When we further adjusted the multivariable model for alanine aminotransferase (ALT), aspartate aminotransferase (AST), low-density lipoprotein-cholesterol (LDL-C), high-density lipoprotein-cholesterol (HDL-C), TGs, FPG, and body mass index (BMI), 95% CI for the aHR in the MAFLD-only group (aHR 2.33, 95% CI 1.65–3.28) and the NAFLD-only group (aHR 2.48, 95% CI 1.47–4.21) became similar, indicating that the dominant presence of these components of MD was responsible for the higher risk of incident diabetes in the MAFLD-only group compared to the NAFLD-only group. This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.