After adjusting for age, sex, height, FPG, SBP, DBP, TC, TG, LDL, HDL-c, BUN, AST, ALT, drinking status, smoking status, and family history of diabetes, the negative relationship between the Cre/BW ratio and incident T2DM did not change in the multivariate analysis [0.36 (0.31, 0.42]). Here, GPT is linked to type 2 diabetes mellitus.