Introduction and Objective: Type 2 diabetes (T2D) is frequently associated with hepatic complications like fatty liver and fibrosis named Metabolic dysfunction associated steatotic liver disease (MASLD).This study evaluates the demographic profile, Body Mass Index (BMI) and liver health parameters— Fibrosis-4 (FIB-4) score, Controlled Attenuation Parameter (CAP) score and Liver Stiffness Measurement (LSM)Methods: A total of 520 patients were screened and 383 people with T2D were included after exclusion. Data included demographics (age and gender), BMI, FIB-4 score, CAP score, LSM and respective liver fibrosis and fatty liver grades. CAP scores and LSM were assessed using Fibroscan 430 Mini Plus (Echosens, France). Descriptive statistics, Spearman correlation, and ANOVA were utilized to identify significant relationshipsResults: The cohort had a mean age of 56.2 years, with 61.6% males. The mean BMI was 27.3 kg/m², and the average CAP score was 268.3 dB/m. Mean LSM was 6.64 kPa. BMI showed a moderate positive correlation with CAP (r = 0.30, p < 0.001) and LSM (r = 0.25, p < 0.001). Higher BMI classes were associated with significantly elevated CAP scores (p < 0.01).FIB-4 scores were not significantly correlated with CAP or LSM but increased with advanced fibrosis [F2-F4 (p < 0.001)]. LSM values increased progressively with BMI classification, peaking in the obese category (7.35 kPa) compared to normal weight (6.69 kPa) and overweight individuals (6.87 kPa). F1 and F2 grades being more prevalent in obese compared to normal weight and overweight categories. Missing data included BMI (31.3%), FIB-4 (50.6%), CAP (25.3%) and LSM (25.3%)Conclusion: This study highlights the intricate relationships between BMI, FIB-4, liver fibrosis and fatty liver gradings in T2D. Findings underscore the importance of comprehensive metabolic and hepatic assessments in T2D for better clinical outcomes. Future research should address the role of demographic variables in liver health disparities among T2D populations
S. Chandel: None. K. Ravi Teja: None.
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