INS and metabolic syndrome: The NAFLD Liver Fat Score developed by Kotronen et al. [9], which is based on the presence of the metabolic syndrome and type 2 diabetes (dichotomous variables) in addition to insulin, AST, and the AST/ALT ratio, predicted NAFLD with an AUROC of 0.82 in our study population, even though individuals with diabetes were excluded from our study.