Diabetes Metab J.  2019 Apr;43(2):127-143. 10.4093/dmj.2019.0034.

Nonalcoholic Fatty Liver Disease and Diabetes: Part II: Treatment

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
  • 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. bwanlee@yuhs.ac
  • 3Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 4Division of Endocrinology and Metabolism, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
  • 5Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. cydoctor@chol.com

Abstract

Nonalcoholic fatty liver disease (NAFLD) and diabetes are common metabolic disorders that are often comorbid conditions. Among many proposed treatments, weight reduction is the only approved option for NAFLD to date. However, it is not easy to maintain weight loss by lifestyle modification alone; pharmacological treatments are helpful in this regard. Although many drugs have been investigated, pioglitazone could be a first-line therapy in patients with NAFLD and diabetes. Many more drugs are currently being developed and investigated, and it is likely that combination strategies will be used for future treatment of NAFLD and diabetes. Attention should be paid to the management of NAFLD and diabetes and efforts should be made to intervene early and individualize treatment of NAFLD in patients with diabetes.

Keyword

Diabetes mellitus; Diabetes mellitus, type 2; Fatty liver; Liver diseases; Metabolic diseases; Non-alcoholic fatty liver disease; Therapeutics

MeSH Terms

Diabetes Mellitus
Diabetes Mellitus, Type 2
Fatty Liver
Humans
Life Style
Liver Diseases
Metabolic Diseases
Non-alcoholic Fatty Liver Disease*
Weight Loss

Figure

  • Fig. 1 Suggested algorithm for the management of patients with nonalcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM).


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Diabetes and Metabolism Journal in 2020: Good to Great
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Albuminuria Is Associated with Steatosis Burden in Patients with Type 2 Diabetes Mellitus and Nonalcoholic Fatty Liver Disease
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Diabetes Metab J. 2021;45(5):698-707.    doi: 10.4093/dmj.2020.0118.

Pharmacological Treatment of Nonalcoholic Fatty Liver Disease: Antidiabetic Agents
Kyung-Soo Kim
J Korean Diabetes. 2022;23(2):83-88.    doi: 10.4093/jkd.2022.23.2.83.


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