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Diet For Fatty Liver Disease And Diabetes

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Treatment Of Nonalcoholic Fatty Liver Disease (nafld) In Patients With Type 2 Diabetes Mellitus

Abstract Nonalcoholic fatty liver disease (NAFLD) is believed to be the most common chronic liver disease, affecting at least one-third of the population worldwide. The more aggressive form is known as nonalcoholic steatohepatitis (NASH) and characterized by hepatocyte necrosis and inflammation. The presence of fibrosis is not uncommon. Fibrosis indicates a more aggressive course and patients with NASH that are at high-risk of cirrhosis and premature mortality, as well as at increased risk of hepatocellular carcinoma (HCC). Patients with type 2 diabetes mellitus (T2DM) are at the highest risk for the development of NASH, even in the setting of normal plasma aminotransferase levels. The presence of dysfunctional adipose tissue in most overweight and obese subjects, combined with insulin resistance, hyperglycemia, and atherogenic dyslipidemia, contribute to their increased cardiovascular risk. Many therapeutic agents have been tested for the treatment of NASH but few studies have focused in patients with T2DM. At the present moment, the only FDA-approved agents that in controlled studies have shown to significantly improve liver histology in patients with diabetes are pioglitazone an Continue reading >>

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Popular Questions

  1. eraser51

    hey need help still :/
    does someone take metformin on keto?
    is this safe or does the blood sugar drop to low? or does acidosis occur?
    I just dont know why I dont lose weight anymore.
    Started workout 2x a week and 1x yoga for flexibility.
    changed macros (high fat high prot, high fat+mod protein, etc), kcal (2500, 2200, 2000, 1700, 3000, 2500,etc) and cut nuts, cheese (lactose intolerant) and sweeteners. still nothing.
    also did 3 refeeds on FR evening and 1 cheat weekend for more glucagon and leptin and have more hunger now :/ great^^
    but weight is unaffected... also have now quite the carb creeps on the weekend.. damm..
    does keto reverse insulin resistance or just dampen it because there are no carbs and this could be a reason why there is no loss anymore?
    blood profile is perfect....thyroid a bit low but was before already.. maybe add iodine? only use sea salt right now..
    should I try to reverse diet and add carbs for insulin sensitivity?
    is this usefull or will it reawaken my insulin resistance??

  2. Elliot

    If your thyroid function is low, I doubt keto would help that

  3. eraser51

    well its in the reference but lowerish so to say...
    I always had this
    but thats not explaining the stall therefore my questions

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