Diabetes and fatty liver
Mention of diabetes, many old sick it can set out the several counts: You can cause cardio-cerebral vascular disease, cataracts, kidney disease, diabetic foot … … However, many people have no idea, diabetes and fatty liver also have a close contact between the two as “poor cousin”, influence each other, if not control is very easy for the two diseases into a vicious circle.
National studies have shown that, Ⅱ diabetes population prevalence of fatty liver in 46%, in other words, almost every 2 diabetic patients have appeared in a fatty liver. Experts point out, Ⅱ diabetes mellitus associated with fatty liver against big, if not treated in time, it could further develop into steatohepatitis, liver fibrosis, cirrhosis, and the risk of death will be greatly increased. At the same time, there fatty liver patients, can further aggravate insulin resistance, glucose metabolism disorders and other pathological conditions, resulting in continued high levels of blood glucose, thereby increasing the diabetes.
15% of the Cantonese people suffering from “fat liver”
Fatty liver, has been a lot of doctors in clinical images called “fat liver.” “Because people who suffered from fatty liver, then the accumulation of lipids in liver cells of more than 5% of wet weight of liver, severe liver lipid content of liver wet weight and even as high as 40% ~ 50%. In layman’s terms, that is, the liver length full of fat. “Shanghai Jiao Tong University School of Gastroenterology, director of Xinhua Hospital Affiliated Jian-Gao Fan said.
Recent studies have shown, Shanghai and Guangdong, the total population, the prevalence of fatty liver were 17% and 15%. In these surveys, by ultrasound examination revealed fatty liver and obesity are more closely linked, rather than alcohol. In addition, nearly 90% of the cases showed fatty liver disease is a metabolic factors. It was also reported in Guangdong Province, aged between 7 to 18-year-old children and adolescents, fatty liver prevalence rate of 1.3%. China’s other wealthy industrialized regions of the epidemiological investigations have observed similar results. In addition, China’s Hong Kong, the prevalence of fatty liver was 16%, while Taiwan’s adult population is 12%.
Jian-Gao Fan pointed out that the greatest harm of fatty liver is that it more vulnerable than healthy liver steatohepatitis, which gradually evolved into cirrhosis of the liver. In general, from fatty liver to cirrhosis of the liver process takes about between 30 to 40 years. Therefore, if the age of onset of fatty liver becoming less and less, to a 10-year-old child, for example, then to his 40 to 50 years old when cirrhosis of the liver may occur.
Diabetes and fatty liver may affect each other
Why, then, are more prone to diabetes, fatty liver do? Experts explained that this is because patients with diabetes, the body of glucose and fatty acids can not be good use, lipoprotein synthesis of obstacles have emerged, resulting in the majority of glucose and fatty acids in the the liver into fat, keep the plot in the liver, eventually leading to fatty liver.
Once diabetic fatty liver, in the early stage are often asymptomatic or mild symptoms, so doctors and patients of fatty liver associated with diabetes, insufficient attention. In fact, type Ⅱ diabetes mellitus associated with fatty liver against big, if not treated in time, it could further develop into steatohepatitis, liver fibrosis, cirrhosis and death risks are greatly increased. At the same time, there fatty liver patients, can further aggravate insulin resistance, glucose metabolism disorders and other pathological conditions, particularly in severe fatty liver or cirrhosis of the liver occurs when the liver function abnormalities occur, but also affect the normal glucose metabolism and can not be too high of blood glucose into glycogen storage, will result in continued high levels of blood glucose, thereby increasing the diabetes.
Sugar Friends of the prevention of fatty liver
Fasting blood glucose is less than 6.0
The current medical studies have shown that fatty liver is now available as metabolic syndrome and atherosclerosis in early predictor, while the effective prevention and treatment of fatty liver are expected to take into account reduction in cirrhosis, diabetes, and cardiovascular and cerebrovascular events.
So, how to effectively treat fatty liver do?
