Diabetes Doubles Risk of Liver Disease and Liver
Cancer
posted 02/19/04
In the largest study of its kind, researchers have shown that
diabetes can cause chronic liver disease and cancer of the liver.
The prospective cohort study was comprised of 173,643 patients with diabetes and
650,620 patients without diabetes who were discharged from VA hospitals between
1985 and 1990.
These patients were tracked through 2000. Most were men (98 percent). The
majority (99.5 percent) of diabetic patients had type II diabetes mellitus.
Among diabetic patients, the incidence of chronic liver disease and cancer of
the liver was about twice the incidence that of patients without diabetes.
A link between diabetes and liver disease was previously known; it was unknown
whether diabetes caused liver disease or vice versa. Liver disease associated
with diabetes is usually insidious, asymptomatic and goes undetected until a
severe condition, such as liver cancer, occurs.
'Because of the significantly increased risk of developing liver disease, we
recommend regular testing of liver enzymes for patients with diabetes,' said
study author Hashem El-Serag, MD, MPH, from the Houston VA Medical Center.
'For patients with diabetes who receive oral medications, there has been a
concern about toxicity in the liver – more reason to test liver enzymes early on
and then periodically thereafter.'
The risk for developing liver disease and liver cancer is highest among patients
with long-standing (10+ years since diagnosis) diabetes. The increased risk is
independent of alcoholic liver disease, viral hepatitis and demographic
features.
The public health significance of these findings is potentially large as it is
estimated that 18.2 million people in the United States have diabetes.
Gastroenterology is the official journal of the American Gastroenterological
Association, the oldest non-profit specialty medical society in the United
States, with a membership of more than 13,000 physicians and researchers.
Researchers from the Department of Veterans Affairs
(VA) and the National Institutes of Health reported their findings in the
February issue of Gastroenterology, the journal of the American
Gastroenterological Association.
Source: Diabetes In Control.com.
February
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