In this study, which included 3,982 Chinese diabetic adults (1,764 men and 2,218 postmenopausal women), we report that N-MID osteocalcin is negatively associated with probable NASH, and β-CTX and P1NP are positively associated with the probable presence of significant fibrosis in postmenopausal women. The gene discussed is BGLAP; the disease is metabolic dysfunction-associated steatohepatitis.