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Glucose:β-hydroxybutyrate (βOHB) ratio. A: the glucose-ketone ratio (glucose:βOHB) was elevated in nonalcoholic fatty liver disease (NAFLD) compared with Controls (Basal; Control: 33.8 ± 8.8; NAFLD: 44.9 ± 10.4; P = 0.02). B–D: glucose:βOHB was elevated with higher body fat percentage (B) and poorer glucose control evidenced by elevated HbA1c (C) and impaired insulin sensitivity (D).
