Similarly, another T2DM population-based study also found that during the progression of NAFLD, serum ALT increased from 16U/L to 33U/L, as well as serum γ-GT rose from 22U/L to 49.5U/L accompanied with the decline of GA/HbA1C ratio [4]. This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.