GPT and Insulin resistance: Individuals with obesity had 4-fold risk and type 2 diabeticpatients do also have higher risk of dying from cirrhosis than the general population .[1], [2] Vica-versa in the Insulin Resistance Atherosclerosis Study (IRAS) elevated ALT was independently associated with insulin resistance and other findings are also consistent with the role of liver fat in diabetes pathogenesis.[3], [4]