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Kidney Tests
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Kidneys Urinary System

Kidney Tests

Kidney tests are essential for evaluating how well your kidneys filter waste, especially for those with risk factors like diabetes or high blood pressure.

Overview

Your kidneys are two fist-sized organs located on either side of your backbone above your waist. They function by filtering and cleaning your blood, removing waste products, and making urine. Kidney tests are used to assess how well these organs are functioning.

When to Get Tested

Early kidney disease often presents no signs or symptoms, making testing the only way to monitor kidney health. It is important to get checked if you have key risk factors, including:

  • Diabetes
  • High blood pressure
  • Heart disease
  • A family history of kidney failure

Specific Kidney Tests

  • Glomerular filtration rate (GFR): One of the most common blood tests used to check for chronic kidney disease by measuring how well your kidneys are filtering.
  • Creatinine blood and urine tests: These check the levels of creatinine, a waste product that your kidneys typically remove from your blood.
  • Albumin urine test: Checks for albumin, a protein that may pass into the urine if the kidneys are damaged.
  • Imaging tests: Procedures such as an ultrasound provide pictures of the kidneys, allowing health care providers to see their size and shape and check for abnormalities.
  • Kidney biopsy: A procedure involving the removal of a small piece of kidney tissue for microscopic examination to determine the cause of kidney disease and the extent of damage.

Frequently Asked Questions

You generally do not need to fast for a standard kidney function test, but you should stay well-hydrated. However, consuming a very high-protein meal immediately before the test can temporarily raise creatinine levels, potentially skewing the Glomerular Filtration Rate (GFR) calculation. It is best to avoid heavy protein supplements or large meat-heavy meals on the day of the test unless your doctor instructs otherwise. What is the difference between a one-time abnormal result and a diagnosis of chronic kidney disease?::A single abnormal kidney test result does not automatically mean you have chronic kidney disease. Doctors typically require abnormal results (such as low GFR or high albumin in urine) to persist for at least three months to confirm a diagnosis. This waiting period helps rule out temporary fluctuations caused by dehydration, intense exercise, or acute illness. Can certain medications or supplements interfere with kidney test accuracy?::Yes, several substances can alter test results. For example, creatine supplements can raise blood creatinine levels, making kidney function appear worse than it is. Additionally, some medications like NSAIDs (ibuprofen, naproxen) can temporarily reduce kidney filtration. Always inform your healthcare provider about all supplements and over-the-counter drugs you are taking before the test. How often should someone with diabetes get their kidney function checked?::For individuals with type 1 diabetes, annual screening for kidney damage is recommended starting five years after diagnosis. For those with type 2 diabetes, screening should begin at the time of diagnosis and continue annually. More frequent testing may be required if you have high blood pressure, a family history of kidney disease, or if previous tests showed signs of protein in the urine.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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