Stratified analysis according to sex, race, marital status, chronic bronchitis, congestive heart failure, hypertension, stroke, cancer, and degree of liver fibrosis confirmed that NAFLD with diabetes significantly increased the risk of all-cause and cardiovascular mortality in the age, BMI, waist circumference, poverty income ratio, albumin, CRP, HbA1c, cholesterol, triglycerides, HDL-c, glucose, blood urea nitrogen, creatinine, FIB-4 (continuous variable), AST, ALT, and urinary creatinine-adjusted model as compared with individuals without diabetes. The gene discussed is ALB; the disease is metabolic dysfunction-associated steatotic liver disease.