Previous investigations found NAFLD in the first trimester was a risk factor for GDM (7), which is often accompanied by abnormally elevated liver enzymes, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), or alkaline phosphatase (ALP) (8). The gene discussed is GPT; the disease is metabolic dysfunction-associated steatotic liver disease.