Management of diabesity: Current concepts DOI Open Access

Maria Michaelidou,

Joseph M. Pappachan, Mohammad Sadiq Jeeyavudeen

et al.

World Journal of Diabetes, Journal Year: 2023, Volume and Issue: 14(4), P. 396 - 411

Published: April 11, 2023

The global prevalence of obesity is increasing rapidly with an exponential rise in incidence type 2 diabetes mellitus recent years. 'Diabesity', the term coined to show strong interlink between and diabetes, direct cons-equence pandemic, poses significant challenges management disease. Without addressing clinical mechanistic complications such as metabolic-associated fatty liver disease obstructive sleep apnoea, a rational algorithm for diabesity cannot be developed. Several classes anti-diabetic medications including insulins, sulphonylureas, thiazolidinediones meglitinides are associated risk weight gain may potentially worsen diabesity. Therefore, appropriate selection antidiabetic drug regimen crucial medical role non-pharmacological measures dietary adjustments, exercise interventions bariatric procedures should also emphasised. Unfortunately, importance optimal often overlooked by professionals when achieving adequate glycemic control which results inappropriate its complications. This review provides narrative update on evidence behind

Language: Английский

Non-alcoholic Fatty Liver Disease: Growing Burden, Adverse Outcomes and Associations DOI Open Access
Ramesh Kumar, Rajeev Nayan Priyadarshi, Utpal Anand

et al.

Journal of Clinical and Translational Hepatology, Journal Year: 2019, Volume and Issue: X(X), P. 1 - 11

Published: Dec. 28, 2019

Nonalcoholic fatty liver disease (NAFLD) is a systemic disorder with complex multifactorial pathogenesis and heterogenous clinical manifestations. NAFLD, once believed to be an innocuous condition, has now become the most common cause of chronic in many countries worldwide. NAFLD already highly prevalent general population, owing rising incidence obesity diabetes mellitus, its impact on global healthcare are expected increase future. A subset patients develops progressive leading cirrhosis, hepatocellular carcinoma, failure. emerged as one causes cirrhosis carcinoma recent years. Moreover, HCC can occur even absence cirrhosis. Compared increases risk liver-related, cardiovascular all-cause mortality. bidirectionally associated metabolic syndrome. contributes aggravation pathophysiology atherosclerosis, diseases, kidney disease. In addition, linked colorectal polyps, polycystic ovarian syndrome, osteoporosis, obstructive sleep apnea, stroke, various extrahepatic malignancies. Extended resection steatotic increased failure There increasing trend NAFLD-related requiring transplantation, recurrence such almost universal. This review discusses growing burden outcomes, adverse associations diseases.

Language: Английский

Citations

152

The role of hepatokines in NAFLD DOI Creative Commons
Norbert Stefan, Fritz Schick, Andreas L. Birkenfeld

et al.

Cell Metabolism, Journal Year: 2023, Volume and Issue: 35(2), P. 236 - 252

Published: Feb. 1, 2023

Language: Английский

Citations

147

Metabolic-associated Fatty Liver Disease (MAFLD): A Multi-systemic Disease Beyond the Liver DOI Open Access
Eda Kaya, Yusuf Yılmaz

Journal of Clinical and Translational Hepatology, Journal Year: 2021, Volume and Issue: 10(2), P. 329 - 338

Published: Oct. 19, 2021

Nonalcoholic fatty liver disease (NAFLD) is a multisystemic clinical condition that presents with wide spectrum of extrahepatic manifestations, such as obesity, type 2 diabetes mellitus, metabolic syndrome, cardiovascular diseases, chronic kidney disease, malignancies, cognitive disorders, and polycystic ovarian syndrome. Among NAFLD patients, the most common mortality etiology followed by liver-related complications. Furthermore, severity diseases parallel to NAFLD. In practice, awareness associations concomitant major importance for initiating prompt timely screening multidisciplinary management spectrum. 2020, consensus from 22 countries redefined (dysfunction)-associated (MAFLD), which resulted in redefinition corresponding population. Although patients diagnosed MAFLD mostly overlap, populations are not identical. this review, we compared key between MAFLD.

Language: Английский

Citations

125

Polyol pathway and redox balance in diabetes DOI
Sourbh Suren Garg, Jeena Gupta

Pharmacological Research, Journal Year: 2022, Volume and Issue: 182, P. 106326 - 106326

Published: June 22, 2022

Language: Английский

Citations

77

Management of diabesity: Current concepts DOI Open Access

Maria Michaelidou,

Joseph M. Pappachan, Mohammad Sadiq Jeeyavudeen

et al.

World Journal of Diabetes, Journal Year: 2023, Volume and Issue: 14(4), P. 396 - 411

Published: April 11, 2023

The global prevalence of obesity is increasing rapidly with an exponential rise in incidence type 2 diabetes mellitus recent years. 'Diabesity', the term coined to show strong interlink between and diabetes, direct cons-equence pandemic, poses significant challenges management disease. Without addressing clinical mechanistic complications such as metabolic-associated fatty liver disease obstructive sleep apnoea, a rational algorithm for diabesity cannot be developed. Several classes anti-diabetic medications including insulins, sulphonylureas, thiazolidinediones meglitinides are associated risk weight gain may potentially worsen diabesity. Therefore, appropriate selection antidiabetic drug regimen crucial medical role non-pharmacological measures dietary adjustments, exercise interventions bariatric procedures should also emphasised. Unfortunately, importance optimal often overlooked by professionals when achieving adequate glycemic control which results inappropriate its complications. This review provides narrative update on evidence behind

Language: Английский

Citations

50