Timed urine collections from diabetic children and adolescents were as
sessed for urinary albumin excretion rate (mu g min(-1)) before and af
ter freezing at -20 degrees C. Freezing had the effect of changing the
estimation such that frozen values could differ from that of the fres
h, by as much as one half to twice as much. The variation depended on
the concentration defining the initial albumin excretion rate but was
not influenced by the length of storage when frozen. We conclude that
researchers should be aware that freezing and storing of urine samples
prior to albumin concentration assessments can affect the absolute va
lues obtained. It would appear more appropriate to analyse samples pri
or to freezing to be certain of obtaining true prevalence estimates of
microalbuminuria.