After adjusting for age, gender, hypertension, non-alcoholic fatty liver disease (NAFLD), hemoglobin, albumin, smoking history, alcohol consumption history, and body mass index (BMI), lnIns60/ApoA was an independent influence factor for ACR ≥ 30 mg/g(OR = 2.778, p = 0.015). The gene discussed is ALB; the disease is metabolic dysfunction-associated steatotic liver disease.