What should I do if I have diabetes with fatty liver?

  Fatty liver is one of the common complications of diabetes mellitus, with an incidence of about 50%. The incidence of fatty liver in type I diabetic patients is less, only 4.5%, because the lack of insulin strengthens the catabolism of fat and reduces the synthesis of lipoproteins, thus increasing the fatty acids in the blood and producing hyperlipidemia and fatty liver; 50%-80% of type II diabetic patients are obese, their plasma insulin levels are high, and the unesterified fatty acids in the blood increase and accumulate in the liver and form fatty liver.
  Once the following symptoms appear, you should immediately seek medical attention.
  1. Nausea, vomiting, and lack of appetite
  These are signs of abnormal liver function, do not treat these symptoms as stomach problems, just take some stomach medicine to solve.
  2.Lack of energy
  Feel weak, just want to sit or lie down to rest.
  3, vague pain in the liver area.
  The liver is located in the upper right abdomen, below the right rib cage. If there is sporadic, vague pain or discomfort in this area, be alert to problems with the liver.
  If conditions allow, it is recommended that sugar lovers have their liver function and liver ultrasound checked once a year to detect the presence of fatty liver early.
  What should I do after finding fatty liver?
  1. Do several tests to confirm the diagnosis
  Blood sampling for various hepatitis viruses, anti-nuclear antibodies, etc. Some people also have to do liver CT or MRI, liver aspiration biopsy, etc.
  2.Stop using drugs that hurt the liver
  Because sulfonylureas have the potential to cause liver damage, if a glucose patient happens to be using such drugs, the doctor will recommend changing the medication. If there is no contraindication, you can choose metformin to lower blood sugar because it can improve insulin resistance and reduce the accumulation of fat in the liver.
  3.Lowering blood lipids
  If blood lipids are high, you also need to use lipid-lowering drugs.
  4.Use liver protection drugs
  In addition, the doctor will use enzyme-lowering and liver-protective drugs according to the condition.
  5.Serious condition requires hospitalization
  If the condition is serious, for example, cirrhosis and liver cancer have appeared, you need to be hospitalized for systematic treatment.
  How to prevent fatty liver?
  It is very passive to wait for the disease to occur and then treat it, so it is better to prevent fatty liver from occurring in advance. There are several tips for sugar lovers.
  1, adhere to the medication, regular review, and strive to control blood sugar, glycosylated hemoglobin, blood lipids, blood pressure, and weight are up to standard.
  2, drink less alcohol, try to do not drink a drop.
  3, cooking with vegetable oil instead of animal oil, less salt, less fried, fried food, milk can use fat-free milk.
  4, adhere to the exercise, 150 minutes of moderate intensity exercise per week (do not focus on one day to complete, at least 3 days a week exercise), mainly aerobic exercise, such as exercise, jogging, brisk walking, square dance, etc..