Microalbuminuria is considered to be a marker of endothelial dysfunction and is a predictor of cardiovascular disease and mortality.1,2 Studies have implicated systemic vascular damage, extensive endothelial dysfunction, a glomerular haemodynamic state of hyperperfusion and hyperfiltration, a prothrombotic state, and a low-grade chronic inflammatory state.3 Microalbuminuria is also associated with several cardiovascular disease risk factors, such as hyperglycaemia, hypertension, dyslipidaemia, renal dysfunction, obesity and smoking.4 All of these factors contribute to the genesis of atherosclerosis.