Lab value · UPC

Urine Protein:Creatinine Ratio in cats, explained

UPC measures how much protein is leaking into the urine. Healthy kidneys keep protein in the blood.

Veterinary review: pending

What a higher urine protein:creatinine ratio can mean

A higher UPC means more protein is leaking. IRIS considers a UPC above 0.4 “proteinuric” in cats — something vets often monitor and may treat.

What a lower urine protein:creatinine ratio can mean

A lower UPC means less protein leaking — a good sign, and sometimes a sign treatment is working.

Why it matters in kidney disease

  • IRIS uses UPC to “substage” CKD as non-proteinuric, borderline or proteinuric.
  • Persistent protein in the urine is linked with faster progression, so vets often treat it and recheck.
  • A urinary tract infection or blood in the sample can raise UPC, so vets usually check the urine sediment too.

IRIS reference substages

IRIS uses the urine protein:creatinine ratio to describe protein loss in the urine of cats with CKD.

IRIS proteinuria substages for cats
UPCIRIS substage
< 0.2Non-proteinuric
0.2 – 0.4Borderline proteinuric
> 0.4Proteinuric

Source: IRIS Staging of CKD (modified 2023) — iris-kidney.com; phosphate targets: 2026 iCatCare consensus guidelines.

Questions to ask your vet

Ask your vet

  • Is my cat’s UPC high enough to treat?
  • Should we recheck UPC after starting treatment?

Decode your cat’s UPC

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Frequently asked questions

What is Urine Protein:Creatinine Ratio in a cat blood test?

UPC measures how much protein is leaking into the urine. Healthy kidneys keep protein in the blood.

What does a high urine protein:creatinine ratio mean in cats?

A higher UPC means more protein is leaking. IRIS considers a UPC above 0.4 “proteinuric” in cats — something vets often monitor and may treat.

What does a low urine protein:creatinine ratio mean in cats?

A lower UPC means less protein leaking — a good sign, and sometimes a sign treatment is working.

What is a normal urine protein:creatinine ratio level for a cat?

A typical feline reference interval is about Example only: 0.00 – 0.20. Use the range printed on your cat’s report — it differs between labs., but every lab sets its own range. The range printed on your cat’s report is the one to use.

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