Screening test for persons at risk (e.g., diabet-ics) for developing kidney disease; measures amount of albumin and creatinine in urine; there is a high level of albumin in the blood, but almost none is excreted in urine; creati-nine, a waste product of muscle metabolism, is excreted into urine at a relatively constant rate; if ratio of these two substances increases, it is an early warning sign of kidney disease