Liver disease and diabetes are tightly linked with patients with diabetes at a higher risk of developing liver disease and those with liver disease are at higher risk of diabetes. Nearly all forms of liver disease occur in diabetic patients. Abnormal liver enzymes, nonalcoholic fatty lives disease (NAFLD), cirrhosis, hepatocellular carcinoma, and acute liver failure all occur in diabetes patients as well as an unknown link between diabetes and hepatitis C. Liver disease is a significant cause of death amongst diabetics, accounting for 12.5% of diabetes-related deaths.

Cirrhosis of the liver is a significant cause of death in diabetics, particularly those who use insulin. However, the pathogenesis of cirrhosis is still unknown. Cirrhosis is known to be a precursor to hepatocellular carcinoma.  Studies show that people with hepatitis C are more likely to develop diabetes and are likely to redevelop hepatitis C and diabetes after transplant, suggesting that hepatitis C …