In multivariate logistic regression analyses adjusting for age, SBP, DBP, fasting insulin, HbA1c, SCr, eGFR, HbA1c, history of drinking and smoking, and treated hypertension and dyslipidemia (Model 4), the ORs for the prevalence of 10-year ASCVD high risk increased with higher FLI categories, with an OR of 1.00 (reference) for the lowest FLI category, 1.41 (95% CI 0.91–2.18) for the middle FLI category, and 2.61 (95% CI 1.52–4.49) for the highest FLI category. Here, INS is linked to metabolic syndrome.