The addition of five simple markers – BMI, presence of diabetes/impaired fasting glucose, AST/ALT ratio, platelets and albumin – to the ELF test improved diagnostic accuracy further, with AUROCs of 0.98, 0.93 and 0.84 for the diagnosis of severe, moderate and no fibrosis respectively.87 The ELF panel may also represent a useful prognostic tool, with a one unit change in ELF score shown to be associated with a doubling of the odds of significant liver-related mortality or morbidity at 6 year follow-up.88 This evidence concerns the gene GPT and diabetes mellitus.