INS and atherosclerosis: Compared to those who did not develop ASCVD, T2D participants with only microvascular complications who did were significantly older (62.7 vs. 61.6 years), performed fewer activities (65.4% vs. 72.9%), more likely to use insulin (10.8% vs. 8.0%), with longer duration of diabetes (9.7 vs. 8.2 years), lower HDL-C level (1.1 vs. 1.2 mmol/L), higher triglycerides level (2.3 vs. 2.2 mmol/L), lower LDL-C level (2.6 vs. 2.7 mmol/L), higher Lp(a) level (47.2 vs. 41.6 mmol/L), higher HbA1c level (54.2 vs. 53.0 mmol/mol), lower vitamin D level (39.1 vs. 41.6 nmol/L); all P < 0.05 (Table 1).