The results showed that MHR and MAR were positively correlated with β-CTX and were negatively correlated with L1-L4 BMD, L1-L4 T-score, femoral neck BMD and femoral neck T-score after adjustment for clinical variables like age, diabetes duration, BMI, TC, TG, LDL-c, creatinine, ALT, UA, hypertension, smoking, drinking and sedentary behavior (Model 1). Here, GPT is linked to diabetes mellitus.