NOS score = Newcastle-Ottawa scale: used for quality assessment. We assigned NOS scores of 1–3, 4–6, and 7–9 for low, intermediate, and high-quality studies, respectively. These six studies are all adjusted for confounders, such as age, sex, diabetes duration, HbA1c, smoking history, LDL cholesterol, GGT levels and use of medications (i.e., hypoglycemic, antihypertensive, lipid-lowering, or anti-platelet drugs), and NCEP ATP III-defined MS.