Table 1.
NAFLD pathophysiological mechanisms | T1D | T2D |
---|---|---|
Insulin resistance | + | +++ |
Altered dynamic of insulin delivery | ++ | – |
Altered insulin clearance | +++ | + |
Relative insulin resistance in hepatocytes | ++ | +++ |
SREBP and ChREBP activation by hyperglycemic state and high fructose intake | + | ++ |
Hyperglucagonemia and hepatic glucagon resistance (worsened by amylin deficiency) | +++ | – |
Low GLP-1 blood concentration | + | ++ |
(-: unlikely; +: not unlikely; ++: likely; +++: very likely). T1D, type 1 diabetes; T2D, type 2 diabetes; SREBP, sterol regulatory element-binding proteins; ChREBP, carbohydrate response element-binding protein; GLP-1, glucagon-like peptide-1.