  • Albumin concentration in mg/L without a creatinine denominator
  • Estimating PCR from ACR — there is no fixed factor between them

How it is calculated

ACR (mg/g) = ACR (mg/mmol) × 8.84

Clinical pearls and limitations

  • Converts units only; reference ranges depend on the laboratory, the assay and the patient.
  • mg/g = mg/mmol × 8.84; whole mg/g are sufficient.
  • Some reports write the SI ratio as g/mol, which is numerically identical to mg/mmol; mg/g can also appear as µg/mg.
  • Confirm a raised ratio on repeat samples before categorising, since transient increases are common.
  • KDIGO lists albuminuria categories in both units; use the column that matches the report rather than converting thresholds by memory.

Frequently asked questions

How do I convert ACR from mg/mmol to mg/g?

Multiply by 8.84. Example: 12 mg/mmol × 8.84 = 106 mg/g; 6.5 mg/mmol × 8.84 = 57 mg/g.

Why is the factor 8.84?

The conversion re-expresses the creatinine denominator in grams instead of millimoles. One gram of creatinine is 8.84 mmol (molar mass 113.12 g/mol); the factor has nothing to do with the dL/L relationship used for many other analytes.

Is mg/mmol the same as g/mol?

Yes. A milligram per millimole equals a gram per mole, so the number is unchanged.

Evidence and guidelines

  1. Primary source: KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int 2024;105(4S):S117–S314 — albuminuria categories given in mg/g and mg/mmol.
  2. PubChem compound summary: creatinine (CID 588), molecular weight 113.12 g/mol.

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For healthcare professionals and medical students. These tools support, and do not replace, clinical judgement. Always check results against the original source and your local protocols.