PMID- 35743358 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 12 DP - 2022 Jun 8 TI - When Sugar Reaches the Liver: Phenotypes of Patients with Diabetes and NAFLD. LID - 10.3390/jcm11123286 [doi] LID - 3286 AB - Type 2 diabetes mellitus (T2DM) and non-alcoholic fatty liver disease (NAFLD) have been traditionally linked to one another. Recent studies suggest that NAFLD may be increasingly common in other types of diabetes such as type 1 diabetes (T1DM) and less frequently ketone-prone and Maturity-onset Diabetes of the Young (MODY) diabetes. In this review, we address the relationship between hyperglycemia and insulin resistance and the onset and progression of NAFLD. In addition, despite the high rate of patients with T2DM and other diabetes phenotypes that can alter liver metabolism and consequently develop steatosis, fibrosis, and cirrhosis, NALFD screening is not still implemented in the daily care routine. Incorporating a clinical algorithm created around a simple, non-invasive, cost-effective model would identify high-risk patients. The principle behind managing these patients is to improve insulin resistance and hyperglycemia states with lifestyle changes, weight loss, and new drug therapies. FAU - Rojano-Toimil, Alba AU - Rojano-Toimil A AUID- ORCID: 0000-0002-2446-1827 AD - Endocrinology Department, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. FAU - Rivera-Esteban, Jesus AU - Rivera-Esteban J AUID- ORCID: 0000-0003-4357-8817 AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Medicine Department Bellaterra, Universitat Autonoma de Barcelona, 08193 Barcelona, Spain. AD - Liver Unit, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. FAU - Manzano-Nunez, Ramiro AU - Manzano-Nunez R AUID- ORCID: 0000-0001-7444-9634 AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Liver Unit, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. FAU - Banares, Juan AU - Banares J AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Liver Unit, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. FAU - Martinez Selva, David AU - Martinez Selva D AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Spanish Network of Biomedical Research Centers, Diabetes and Metabolic Associated Disorders (CIBERdem), 28029 Madrid, Spain. FAU - Gabriel-Medina, Pablo AU - Gabriel-Medina P AD - Biochemistry Department, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. AD - Biochemistry and Molecular Biology Department, Universitat Autonoma de Barcelona (UAB), Bellaterra, 08193 Barcelona, Spain. FAU - Ferrer, Roser AU - Ferrer R AUID- ORCID: 0000-0002-8925-3172 AD - Biochemistry Department, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. FAU - Pericas, Juan M AU - Pericas JM AUID- ORCID: 0000-0002-3645-3293 AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Liver Unit, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. AD - Spanish Network of Biomedical Research Centers, Liver and Digestive Diseases (CIBERehd), 28801 Madrid, Spain. FAU - Ciudin, Andreea AU - Ciudin A AUID- ORCID: 0000-0001-5622-0203 AD - Endocrinology Department, Vall d'Hebron University Hospital, 08035 Barcelona, Spain. AD - Vall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain. AD - Medicine Department Bellaterra, Universitat Autonoma de Barcelona, 08193 Barcelona, Spain. AD - Spanish Network of Biomedical Research Centers, Diabetes and Metabolic Associated Disorders (CIBERdem), 28029 Madrid, Spain. LA - eng PT - Journal Article PT - Review DEP - 20220608 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9225139 OTO - NOTNLM OT - MODY diabetes OT - NAFLD OT - NASH OT - ketone-prone diabetes OT - liver fibrosis OT - type 1 diabetes OT - type 2 diabetes COIS- The authors declare no conflict of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/08 CRDT- 2022/06/24 01:24 PHST- 2022/04/29 00:00 [received] PHST- 2022/06/03 00:00 [revised] PHST- 2022/06/06 00:00 [accepted] PHST- 2022/06/24 01:24 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/08 00:00 [pmc-release] AID - jcm11123286 [pii] AID - jcm-11-03286 [pii] AID - 10.3390/jcm11123286 [doi] PST - epublish SO - J Clin Med. 2022 Jun 8;11(12):3286. doi: 10.3390/jcm11123286.