Enhanced FBG and insulin levels are prevalent in NAFLD.33 Insulin resistance that is determined by HOMA is an important factor in NAFLD pathogenesis.34 In parallel with our findings, the severity of steatohepatitis was strongly related to insulin resistance and visceral fat accumulation irrespective of obesity.33 In the current study, the atherogenic index amount was increased significantly. This evidence concerns the gene INS and metabolic dysfunction-associated steatotic liver disease.