To investigate the relationship among clinical features of glucose levels, insulin secretion, and hepatic fibrosis, the 169 patients with NAFLD were classified into four groups based on the stage of hepatic fibrosis stage: F0 (n = 10), F1 (n = 74), F2 (n = 48), and F3 (n = 37). This evidence concerns the gene INS and metabolic dysfunction-associated steatotic liver disease.