ALB and malnutrition: In support, a study also reported moderate malnutrition among obese class-3 and overweight patients while severe malnutrition reported among 83% of underweight patients.16 Furthermore, a higher level of protein depletion and low TLC has been documented among patients with high nutritional risk.20,25,26 Surprisingly our findings were contradictory concerning both of these clinical parameters, i.e., most of the diabetic patients with moderate (73.4%) and severe (44.7%) malnutrition had albumin levels > 3.4 g/dl.