There is a saying that circulates among the diabetes community: don’t be afraid of having diabetes, be afraid of the complications of diabetes. It is true that if you have diabetes, you probably only need to pay attention to taking glucose-lowering drugs, insulin injections, diet and exercise, but if this leads to complications such as retinopathy, diabetic foot and kidney failure, one wave will not go away and the disease will deteriorate further, and then the patient may have to face treatment options such as surgery. Diabetes combined with liver damage is a relatively common condition, and Master Wu at our center is one such patient. He said that he used to drink every day, and his relatives and friends, seeing that his body had become weak in recent years, also advised him to quit drinking, but Master Wu never did. However, he recently felt back pain, thirst and kidney problems, and after examination at our center, he found that drinking had caused damage to his pancreas, resulting in liver damage and diabetes. We would like to remind similar patients that they must first stop drinking, eat a light diet, and start aggressive blood sugar control and treatment. Many studies have shown that diabetes and the liver are quite closely related: if diabetics do not control their blood sugar well, it can promote the development of chronic viral hepatitis into cirrhosis and even liver cancer. For individual patients, improper use of diabetes medications can also lead to liver damage, which can trigger insulin resistance. On the other hand, liver damage can also lead to a decrease in the body’s metabolic function, and some patients with cirrhosis will develop diabetes several years after being diagnosed. So it seems that it is not uncommon for many diabetes to accompany cirrhosis, fatty liver and other total more related liver diseases. Shen Tianxia is a famous Hong Kong actress, nicknamed “Fat Sister”, who once brought countless laughter to the audience, but suffered from diabetes herself. She was suffering from a pancreatic tumor, which caused impaired insulin function and a continuous rise in blood sugar, and eventually wore high-heeled shoes, grinding her toes and causing blisters and ulcers, leading to diabetic foot. In addition to this diabetic complication, she also suffered from fatty liver and also underwent liver resection, and finally died from the disease, which is saddening. It is especially important to remind such patients to seek medical attention in a timely manner and to actively cooperate with medication to avoid more serious complications. Early diabetic patients should be alert to the early symptoms of complications and try to delay or avoid complications or comorbidities.