Cirrhosis and diabetes mellitus

Agnieszka Niebisz

ISSN: 1505-8409

Przewodnik Lekarza/Guide for GPs

Current issue Archive About the journal Supplements Abstracting and indexing Contact Instructions for authors

3/2005
vol. 8

Send email

Copy url:

abstract:

Cirrhosis and diabetes mellitus

Agnieszka Niebisz

Przew Lek 2005; 3:82-85

Online publish date: 2005/05/05

View full text Get citation

Diabetes is diagnosed in over 15% patients with liver cirrhosis, in the higher percent of diabetes was confirmed in persons in alcoholic and post inflammatory liver cirrhosis. The pathogenesis of carbohydrates metabolism disorders is still unknown, but in majority of this patients insulin resistance secondary to hiperinsulinemia is diagnosed. Not without meaning is progress liver insufficiency, formation of collateral circulation and the higher concentration of antagonist to insulin hormones. Often after alcohol abuse the pancreas is also damaged, and this patients needs at the beginning of treatment higher doses of insulin. The best method of carbohydrates metabolism disorders treatment in patient with liver cirrhosis is intensive insulinotherapy according to glycemia and to present clinical state. Very important is explanation to patients the essence of these chronic diseases to determine applicable therapy aspect.

keywords:

Cirrhosis and diabetes mellitus

Agnieszka Niebisz

cirrhosis, diabetes mellitus, secondary diabetes