INS and metabolic dysfunction-associated steatotic liver disease: After adjusting for gender, age, eGFR, HbA1c, T2DM (y/n), stages of NAFLD (1/2/3), and liver fibrosis (y/n), it was found that HepFe (p = 0.020), serum ferritin (p = 0.040), fasting insulin (p = 0.049), and platelets (p = 0.009) were significantly associated with mean UACR (R2 = 0.370; p = 0.007).