Hepatology communications · 2024
Clinical care guidance in patients with diabetes and metabolic dysfunction-associated steatotic liver disease: A joint consensus.
СтатьяConsensus StatementПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Huang Jee-Fu, Chang Tien-Jyun, Yeh Ming-Lun, Shen Feng-Chih, Tai Chi-Ming, Chen Jung-Fu, Huang Yi-Hsiang, Hsu Chih-Yao, Cheng Pin-Nan, Lin Ching-Ling, Hung Chao-Hung, Chen Ching-Chu, Lee Mei-Hsuan, Lee Chun-Chuan, Lin Chih-Wen, Liu Sung-Chen, Yang Hwai-I, Chien Rong-Nan, Kuo Chin-Sung, Peng Cheng-Yuan, Chang Ming-Ling, Huang Chung-Feng, Yang Yi-Sun, Yang Hung-Chih, Lin Han-Chieh, Ou Horng-Yih, Liu Chun-Jen, Tseng Chin-Hsiao, Kao Jia-Horng, Chuang Wan-Long, Huang Chien-Ning, Chen Pei-Jer, Wang Chih-Yuan, Yu Ming-Lung
Аннотация
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most prevalent chronic liver disease worldwide, affecting >30% of the global population. Metabolic dysregulation, particularly insulin resistance and its subsequent manifestation as type 2 diabetes mellitus, serves as the fundamental pathogenesis of metabolic liver disease. Clinical evidence of the recent nomenclature evolution is accumulating. The interaction and impacts are bidirectional between MASLD and diabetes in terms of disease course, risk, and prognosis. Therefore, there is an urgent need to highlight the multifaceted links between MASLD and diabetes for both hepatologists and diabetologists. The surveillance strategy, risk stratification of management, and current therapeutic achievements of metabolic liver disease remain the major pillars in a clinical care setting. Therefore, the Taiwan Association for the Study of the Liver (TASL), Taiwanese Association of Diabetes Educators, and Diabetes Association of the Republic of China (Taiwan) collaboratively completed the first guidance in patients with diabetes and MASLD, which provides practical recommendations for patient care.