Factors Associated with the Severity of Findings on Hepatic Transient Elastography among Persons with Type 2 Diabetes and Fatty Liver

Joseph Noel Fernando; Rebecca Lim-Alba; Willy Alba

doi:10.15605/jafes.034.02.03

Authors

Joseph Noel Fernando Chinese General Hospital and Medical Center http://orcid.org/0000-0003-3459-0814
Rebecca Lim-Alba Chinese General Hospital and Medical Center
Willy Alba Chinese General Hospital and Medical Center

DOI:

https://doi.org/10.15605/jafes.034.02.03

Keywords:

type 2 diabetes, NAFLD, transient elastography

Abstract

Objective. This study aims to determine the relationship between the different factors associated with the severity of Fibroscan with CAP findings among patients with Type 2 diabetes and fatty liver.

Methodology. This is a cross-sectional study. Seven hundred four Fibroscan with Controlled Attenuation Parameter (CAP) results were electronically retrieved from a diagnostic center. Two hundred eighty-five charts of diabetic patients with fatty liver on ultrasound were reviewed. One hundred sixty-four patients with fatty liver on ultrasound and Fibroscan with CAP were included in the study. Several factors were analysed in relation to the severity of Fibroscan with CAP findings in the study group.

Results.Fifty five point five percent (55.5%) (91/164) had significant fibrosis and cirrhosis. Hepatic steatosis prevalence was 96% (158/164). Diabetes >5 years (OR 1.75), HbA1c >7% (OR 2.25) and high SGPT levels (OR 2.39) were associated with liver fibrosis and cirrhosis. BMI >25 kg/m2 (OR 1.45), triglyceride levels >150 mg/dl (OR 1.31) and HbA1c >7% (OR 1.74) were associated with hepatic steatosis.

Conclusion. Factors associated with the severity of hepatic fibrosis, cirrhosis and steatosis included above normal BMI, disease duration of >5 years, poor glycemic control and elevated levels of ALT, and serum triglycerides.

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Author Biographies

Joseph Noel Fernando, Chinese General Hospital and Medical Center

Section of Endocrinology, Diabetes and Metabolism

Rebecca Lim-Alba, Chinese General Hospital and Medical Center

Chairman, Section of Endocrinology, Diabetes and Metabolism

Endocrinologist

Willy Alba, Chinese General Hospital and Medical Center

Active Consultant, Section of Gastroenterology

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