INS and metabolic dysfunction-associated steatotic liver disease: Abnormally high plasma levels of proinflammatory cytokines have been reported among type 2 diabetes patients with NAFLD, which may be induced by several conditions, including hyperglycemia, insulin resistance, and obesity, causing impaired insulin signaling, cell damage, neutrophil chemotaxis, hepatic stellate cell activation, and apoptosis (Shams, Al‐Gayyar, & Barakat, 2011).