In Model 4, after adjusting for age, race, marital status, education level, PIR, smoking history, alcohol consumption, age at menopause, BMI, diabetes, albumin, AST, ALT, TG, HDL-c, LDL-c, SUA, and eGFR, the HRs and 95% CIs for all-cause mortality across Q1, Q2, Q3, and Q4 groups were 1.000 (reference), 0.839 (0.733-0.961), 0.872 (0.748-1.018), and 0.765 (0.646-0.906), respectively, with a trend test P-value of 0.008. This evidence concerns the gene GPT and diabetes mellitus.