Diabetes mellitus tipo 2 en pacientes con diagnóstico de hígado graso no alcohólico atendidos en el área de Gastroenterología del Hospital de Especialidades Teodoro Maldonado Carbo en el período comprendido entre el 10 de octubre de 2019 al 10 de octubre de 2020.

Abstract

Introduction: Non-alcoholic fatty liver together with diabetes mellitus are very frequent pathologies worldwide, these diseases are related by their pathophysiology, producing an increase in free fatty acids, which accumulate in the liver and produce hepatic steatosis. Methodology: A retrospective, observational, descriptive, analytical, and cross-sectional study was carried out. The universe consisted of 447 patients who were treated at the Teodoro Maldonado Carbo Hospital in the period from October 2019 to October 2020 and the population sample was a total of 206 patients suffering from nonalcoholic fatty liver, with or without type 2 Diabetes Mellitus and who they met the inclusion criteria. Results: In this population, non-alcoholic fatty liver was analyzed individually with n = 271 (68.96%) and the combination of this pathology with diabetes mellitus with n = 122 (31.04%); whose purpose was to determine that non-alcoholic fatty liver is a predisposing factor, not only for the development of diabetes mellitus, but also associated with greater complications and higher mortality in patients with diabetes mellitus (Table and graph 2). Conclusions: The female gender is more prone to suffer from NAFLD and therefore to develop DM2. HBP and obesity were the most frequent comorbidities in patients who have NAFLD, DM2 and when they have NAFLD plus DM2. Due to insulin resistance, NAFLD predisposes to the development of DM2 and, when associated, produces a greater number of deaths.