Type 2 diabetes mellitus (T2DM) and Non–alcoholic fatty liver disease (NAFLD) are common conditions that often co–exist and can act synergistically to drive adverse outcomes.

Aim: To study the prevalence of NAFLD in newly diagnosed type 2 diabetes mellitus patients, correlate with anthropometry and biochemical parameters.

Methodology: 60 cases of newly diagnosed T2DM patients, evaluated clinically, biochemically and on ultrasound for NAFLD and its complications. Anthropometric measurements were taken, and laboratory parameters measured. Ultrasonography was done by the same observer using the same ultrasound machine. Relevant statistical tests were performed.

Results: The mean age of the patients was 48.9 years with a mean BMI of 29.6 kg/m². Mean HbA1c was 9.8%. None of the patients had micro and macrovascular complications of diabetes mellitus. NAFLD was seen in 70% of patient on ultrasound abdomen. There was a significant correlation between weight and NAFLD (p = 0.009), BMI and NAFLD (p = 0.04), waist circumference and NAFLD (p = 0.01), AST and NAFLD (p = 0.007) and ALT and NAFLD (p = 0.006).

Conclusion: NAFLD is more common in patients with T2DM and obesity. All the patients diagnosed to have T2DM recently should be screened for fatty liver disease.