The predictors of ESRD were: duration of diabetes (HR = 4.3, 95% CI 1.6 to 12, P =0.005), mean arterial blood pressure (HR = 3.9, 95% CI 1.4 to 10.8, P = 0.009), serum creatinine (HR = 23.3, 95% CI 3.1 to 174, P = 0.002), GFR (HR = 12.4, 95% CI 2.9 to 54.0, P = 0.001), urinary albumin excretion (HR = 5.8, 95% CI 2.4 to 14, P < 0.001) and urinary IgM excretion (HR = 5.7, 95% CI 1.9 to 17, P = 0.002). Here, ALB is linked to diabetes mellitus.