After adjusting for age, gender, hemoglobin, albumin, NAFLD, hypertension, history of smoking, history of alcohol consumption, and BMI, ln(Ins60/ApoA) was an independent influence factor for ACR ≥ 30 mg/g (OR = 2.778, p = 0.015) (Table 4). The gene discussed is ALB; the disease is metabolic dysfunction-associated steatotic liver disease.