Metabolic hepatic steatosis: what the diabetologist needs to know
Keywords:
metabolic dysfunction–associated steatotic liver disease, diabetesAbstract
MASLD and its more severe form called MASH, can promote the development of cirrhosis, hepatocellular carcinoma, cardiovascular disease, and type 2 diabetes. The diagnosis is based on the early screening with FIB-4 and elastography (Fibroscan). Lifestyle are key to success and bariatric surgery is useful when properly indicated. Pharmacological treatment for obesity and type 2 diabetes can avoid disease progression, especially treatment with pioglitazone, glucagon-like peptide 1 receptor agonists, and tirzepatide.
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