After adjustments for sex, age, BMI, and diabetic duration, the associations among HbA1c, ALT, serum ALB, eGFR, urinary ACR, VPT, HSL, presence of dyslipidemia, NAFLD, DPN, DN, PAD and AAR were attenuated but remained statistically significant (P<0.01 or P<0.05). This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.