Inclusion Criteria:  Clinical diagnosis of T2D Age 18 - 80 years BMI >25 kg/m2 or waist circumference ≥102 cm in men and ≥88 cm in women Informed consent  Exclusion Criteria:  Known history of biopsy-proven NAFLD or NASH, hepatitis B, hepatitis C, HIV, liver cirrhosis, hemochromatosis, drug-induced hepatitis, alcohol-related or autoimmune hepatic disease, history of hepatic decompensation, solid organ transplant, or primary liver cancer, based on electronic medical record History of alcohol abuse (≥30 g/day or ≥3 drinks/day for males and ≥20 g/day or ≥2 drinks/day for females) Unstable patients with T2D (e.g. end stage renal disease on dialysis, late stage cancer, acute cardiovascular event or any hospitalization in the past 3 months). Note - Emergency room visit without hospitalization is not exclusionary Pregnancy/lactation Presence of implanted electronic medical device (i.e., pacemaker, as FibroScan cannot be performed) Language barriers (i.e. inability to read the consent form translated in any of the multiple languages)