Table 1.
Patient characteristics and liver histology in diabetic patients undergoing liver biopsy.
Study | N Patients | Mean Age |
Female (%) |
BMI (kg/m2) |
DM Duration (years) |
HTN (%) |
HL (%) |
↑LFTs (%) |
GGT (%) |
NASH (%) |
Fibrosis (%) |
Cirrhosis (%) |
Predictors for NASH |
Predictors for fibrosis |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Leite et al., 2011 Brazil | 92 | 55.6 | 64 | 31.4 | 7.8 | 88 | 86 | AST 14 ALT 16 |
13 | 78 | 34–60 | 3 | ↑Tg, ↓HDL, ↑ALT | ↑GGT for any fibrosis + age, male sex for advanced |
Prashanth et al., 2009 India | 83 | 54.3 | 66 | 26.4 | 8.2 | 60 | 84 | 63 | 37.3 | 4 (stage 3 and 4) | ↑ALT | |||
Amarapurkar et al., 2006 India | 36 | 50.8 | 47 | 24.9 | 80.6 | 30.5 | ↑AST,↑ALT, ↑AST/ALT | |||||||
Gupte et al., 2004 India | 32 | 63 | 31 | 87 | 21.8, adv.9.3 |
ALT, alanine aminotransferase; AST, aspartate aminotransferase; BMI, body mass index; DM, diabetes mellitus; GGT, gamma-glutamyl transpeptidase; HDL, high-density lipoprotein; HL, hyperlipidemia; HTN, hypertension; LFTs, liver function tests; NASH, nonalcoholic steatohepatitis; Tg, triglycerides.
Advanced fibrosis refers to histological fibrosis stages 3 and 4.