Elevated liver enzymes and comorbidities in type 2 diabetes: Multicenter analysis of 51,645 patients of the DPV database

Author(s):  
Svenja Meyhöfer ◽  
Alexander J. Eckert ◽  
Michael Hummel ◽  
Markus Laimer ◽  
Michael Roden ◽  
...  

2021 ◽  
Author(s):  
Svenja Meyhöfer ◽  
Alexander J. Eckert ◽  
Michael Hummel ◽  
Markus Laimer ◽  
Michael Roden ◽  
...  




Cureus ◽  
2018 ◽  
Author(s):  
Amrendra Mandal ◽  
Bikash Bhattarai ◽  
Paritosh Kafle ◽  
Mazin Khalid ◽  
Saikiran K Jonnadula ◽  
...  






Author(s):  
Eman Basiouny ◽  
Faiza Lashin ◽  
Manal Hamisa ◽  
Amal Selim

Aims: To assess hepatic steatosis and fibrosis in patients of type 2 diabetes mellitus (T2DM), their possible risk factors and their association with metabolic syndrome and micro or macro-albuminuria. Study Design: Cross sectional study. Place and Duration of Study: Outpatient Clinic of Diabetes, Metabolism and Endocrinology Unit in internal medicine department, Tanta University, Egypt in a period between September 2019 to March 2020. Methodology: We included 200 patients had a diagnosis of T2DM according to American Diabetes Association criteria. Then patients were assessed for presence of hepatic steatosis and fibrosis using fibroscan and we used liver stiffness measurements (LSMs, as a measure of fibrosis) and controlled attenuation parameter (CAP, as a measure of steatosis) and routine laboratory data were done to rule out possible risk factors. Results: 98.5% of participants had hepatic steatosis and 53.5% of participants had hepatic fibrosis. Those patients had longer duration of DM, higher BMI, bad control of T2DM, higher lipid profile values, association with metabolic syndrome, micro and macro-albuminuria and non-significantly elevated liver enzymes. Conclusion: Hepatic steatosis and fibrosis are highly prevalent in patients with T2DM, incidence of hepatic steatosis and fibrosis is positively correlated with longer duration of DM, higher BMI, bad control of DM, dyslipidemia, presence of metabolic syndrome, diabetic nephropathy, weakly correlated with liver enzymes. TE is an accurate and non-invasive tool to be used in screening for hepatic steatosis and fibrosis ,so we recommend screening for hepatic steatosis and fibrosis using fibroscan to help in early management and prevent its progression into liver cirrhosis.



2021 ◽  
pp. 100130
Author(s):  
Sana Alam ◽  
Alok Raghav ◽  
Alisha Reyaz ◽  
Akif Ahsan ◽  
Ashok Kumar Ahirwar ◽  
...  


2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Shiful Islam ◽  
Sadaqur Rahman ◽  
Tangigul Haque ◽  
Abu Hasan Sumon ◽  
AZ Mahbub Ahmed ◽  
...  


2012 ◽  
Vol 37 (2) ◽  
pp. 234-242 ◽  
Author(s):  
M. J. Armstrong ◽  
D. D. Houlihan ◽  
I. A. Rowe ◽  
W. H. O. Clausen ◽  
B. Elbrønd ◽  
...  


2021 ◽  
Vol 8 (7) ◽  
pp. 207-211
Author(s):  
Rishad Ahmed

Objective: There were few clinical trials which indicate altered liver biochemical findings in diabetic patients, but through investigation to compare the liver enzymes in-between hypertensive and normotensive patients with type 2 diabetes was not evaluated. Thus main objective of current study was to compare the liver enzymes in hypertensive and normotensive patients with type 2 diabetes. Materials and Methods: This was a retrospective observational study conducted in a tertiary medical teaching hospital in Kolkata. Hospital OPD reports and patients clinical case records were used to fetch the required data in a predesigned clinical record pro forma. Result: Total 180 patients were participated in this observational retrospective trial where 33% patient were normotensive but having T2DM and 67% patients were hypertensive with T2DM. There were no statistically significant differences between the study variables among both the groups. However elevated level of GGT, ALT and AST were observed in T2DM normotensive patients as compare to T2DM hypertensive patients. abnormal liver functions were recorded in patients with uncontrolled diabetes as compared to patients with good control (p<0.05). Conclusion: The current study concluded that elevated liver enzymes like bilirubin, GGT, SGOT and SGPT were common among diabetes mellitus patients and comparable with patients with hypertensive as well as normotensive patients with diabetes mellitus. Keywords: Liver enzymes, T2DM, hypertension.



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