Why diabetics need to watch their liver health closely

People usually connect diabetes to blood sugar elevation as well as insulin resistancetogether with heart issues and kidney failure and vision impairments. The liver remains among the diabetes-related organs that people tend to neglect while diagnosing other important complications.The liver acts as a central organ that determines diabetes progression together with overall health in patients who havetype 2 diabetes.The Link Between Diabetes and Liver HealthAs the liver executes numerous essential tasks it stores glucose while performing detoxification while handling metabolism processes. Poor diabetes blood sugar management leads to an overwhelmed liver condition in diabetic patients. NAFLD stands as a common liver-related complication which develops in diabetic patients by causing the buildup of liver cell fat independent of alcoholic intake.Research shows that NAFLD develops as a secondary condition in 70% of patients diagnosed with type 2 diabetes because it stands as one of the most common diseases affecting this population. Without clear warning signs non-alcoholic steatohepatitis (NASH) along with fibrosis and cirrhosis can develop from this condition before progressing to liver cancer.How Diabetes Impacts the LiverThe specific feature of type 2 diabetes known as insulin resistance is responsible for triggering liver fat accumulation. A resistant insulin state triggers the liver to increase its glucose production which leads to additional elevation of blood sugar levels. High levels of blood glucose as well as fats create conditions that lead to liver fat accumulation.The ongoing diabetes management becomes progressively difficult because of this cycle. A liver affected by inflammation or by the presence of fat creates difficulties in how insulin works throughout the body and how medications perform in treating the condition. Oral diabetic medications require liver metabolism to be effective thus liver impairment can disturb drug delivery and generate possible unwanted consequences.The major concern regarding liver complications in diabetic patients becomes noticeable only after the condition progresses substantially. Regular screening procedures along with proactive liver care must be performed for diabetes patients.Diabetics typically need liver function tests and ultrasound examinations followed by advanced diagnostic tests such as FibroScan or MRI which medical professionals advise to individuals who either are overweight or present with liver enzyme abnormalities.Taking Charge of Liver HealthSome of the lifestyle habits which effectively manage diabetes simultaneously promote better liver health. These include:• Maintaining a healthy weightPeople with diabetes need to adopt a diet which combines proper portion control of nutrients from source carbohydrates and fats while also restricting simple sugars.• Engaging in regular physical activity• Limiting alcohol intake• Monitoring cholesterol and triglyceride levelsPeople should avoid using herbal supplements as well as over-the-counter medications that could result in liver damage.Diabetes forms an unquestionable link with liver health. The liver functions beyond metabolic support as it takes an active part in maintaining blood sugar levels while stabilizing hormones throughout the body. Diabetic patients need to make liver health their priority because the need for attention exceeds necessity. People who incorporate regular testing and support healthy lifestyles will protect their liver while achieving better long-term health results.(Dr. Pavan Hanchanale (Hepatologist, Liver Transplant Physician and gastroenterologist Ruby hall Clinic Pune)