Things Diabetes Patients Should Know About Liver Disorders

There is a link between diabetes and the pancreas since insulin is produced in the body by the pancreas. However, you might be wondering how the liver fits into this picture. Here is the response to your query. Read on to view the full details...

Gaurav Gupta Created on 26th Aug, 21

There is a link between diabetes and the pancreas since diabetes is caused by damage to the pancreas. However, you might be wondering how the liver fits into this picture. Here is the response to your query.


Diabetes raises the risk of kidney illness, blood vessel damage, infections, heart disease, nerve damage, and blindness. But you may be surprised to learn that diabetes can also have a significant impact on the liver. Non-alcoholic fatty liver disease (NAFLD) has affected up to one-third of adult diabetes patients in industrialized countries. 


Let’s know, What is NAFLD?

NAFLD is a broad term that encompasses numerous subtypes of liver disorders and clinically distinct illnesses, such as fatty liver and more serious steatohepatitis (NASH), which can develop into liver cirrhosis and, in rare circumstances, liver cancer


NAFLD is more likely in people who have type 2 diabetes. When blood tests for liver function are consistently and chronically raised and all other assessments for the source of the elevations are unclear, liver experts may prescribe a liver biopsy.


Dr. Gaurav Gupta is an experienced liver specialist in Mumbai. He has treated many individuals with complicated liver disorders. If you have diabetes and are concerned about the possibility of liver damage, please consult Dr. Gaurav Gupta.


What are the Effects of Diabetes on the Liver?

As the number of diabetes patients with heart disease rises, diabetes patients with liver problems increases. It's almost twice as high as suffering a heart attack or stroke. Diabetes patients are more likely to develop severe fibrosis (thickening and scarring of connective tissue). 


According to a study, cirrhosis is also responsible for 12.5 percent of mortality in diabetes patients. NAFLD is the cause of liver failure in the majority of patients presenting for liver transplantation.

With each stage of liver disease, a patient's prognosis worsens. However, not everyone's liver disease worsens. 


What Are Possible Treatments?

According to several studies, weight loss reduces liver fat; hence is the most recommended treatment. Liver specialists suggest low-glycemic and low-calorie diets that result in weekly weight loss of 1-2  pounds. Also, they recommend avoiding low-fat diets. 


In people with type 2 diabetes with NAFLD, diet and exercise ( lifestyle modification) play a major role in the treatment of patients. Liver injury due to NAFLD is reversible in the early stage of liver disease. As the liver injury progresses it can lead to irreversible damage to the liver called Liver Cirrhosis


Also, because of its toxic effects on the liver and high-calorie content, alcohol should be avoided at all costs. Daily exercises improve everyone's insulin activity. Some drugs that are used to treat diabetes can also be beneficial to the liver.



Diabetes, Hypertension, Obesity, and hypothyroidism are all components of metabolic syndrome. These not only affect our heart and brain but also damage our Liver. We need to follow a healthy lifestyle with exercise to protect our liver.



Relevant Questions

Q. My wife has issue with abdomen pain & according to Dr the lever is fatty We have done USG of upper & lower abdomen & it shows bit enlargement of lever What shall we do next

If on USG liver is fatty, the Patient should undergo some more blood tests to find the cause and degree of fatty liver. We should also check whether this fatty liver is causing hepatitis or not. Treatment will depend upon finding of these tests. I will suggest you to consult a liver specialist and then further treatment can be started.

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Q. What can potentially cause damage liver?

The 3 main causes of liver damage are: Obesity, undiagnosed hepatitis infection and alcohol misuse. There are some other factors that lead to liver damage. That is,

  • Too Much Vitamin A From Supplements
  • Excess intake of Soft Drinks
  • Too much sugar
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Q. I have fever and is also experiencing fatigue. i got my blood tests done and the reports showed raised LFTs, but everything else is fine. there is no cough or shortness of breath, is this something to worry about? What is the cause?

Raised LFT can be due to various reasons. Different values in LFT signify different problems. Plus clinical examination will be helpful. You should see a doctor consultation along with a detailed check-up.

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Q. Hello, I'm a 49-year-old male whose platelet count has dropped to 27000 in the last several months. Gastroenterologists use sonography and endoscopy to detect compensated liver cirrhosis. I'm curious about the long-term effects and what kind of diet I should follow. Thanks

If your doctor has told you that you have compensated cirrhosis, this means you are in the early stages of the disease. The cause of cirrhosis in such patients must be thoroughly investigated. These individuals must also be monitored by liver experts on a frequent basis in order to diagnose and treat issues when they emerge. These individuals must also adhere to a rigorous liver-related diet. Diets are usually changed and tailored to the specific needs of each patient. I hope this answers your question, and please contact me if you have any other questions!

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Q. My brother is hospitalized in Nair hospital since last 15days because of alcoholic liver infection, not getting improvement .. So i want to consult with you.

If a patient has alcohol-related liver injury generally treatment depends upon the degree of liver injury. some of the patients will recover after alcohol-related liver injury but in case of severe alcoholic hepatitis, liver transplant may be needed. 

If you want to know more, you can refer the article on Alcohol Liver Disease.

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