They had a higher urine albumin:creatinine ratio and were more likely to have an eGFR <60 mL/min/1.73 m2, consistent with more frequent micro- and macrovascular complications including retinopathy, PSN, ischaemic heart disease, cerebrovascular disease, PAD, intermittent claudication, as well as past hospitalisation for, or current, foot ulcer, and a history of vascular bypass surgery and/or peripheral revascularisation. Here, ALB is linked to peripheral arterial disease.