Question

A 54-year-old man with long-standing type 2 diabetes and obesity is found to have persistently elevated alanine aminotransferase and ultrasound evidence of hepatic steatosis. He does not drink alcohol. According to recent Canadian guidance on steatotic liver disease in diabetes, what is the cornerstone of his management?

Accepted Answer

Lifestyle modification targeting weight loss, management of diabetes and cardiovascular risk

Answer

Immediate liver biopsy and transplant referral

Answer

Empiric high-dose corticosteroids

Answer

No intervention is needed because non-alcoholic fatty liver disease is benign

Answer

Start antiviral therapy

Practice question