INS and fatty liver disease: Figure 2 shows that patients who presented with liver involvement had higher sum of insulin levels [590.7 μU/mL (19.1;153.3); p = 0.047] and older age (20.2 ± 4.5 years of age; p = 0.001) as compared to those patients who had only hepatic steatosis [86.2 μU/mL (19.1;152.3) /10 ± 5.2 years of age] and those without liver involvement [148.1μU/mL (63.1;415.9) /9.9 ± 2.1 years of age].