Fatty liver is more likely to affect those diabetes patients with obesity, dyslipidemia (abnormal blood lipid level) and hypertension (high blood pressure). Adult patients with obese diabetes are frequently complicated with fatter liver, which may be associated with insulin resistance. Mild diabetes with fatty liver is typically asymptomatic, where, if the blood glucose is not well controlled, the symptoms such as abdominal discomfort, anorexia, abdominal distension, vomiting, or even hepatomegaly, may develop as the disease progresses.
The preventive measures for fatty liver simply include healthy diet, active exercise and regular examination.
As diabetic fatty liver is not only associated with glucose metabolic disturbance, but also with high-calorie, high-fat diet and obesity, abdominal obesity in particular, it is not sufficient for diabetes patient to simply rely on drug treatment; instead it is also desirable to strictly control blood glucose, modify the lifestyle, and control the body weight. To maintain the blood glucose within the normal range, care should be taken to follow a low-calorie, low-fat, high-protein, and high-dietary fiber diet, in addition to moderate exercise for weight control.
For treatment of diabetic fatty liver, the hypoglycemic agents with as little liver damage as possible should be chosen; the anti-fatty liver drugs such as diisopropylamine ascorbate and inositol may also be used as appropriate; when necessary, insulin injection can be used to stabilize blood glucose, which, combined with aerobatic exercise to lose weight, could help improve dyslipidemia and hyperinsulinism associated with diabetes and alleviate fatty liver. The diabetes patients should control calorie and fat uptake to prevent obesity, follow a high-protein, high dietary fiber diet, give up smoking and drinking, eat as less irritating food as possible, and limit the amount of sugary drinks such as cola, sodas and so on.
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