Publication Name	World Journal of Diabetes
Manuscript ID	114565
Country	China

Category	Medicine, General & Internal
Manuscript Type	Letter to the Editor
Article Title	Zhejiang University index predicts metabolic dysfunction-associated steatotic liver disease in type 2 diabetes mellitus patients
Manuscript Source	Invited Manuscript
All Author List	Man Zhang, Miao-Guang Yu, Xiang-Nan Shen and Guo-Bin Kang
Funding Agency and Grant Number
Corresponding Author	Guo-Bin Kang, Academic Fellow, Department of Cardiology 1, Hebei Provincial Hospital of Chinese Medicine/The First Affiliated Hospital of Hebei University of Chinese Medicine, The First Affiliated Hospital of Hebei University of Chinese Medicine, Shijiazhuang, 050000, China. Electronic address: kanggb1229@126.com, Shijiazhuang 050000, Hebei, China. kanggb1229@126.com
Key Words	Zhejiang University index; Metabolic dysfunction-associated steatotic liver disease; Type 2 diabetes mellitus; Predictive biomarker; Cross-sectional study; Pharmacotherapy confounding
Core Tip	This correspondence critically evaluates the study by Tao et al on the ability of the Zhejiang University index to predict metabolic dysfunction-associated steatotic liver disease (MASLD) in type 2 diabetes mellitus patients. It commends the index as it is a minimally invasive biomarker panel and methodologically sound but highlights several limitations, such as the reliance on a hospitalized patient sample, lack of information on pharmacological treatments, the inherent constraints of ultrasound imaging, and the cross-sectional nature of the study. The authors suggest that future research should aim at prospective validation in outpatient settings and exploring the underlying mechanisms of MASLD.
Citation	Zhang M, Yu MG, Shen XN, Kang GB. Zhejiang University index predicts metabolic dysfunction-associated steatotic liver disease in type 2 diabetes mellitus patients. World J Diabetes 2025; In press

Received	2025-09-26 03:35
Peer-Review Started	2025-09-26 08:41
To Make the First Decision
Return for Revision	2025-10-21 06:29
Revised	2025-10-30 13:33
Second Decision	2025-11-12 02:49
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-12 07:44
Articles in Press	2025-11-12 07:44
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
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