Fatty Liver disease and Type2's

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Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 6/12/2007 6:18 AM (GMT -7)   
My kids got me a subscription to a monthly diabetes magazine. If you can find it in your budget or ask for it as a gift, a subscription to Diabetes Forecast or Diabetes Self-Management is probably one of the best things you can do to stay on top of new developments.

Fatty liver is a mild type of nonalcoholic liver disease that is medically termed steatosis. Just learned that fatty liver is quite common in insulin resistant Type 2's with
• obesity, especially in the abdomen
• elevated cholesterol and triglyceride levels
• high blood pressure

and all of this can lead to a condition called NASH (nonalcoholic steatohepatitis) which in turn can cause inflammation to the liver. Eventually the inflammation leads to scarring which also goes by the name of Cirrhosis of the liver which may lead to liver failure.

There are very few symptoms in the early stages and NASH is usually found in routine blood work checking your liver enzymes. Prevention of this diabetic complication includes
• healthy weight
• good blood glucose and blood pressure control
• exercise
• limited intake of saturated and trans fats
• eating a heart-healthy diet with lots of fruits, vegetables and whole grains
• including liver tests in regualr lab work if you are at risk or taking statins

Most of the medications that we take are broken down in the liver so keeping this vital organ in good working condition is to our best interest. My doc asked me to get myself a blood pressure cuff along with my glucose testing kit. I take my pressure once a week to be sure that everything is ok. Got the thing on eBay for about $15 and it came with the stethescope(sp?) and cuff. She wants to know right away if it goes above normal because of the number of meds I'm on. Just wanted to share.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


4sons
Regular Member


Date Joined Dec 2006
Total Posts : 406
   Posted 6/12/2007 7:05 AM (GMT -7)   
Thanks, Jeanne ... that's great information! Even when not overweight I am an "apple" rather than a "pear" ... I store ANY excess fat in the abdomen. This genetic build in a indicator of troubles ahead without the interventions you've mentioned. A couple of years ago I asked my doctor is liposuction would help "our" build and she said no ... it's the fat AROUND the internal organs that is the danger sign. And unfortunately, the only way for me to get rid of THAT was to lose weight! It's a process ... no doubt about it!
Cheers -

Ruth/4sons

age 52/Type 2 diabetic/"controlled" by diet and exercise


tangerine bear
Veteran Member


Date Joined Aug 2005
Total Posts : 941
   Posted 6/13/2007 8:00 AM (GMT -7)   
Hi Jeannie,

I had extremely (10-12 x normal) elevated liver readings several years ago, and the doctors thought it was fatty liver disease. I knew it was caused by the statins that my (ex)cardiologist had me on (and kept raising the dose), so I found a compassionate female doc who was willing to listen. We had to eliminate the statins, I went on a strict vegetarian diet for a year, and finally we got my liver readings down to normal, where they have stayed until the diabetes, and even with 255 blood sugar when I was diagnosed, they were only slightly elevated. I know that millions of people have no problems with statins, but I guess I was one of the rarities. Although my cholesterol has stayed horrible, my doc was afraid to put me on ANY meds, but now with the diabetes diagnosis, she has put me on fish oil capsules and zetia (on a trial basis). We are going to re-test soon to see if any of it's working and to make sure my liver readings aren't going back up. It was a VERY scary time, and it was VERY slow to normalize. Short of liver biopsies, I had to have every test in the world... thankfully the readings went down before they had to resort to the biopsy. I still have to have a sonogram regularly to check on it.

Bear


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Marburg
Regular Member


Date Joined Mar 2006
Total Posts : 486
   Posted 6/19/2007 8:55 AM (GMT -7)   

Interesting.  They found Fatty Liver in me last year with elevated liver readings of 2-3x last year (March).  I was also taking zocor at the time.  Since my cholesterols were normal for the last 2 years the doctor allowed me to stop taking the zocor.  Since I stopped taking zocor my liver enzymes have returned to normal.  The doctors (my primary, an endo, and cardiologist) said if I lose more weight (I had lost 37 pounds) the fatty stripe will eventually disappear.

Marburg

tangerine bear said...
Hi Jeannie,

I had extremely (10-12 x normal) elevated liver readings several years ago, and the doctors thought it was fatty liver disease. I knew it was caused by the statins that my (ex)cardiologist had me on (and kept raising the dose), so I found a compassionate female doc who was willing to listen. We had to eliminate the statins, I went on a strict vegetarian diet for a year, and finally we got my liver readings down to normal, where they have stayed until the diabetes, and even with 255 blood sugar when I was diagnosed, they were only slightly elevated. I know that millions of people have no problems with statins, but I guess I was one of the rarities. Although my cholesterol has stayed horrible, my doc was afraid to put me on ANY meds, but now with the diabetes diagnosis, she has put me on fish oil capsules and zetia (on a trial basis). We are going to re-test soon to see if any of it's working and to make sure my liver readings aren't going back up. It was a VERY scary time, and it was VERY slow to normalize. Short of liver biopsies, I had to have every test in the world... thankfully the readings went down before they had to resort to the biopsy. I still have to have a sonogram regularly to check on it.

Bear

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