Diabetes Metab J > Volume 30(6); 2006 > Article
Korean Diabetes Journal 2006;30(6):442-449.
DOI: https://doi.org/10.4093/jkda.2006.30.6.442    Published online November 1, 2006.
Prevalence of Metabolic Syndrome in Type 2 DM Patients with Non-alcoholic Fatty Liver.
Ji Min Kim, Ja Young Park, Hyn Kyung Nam, Ja Won Kim, Su Kyung Park, Kyung Jin Nam, Mi Kyoung Park, Hye Jeong Lee, Duk Kyu Kim
1Department of Internal Medicine, Dong-A University College of Medicine, Korea.
2Department of Radiology, Dong-A University College of Medicine, Korea.
3Department of Pharmacology, Dong-A University College of Medicine, Korea.
4Department of Internal Medicine, Hanseo Hospital, Korea.
Abstract
BACKGROUND
Non-alcoholic fatty liver is rendered as one component of metabolic syndrome (MS). We evaluated the prevalence of MS as well as clinical and laboratory characteristics of Type 2 DM patients with non-alcoholic fatty liver. METHODS: Fatty liver group (n = 71) who showed significant fatty change by ultrasonography and age, sex matched control group (n = 40) were studied retrospectively. We compared demographic and laboratory findings and prevalence of MS by modified WHO criteria and new IDF criteria between both groups. RESULTS: There were no significant difference in age, DM duration, BMI, prevalence of hypertension, coronary artery disease, CVA, diabetic retinopathy, neuropathy, nephropathy between both groups. In fatty liver group, the plasma level of FBS, TG, ALT, total protein, albumin and GGT were significantly higher than those of control group (P = 0.033, P = 0.000, P = 0.002, P = 0.008, P = 0.003, P = 0.001). The plasma levels of HDL-C in fatty liver group were significantly lower than those of control group (P = 0.013). The plasma level of FBS, FFA, TG, total protein, albumin, ALT, HOMA(IR) and BMI were significantly related to the severity of fatty liver. The prevalence of MS in fatty liver group was significantly higher than that of control group by modified WHO criteria (P = 0.001) or new IDF criteria (P = 0.036). CONCLUSION: Type 2 DM patients with nonalcoholic fatty liver frequently accompanied the metabolic syndrome. They showed nonspecific changes in the liver function tests.
Key Words: Metabolic syndrome, Non-alcoholic fatty liver, Type 2 DM


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