Lao Wang is a sugar friend for more than 10 years. Recently, he has found fatty liver and abnormal liver function.
This makes Lao Wang very confused. At ordinary times, his blood sugar is not very good and everything else is good. How can there be liver problems?
The doctor’s diagnosis
After reading Lao Wang’s examination report, the doctor did not immediately make a diagnosis, but asked him three questions:
1. Do you drink or not?
2. Is there hepatitis B?
3. Currently taking what medicine?
Lao Wang answered seriously:
1. Never drink alcohol;
2. No hepatitis B;
3. At present, only the hypoglycemic drug repaglinide is taken.
The doctor said that you may be [nonalcoholic fatty liver disease] and have something to do with diabetes.
What is [nonalcoholic fatty liver disease]?
Non-alcoholic fatty liver disease is a disease in which fat accumulates in the liver.
It has nothing to do with drinking, hepatitis B, taking medicine, etc., but has obvious relationship with obesity, diabetes, hyperlipidemia, insulin resistance, etc. According to statistics, about 21 ~ 78% of diabetic patients will suffer from nonalcoholic fatty liver disease.
Its main harm is that it will lead to liver function damage, liver cirrhosis and even liver cancer.
Therefore, sugar lovers with obesity, hyperlipidemia and hypertension should pay special attention. Once the following symptoms occur, they should seek medical treatment immediately:
1. Nausea, vomiting, loss of appetite
These are all signals of abnormal liver function. Don’t treat these symptoms as stomach diseases. Take some stomach medicine to solve them.
Step 2: Weakness
I feel bored all over and just want to sit or lie down and rest.
3. Dull pain in liver area
The liver is located in the right upper abdomen, below the right rib. If there is sporadic and faint pain or discomfort in this area, be alert to whether there is something wrong with the liver.
If conditions permit, it is recommended that sugar lovers check liver function and liver color Doppler ultrasound once a year to detect the existence of fatty liver as early as possible.
What should I do after finding fatty liver?
Step 1 Make a few tests to confirm the diagnosis.
Blood is drawn to check various hepatitis viruses, antinuclear antibodies, etc. Some people also need liver CT or magnetic resonance, liver biopsy, etc.
2. Stop using drugs that hurt liver
Because sulfonylurea drugs may cause liver damage, if sugar lovers happen to be using this drug, doctors will suggest dressing change.
If there are no contraindications, metformin can be selected to reduce blood sugar, because it can improve insulin resistance and reduce the accumulation of fat in the liver.
Step 3: Reduce blood lipid
If the blood lipid is high, just like Lao Wang, you also need to use drugs to reduce blood lipid.
Step 4 Use liver-protecting drugs
In addition, doctors will use drugs to reduce enzymes and protect liver according to the disease condition.
5. Serious illness requires hospitalization,
If the condition is serious, such as liver cirrhosis and liver cancer, it needs to be treated by the hospitalization system.
How to prevent fatty liver?
It is very passive to wait until the disease occurs before treatment, so it is best to prevent fatty liver in advance. Dr. Che Wei has several small suggestions for sugar lovers:
- Insisting on taking medicine, regular reexamination, Efforts should be made to control blood sugar, glycosylated hemoglobin, blood lipid, blood pressure and weight to the standard. Drink less, Try not to drink. Use vegetable oil instead of animal oil for cooking, put less salt, eat less fried and fried food, milk can choose fat-free milk. Insist on exercise, do 150 minutes of moderate intensity exercise every week (don’t concentrate on one day, exercise at least 3 days a week), and give priority to aerobic exercise, such as exercise, jogging, brisk walking, square dancing, etc.