Thirty-six patients who underwent KT (55.4%) had PAS, and they were typically older individuals (p = 0.041), with longer KT duration (p = 0.025), higher waist circumference (p = 0.010), SBP (p = 0.002), serum TG (p = 0.040), insulin level (p = 0.002), homeostasis model assessment of insulin resistance (HOMA-IR, p = 0.002), while they had lower serum HDL-C (p = 0.036), and l-carnitine levels (p < 0.001) and a higher percentage of diabetes (p = 0.001), hypertension (p = 0.033), and metabolic syndrome (p = 0.044), when compared with the control group (Table 1 and Table 2). Here, INS is linked to metabolic syndrome.