ALB and diabetes mellitus: While the PCE 8 treats DM as a binary factor that does not address its heterogeneity in risk nor include other DM specific factors, the recent PREVENT risk score 9 requires body mass index and estimated glomerular filtration rate (eGFR) and has options for including glycated hemoglobin (HbA1c) and urine albumin creatinine ratio (UACR) to further refine risk and the SCORE-2 Diabetes algorithm from Europe does add diabetes-specific factors including HbA1c, duration of diabetes, and chronic kidney disease.11