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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 47, 2001, No. 5, p. 320-323 |
Special Features of the Diagnosis and Treatment of Diabetes in
Liver Diseases Chlup R., Ehrmann J.: II. interní klinika Fakultní nemocnice a Lékařské fakulty Univerzity Palackého Olomouc, přednosta prof. MUDr. Jiří Ehrmann, CSc. |
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Summary: The core of this review are questions dealing with links between diabetes mellitus and liver
diseases. Based on the literature and on their own observations the authors conclude that a liver
disease may induce and/or worsen the development of type-2 diabetes mellitus (so called hepatogenic diabetes) and vice versa, a diabetes may result in a liver damage, e.g. simple steatosis or
even non-alcoholic-steatohepatitis. The diagnosis of diabetes in hepatopathy is defined according
to the same criteria as in patients without any hepatic involvement. The treatment is based on
adequate food intake without alcohol and on restricted physical activity. Complementary insulin
treatment is recommended whenever the BG-concentrations in a daily profile exceed 10.0 mmol/l.
Oral antidiabetic drugs should be used only if they result in a marked improvement of diabetes
control and no signs of liver damage appear.
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