Receive timely diagnosis and treatment of diabetes, blood glucose control is good, can promote the liver fatty infiltration subsided, so for diabetic patients with fatty liver should be stressed that blood glucose timely and effective control. Ideally, the control indicator is the fasting blood glucose less than 6.0 mmol / l, glycosylated hemoglobin less than 7%, 2-hour postprandial blood glucose levels below 8.0 mmol / liter. In order to achieve these objectives the need to control calorie intake, per kilogram ideal body weight 147 ~ 168 kJ (35 ~ 40 kcal) is appropriate, and adjust the diet to reduce intake of saturated fatty acids, while reducing cholesterol intake, eat more vegetables and fruits.
In addition to the active treatment of diabetes control blood sugar and basic medical treatment, drug treatment is also an important aspect of treatment of fatty liver. Especially in patients with fatty liver dysfunction complicated with fatty liver hepatitis, in addition to adhere to basic treatment, diet control, can select the appropriate doctor’s advice liver protection, JiangMei, fat drugs, the promotion of liver fat and inflammation disappear, prevention and treatment of liver cells, death and fibrosis.
Alcohol, living scattered easy to get fatty liver disease
The risk factors for fatty liver is the presence of these factors can lead to increase in frequency of occurrence of fatty liver, while the removal of these factors may reduce the incidence of fatty liver. Epidemiological study found a high incidence of fatty liver in addition to obesity, hypertension and other rich family history of the disease and its closely related type things, yet with the following factors.
1. Irrational dietary pattern
With economic development, China’s population structure and nutrient composition of foods obvious changes have taken place, showing a downward trend of food consumption, animal food doubled, resulting in the body’s intake of calories and nutrients increased significantly. It is worth mentioning that the residents of Shanghai to provide calories from fat, 9% in 1959 to 1992, 27.9%, close to 30% of the ceiling, of which more than 31.2% of urban residents, higher than the national urban average ( 25%), also higher than Japan (24%), resulting in excess calorie intake. Further investigation found that dietary patterns and fatty liver is closely related to per capita household monthly income high, hi Hun Shi is a risk factor for fatty liver.
2. Bad eating habits
Studies have shown that excessive feeding, into the snacks, sweets, and Hun Shi Xi, eat supper, and do not eat breakfast, so eating habits can disrupt metabolic dynamics, as the incidence of obesity and provide the conditions for fatty liver. Despite the day’s energy intake of the same, fixed on the evening eating way than a regular sub-three times more fat consumption. Supper high-calorie, high protein, high-fat meal, lack of exercise, resulting in the accumulation of nutrients can not use, then the course of time into a fatty liver.
3. Alcohol
Alcohol into the body, to break down in the liver metabolism, alcohol and its metabolite acetaldehyde on the liver cells have a certain toxicity, so that the liver cells by reducing the oxidation of fatty acids, increased synthesis of triglycerides. Therefore, drinking more easier intrahepatic accumulation of fatty acids and triglycerides, the more easily lead to alcohol-induced fatty liver.
4. More dynamic way of life to sit less
The use of the body’s excess heat, in addition to converted to fat storage things, mainly through physical activity, consumed in the formation of obesity causes of eating too much than too little activity is more important. Survey shows that the vast majority of patients with fatty liver or are not good at sedentary activity, and some patients never even participated in physical exercise. Older people’s metabolic functions gradually decline, also reduces the amount of exercise, and long-term non-sports result in excess nutrients into body fat, the fat deposition in the skin, when expressed as fat, accumulate in the liver, the expression of fatty liver.
5. The spirit of apathetic, living scattered
Studies have shown that apathetic during the day, sleep too much and work too easy and undisciplined are risk factors for fatty liver, while a certain pace of life and work pressure are actually less prone to fatty liver. Of course, lack of sleep and overwork fatigue stress is not conducive to good health. In fact anything else, a moderate stress.
6. There is a family history of obesity-related diseases
Whether a person with the congenital occurrence of fatty liver have a certain relationship. There obesity, diabetes, family history of hyperlipidemia and fatty liver, their incidence of fatty liver is higher than the general population. Genetic factors, however, only in the unhealthy lifestyle and eating habits unscientific basis to be effective.