Health Sachet No 302:

Diabetes is known to cause many problems. Here are a few more and serious ones at that: Fatty Liver, Liver Cirrhosis and Liver Fibrosis.
http://specialty.mims.com/topic/cuhk-study-reveals-liver-fibrosis-in-one-of-five-diabetes-patients

In the study of diabetic patients, which excluded those who were alcoholic or had hepatitis, 73% of patients had fatty liver and 18% had severe liver cirrhosis or liver fibrosis (liver becomes stiff). Compared to normal people, the risk for the liver problems was 3.5 times for diabetics. A big reason to get your diabetes in control.

If you add obesity to diabetes, that is, in patients with Body Mass Index (BMI) ≥ 30, the problem was worse. 95% of them had fatty liver, and 35% had severe liver cirrhosis or fibrosis.

Interestingly, half of these liver problem patients had normal SGOT/SGPT levels. So you cannot use the standard Liver Profile blood tests to check for fatty liver. Even liver ultrasound can not tell a fatty liver with certainty.

Then, how do you check for liver disease? Liver biopsy is the only sureshot way.
http://mobile.nytimes.com/blogs/well/2014/06/25/ask-well-diagnosing-fatty-liver/

Once NAFLD (fatty liver) becomes inflamed or swollen (called NASH), or worse, cirrhotic (liver shrinks and hardens), it is irreversible and could further lead to liver cancer.

If you are a diabetic, get rid of your obesity (reach BMI ≤ 25, at the very least) and get physically very active, before it gets too late.

 

 

Photo Credit: By BruceBlaus (Own work) [CC BY-SA 4.0], via Wikimedia Commons

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