It was traditionally thought that diabetes affected only the eyes, nerves, kidney and the blood vessels. By affecting the blood vessels, it affects the heart causing heart attacks and the brain causing strokes (cerebrovascular accidents). But of late we have realised that patients with diabetes have an increased risk of liver disease. In fact, liver disease has become one of the major causes of death in subjects with diabetes. Most of these patients have non-alcoholic steatohepatitis (#NASH) which progresses to cirrhosis. Liver disease is not something that is easy to diagnose especially in the early stages. It is important to prevent liver disease in diabetes by these measures

1.Control blood sugars strictly
2.Reduce consumption of carbohydrates and fat
3.Reduce weight
4.Regular exercise
5.Selectively use drugs for diabetes which have a favourable profile in liver disease.