In subjects with NAFLD reduced insulin sensitivity was observed not on muscles level but at the level of liver and adiposetissue.15 This study described the elevated aminotransferases with higher BMI value which support previous study results raised serum ALT in subjects of type 2 diabetes, about 80% of the subjects were obese with greater BMI by Shahid A et al.16 Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.