Two-thirds of people living with type 2 diabetes may also have fatty liver disease, according to the British Liver Trust. However, many individuals may not be aware of this dual diagnosis. Fatty liver disease significantly heightens the risk of developing type 2 diabetes, emphasising the need for early detection and effective management of both conditions.

The National Institute for Health and Care Excellence (NICE) estimates that by 2025, over 5 million people in the UK will be diagnosed with diabetes. This alarming trend could lead to a surge in newly diagnosed cases of fatty liver disease.

Fatty liver disease, also known as MASLD (metabolic dysfunction-associated steatotic liver disease), is characterised by excess fat accumulation in the liver. Left untreated, it can progress to severe MASH (metabolic-associated steatohepatitis), which may result in liver failure or cancer.

Obesity plays a pivotal role in both type 2 diabetes and fatty liver disease. By 2040, an estimated 21 million UK adults could be classified as obese.

Vanessa Hebditch, Director of Communications and Policy at the British Liver Trust, emphasises the urgency: “For those diagnosed with fatty liver disease, weight loss and a healthy diet are crucial initial steps. Evidence suggests that losing 5 to 10% of body weight can effectively control or even reverse the condition.”

Furthermore, fatty liver disease significantly increases the risk of developing type 2 diabetes. This chronic condition arises when the body either produces insufficient insulin (a hormone that regulates blood sugar) or when the produced insulin does not function properly. A 2022 study by Diabetes UK revealed a direct correlation between higher liver fat levels and an elevated risk of type 2 diabetes.

Vanessa adds, “Living with both fatty liver disease and type 2 diabetes raises the likelihood of diabetes complications and more severe liver disease. The combined risk of heart disease is also heightened, underscoring the importance of early awareness and intervention.”

Preventing liver disease is crucial, with excess weight, alcohol consumption, and viral hepatitis being the main risk factors. To assess your risk of liver disease, visit British Liver Trust’s risk assessment.