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NON-DOT TESTING. A dilute specimen, by definition, is a urine specimen that has a creatinine of less than 20 g/dl and a specific gravity of 1.003 or less. These 2 tests are routinely performed on every urine sample that is tested at the Lab. If the specimen meets the above 2 criteria, it is reported as a Dilute specimen.
Specific gravity measures the kidney's ability to concentrate or dilute urine in relation to plasma. Because urine is a solution of minerals, salts, and compounds dissolved in water, the specific gravity is greater than 1.000.The more concentrated the urine, the higher the urine specific gravity.An adult's kidneys have a remarkable ability to concentrate or dilute urine.In infants, the range for specific gravity is less because immature kidneys are not able to concentrate urine as effectively as mature kidneys. In these diseases, damage to the kidney's tubules affects the ability of the kidney to re-absorb water. 2  As a result, the urine remains dilute. 3  The third reason for low specific gravity is renal failure, which results in a fixed specific gravity between 1.007 and 1.010.