The elevation in albumin to creatinine ratio is very likely related to elevated blood sugar over a long period of time, as well hypertension if present. In general, the most reliable way to reduce the levels is excellent blood sugar control, blood pressure treated below 130/80, use of an ACE inhibitor or angiotensin receptor blocker and use of an SLGT2 inhibitor.
I can only base my opinion on the information provided and your health-care provider might arrive at different conclusions once you have provided an entire history and had a physical examination performed. As always, this forum provides general medical information only and is limited to educational use only. Please discuss the above remarks with your health-care provider.