Diabetes Information Library 
Your Source For Articles On Diabetes  
Search Articles:
Bookmark Our Site! Free Newsletter | Special Offers | Archives | Diabetic Dictionary  
acetyl l-carnitine
alpha lipoic acid
american diabetes assoc.
bitter melon
blood sugar
blood sugar level
cause of diabetes
diabetes care
diabetes diet
diabetes education
diabetes food
diabetes information
diabetes insipidus
diabetes management
diabetes medication
diabetes mellitus
diabetes menu
diabetes news
diabetes nutrition
diabetes recipe
diabetes research
diabetes statistics
diabetes symptom
diabetes test
diabetes treatment
diabetes type ii
diabetic cake recipe
diabetic complications
diabetic cookie
diabetic cooking
diabetic dessert recipe
diabetic diet
diabetic exchange
diabetic food list
diabetic meal planning
diabetic menu
diabetic neuropathy
diabetic nutrition
diabetic product
diabetic recipe
diabetic retinopathy
diabetic symptom
exchange diet
food exchange
gestational diabetes
gestational diabetes diet
glycemic index
gymnema sylvestre
healthy carbs
hemoglobin a1c
herb for diabetes
high blood sugar
high triglyceride
idiopathic neuropathy
insulin resistance
juvenile diabetes
low blood sugar
low carbohydrate diet
metabolic syndrome
nerve damage
neuropathy symptoms
normal blood sugar level
peripheral neuropathy
preventing neuropathy
pterocarpus marsupium
sign of diabetes
sugar diabetes
symptom juvenile diabetes
syndrome x
type 1 diabetes
type 2 diabetes
type 2 diabetes diet
types of neuropathy
vanadyl sulfate
Printer Friendly Version

Liver Disease: Are You At Risk?
Author: Susan L. Robbins, RD, CDE
Source: Diabetes Forecast, June 2007

A few days ago a patient came into my office for diabetes education. She was distressed because she had recently found out that she had cirrhosis of the liver. She rarely consumed alcohol. She told me that she knew that diabetes could cause vision loss, kidney failure, and amputations, but that no one ever told her it could be associated with liver problems as well.

Generally, when you think of someone who has liver disease, you think of someone who abuses alcohol. You may be surprised to learn that fatty liver disease is often present in people who drink little or no alcohol. Nonalcoholic fatty liver is present in approximately 10 to 20 percent of Americans, and the incidence in type 2 diabetes may be as high as 50 percent. Although fatty liver generally cause no damage to the liver, it can lead to more serious problems under certain circumstances. First, some details.

The liver is the largest organ of the body; it's responsible for many functions including storing and releasing glucose for energy, storing vitamins and minerals, and making proteins. Other functions include breaking down many medications as well as alcohol, and making bile, a substance that is needed for fat absorption. Although the liver is a very resilient organ with remarkable power to regenerate itself, certain conditions, such as fatty liver, can lead to liver damage.

The mildest type of nonalcoholic liver disease is simple fatty liver (steatosis). As the name suggests, fatty liver is a condition where fat accumulates in the liver. As noted above, fatty liver generally causes no damage to the liver. But under certain conditions, it can lead to a more serious condition known as NASH (nonalcoholic steatohepatitis). NASH can cause inflammation to the liver. This inflammation can lead to scarring and hardening of the liver, known as cirrhosis. Cirrhosis is irreversible and may lead to liver failure.

Although the exact cause of NASH is unknown, many researchers believe that the cardiometabolic risk syndrome may play a role in its development. Symptoms include:

  • obesity, especially around the abdomen
  • elevated cholesterol and triglyceride levels
  • high blood pressure
  • insulin resistance, a condition in which the cells of the body resist the action of insulin

Insulin resistance is almost universal in patients who are diagnosed with NASH. Other factors in its development may include the release of cytokines (toxic inflammatory proteins) and oxidative stress inside the liver cells.

Since early nonalcoholic liver disease seldom has signs and symptoms, your physician may first discover it with a routine blood test. (Many cholesterol lowering medications require testing for certain liver enzymes.) The only definitive way to confirm it is a liver biopsy.

Currently, the American Diabetes Association and the National Institute of Diabetes and Digestive and Kidney Diseases are funding research across the country to help identify the underlying cause and ways to prevent and treat the disease.

Unfortunately, my patient already has advanced liver disease and will need a liver transplant. However, if you have cardiometabolic risk factors or type 2 diabetes, there are ways to decrease your risk. Although there are no specific therapies for fatty liver disease, maintaining a healthy weight and exercising are vital keys to prevention. To put the odds in your favor:

  • Eat a heart-healthy diet containing a lot of fruits, vegetables, and whole grains.
  • Limit your intake of saturated and trans fat.
  • Be physically active.
  • See your doctor regularly.
  • Control your blood glucose and blood pressure.


Maintain Healthy
Blood Sugar Levels*


Price $33.95

I Feel So Much Better!
"I have been taking Glucobetic and have seen a remarkable difference. I actually am having a normal blood sugar reading everyday without fail. I just wish I had started this product a long time ago. I really do feel so much better - the sluggishness is gone and I feel like my old self again. Thanks !!"** 
  - A. Workman, OK

Product Details


Sleep So Well
60 Capsules

Calm, Restful Sleep*

Price $17.95



Probiotic Digestive Support

Targets Gas, Bloating & DIfficult Digestion*

Price $27.95

Vitalicious Natural Muffins-100 Delicious Calories

Copyright Act Notice                       

*Many of the statements on this web site have not been evaluated by the Food and Drug Administration or other government, research or academic body; any that were are so marked. This information is not intended to diagnose, treat, cure or prevent diabetes or any disease. Information on this site is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. Not intended to diagnose or prescribe for medical or psychological conditions nor to claim to prevent, treat, mitigate or cure such conditions. You should not use the information contained herein for diagnosing or treating a health problem or disease, or prescribing any medication. Any products advertised are from third parties. You should read carefully all product packaging. You should consult with a healthcare professional before starting any diet, exercise or supplementation program. Do not discontinue the use of prescription medication without the approval of your physician.

**Results not typical; your results may vary.

***Recipes provided usually include nutritional information and diabetic exchanges. Not all recipes are appropriate for all people. Please make sure a recipe is appropriate for your meal plan and pay careful attention to serving sizes. User is solely responsible for their use of any content provided.