Fatty Liver

Bluetit1802

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Thank You @Indy51 for all the interesting information you have given me.
My GP checks my Ferritin Levels on a monthly basis.
I am having my Hospital Diabetic Review on the 21st August and have the Blood request form and I see that I am being tested for:
LFT, U&E, GGT, Cholesterol/HDL-C, Ferritin, B12, HBA1C, TSH only and FBC.
(All Blood Requests done for Hospital Appointments copies are always sent to my GP).

If you feel you should have other tests added to this list, all it takes is a phone call to whoever ordered them and ask for them to be included. They can only say no but may say yes.
 

Liam1955

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Just remembered! I did the Feacal Smear thing a month ago and the results were all "normal" - so this is why the Liver Specialist decided not to have a Colonoscopy done on me, and just the Endoscopy.
It was in March this year that I asked the Liver Specialist if I should start taking the Vitamin E and Omega 3 oil capsules, because I read somewhere they could help 'reverse' Fatty Liver. He said I was not to overdo the dosage. But, I could try taking Probiotics which can prevent Fat from accumulation in the Liver. And to look for products containing at least 10 Billion live organisms and take just 1 a day.
Losing weight too fast can actually worsen Fatty Liver so I am told by him - got to aim to loose 2 lbs a week - only problem is I have been stuck at the same weight since March = 12 stone 12 lbs.
 
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Bluetit1802

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I am having my Hospital Diabetic Review on the 21st August and have the Blood request form and I see that I am being tested for:
LFT, U&E, GGT, Cholesterol/HDL-C, Ferritin, B12, HBA1C, TSH only and FBC.
(All Blood Requests done for Hospital Appointments copies are always sent to my GP).

If you feel you should have other tests added to this list, all it takes is a phone call to whoever ordered them and ask for them to be included. They can only say no but may say yes.

I just had a thought whilst thinking of my own blood tests. I note you are on statins, but this list doesn't include lipids (HDL/LDL/Triglycerides) If I were you I would most certainly ask for those to be included. The cholesterol/HDL-C is just the ratio of total and HDL, but you need the breakdown, particularly when on statins.
 

Liam1955

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Thank You @Bluetit1802 for this advice :). I have made a note about the Cholesterol and Coeliac as I am seeing my GP on the 10th August and hopefully he may add these to the list of Blood Tests.
 

Annb

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Do you believe it is ir-reversable?

To be honest - I don't know what I believe any more; not doctors, that's for sure. My low carb, lowish fat diet has made me feel better and has reduced my BS readings and so the amount of insulin I am taking; my fluid retention is slightly improved and I have a bit more energy than before. But I haven't lost weight and I have no idea what is happening to my liver. My next appointment with the diabetes consultant is not until January 2018 but I may have to have blood tests done for other things happening in the health sphere so I might find out then.

I don't think I do believe that cirrhosis is reversible but the other benefits will persuade me to keep going on my almost zero carb diet and we'll see what happens.
 

ickihun

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To be honest - I don't know what I believe any more; not doctors, that's for sure. My low carb, lowish fat diet has made me feel better and has reduced my BS readings and so the amount of insulin I am taking; my fluid retention is slightly improved and I have a bit more energy than before. But I haven't lost weight and I have no idea what is happening to my liver. My next appointment with the diabetes consultant is not until January 2018 but I may have to have blood tests done for other things happening in the health sphere so I might find out then.

I don't think I do believe that cirrhosis is reversible but the other benefits will persuade me to keep going on my almost zero carb diet and we'll see what happens.
Cirrhosis can be reversed but once too much of the liver has become cirrhosised then the healthy cells cannot cope on their own to combat the livers work. Thats when a liver transplant is needed but only given once problem causing cirrhosis is resolved. Otherwise a waste of a good liver.

Please do something for me? Stop eating all fruit and see if any improvement. Too low carb might not be the solution but not a high carb diet definately is needed thou.

Let me know how you get on with no fruit. I do no fruit and in reasonable enzyme output level. Consultant last week advised to be sensible with my insulin when doing the liver shrinking diet for my bariatric surgery (he has been told patients have had terrible hypos on the diet using insulin) So definitely good for lower insulin requirements and shrinking liver.

I will be more than happy to pass the diet on!

I'm assuming shrinking liver is the same as reducing fat from it!!
 
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Annb

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Cirrhosis can be reversed but once too much of the liver has become cirrhosised then the healthy cells cannot cope on their own to combat the livers work. Thats when a liver transplant is needed but only given once problem causing cirrhosis is resolved. Otherwise a waste of a good liver.

Please do something for me? Stop eating all fruit and see if any improvement. Too low carb might not be the solution but not a high carb diet definately is needed thou.

Let me know how you get on with no fruit. I do no fruit and in reasonable enzyme output level. Consultant last week advised to be sensible with my insulin when doing the liver shrinking diet for my bariatric surgery (he has been told patients have had terrible hypos on the diet using insulin) So definitely good for lower insulin requirements and shrinking liver.

I will be more than happy to pass the diet on!

I'm assuming shrinking liver is the same as reducing fat from it!!

I'd be glad to see that diet when you can. I haven't eaten fruit for a couple of weeks now but had to yesterday when my BS dropped to 3.8 and stayed below 5 all day. I had a banana and later some strawberries to try to bring the level back up a bit. I figured a bit of sugar in the fruit would do the trick. Going the same way today, so just had another banana. What do you do if the level drops too low?

I was heartened this morning when mention was made on the Breakfast programme of a swimmer (I think they were talking about a swimmer named Peaty) who consumes 6000 calories a day of only chicken, fish and salad. He is clearly very fit on that diet, although how he manages to plough through 6000 calories worth, I can't imagine.

I am not only cutting out as many carbs as possible but keeping food intake as low as I can in order to get rid of some of the weight I am carrying. Drinking about 2 litres a day (tea - 3 or 4 cups daily, water (mostly to swallow pills) makes up the balance. I'm not good at counting calories - don't know how many are in what but 2 small meals a day of protein and veg/salad shouldn't count for too many. Not that this has helped over the years I have been trying to lose weight.

As an aside - when I had my second son in 1969 I weighed 11stone 10lb. Next day I went into premature labour (only about 3 weeks) and had my 9lb 10oz boy. "Great", I thought, "I should be about a stone lighter" so I weighed myself - 11stone 10lb on the button! It was very disheartening and I've been struggling with my weight ever since.

Someone said recently that women who have babies weighing over 8lb will probably be diabetic - well, I had 2 of them. Maybe there is some connection...

Ann
 

ickihun

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I'd be glad to see that diet when you can. I haven't eaten fruit for a couple of weeks now but had to yesterday when my BS dropped to 3.8 and stayed below 5 all day. I had a banana and later some strawberries to try to bring the level back up a bit. I figured a bit of sugar in the fruit would do the trick. Going the same way today, so just had another banana. What do you do if the level drops too low?

I was heartened this morning when mention was made on the Breakfast programme of a swimmer (I think they were talking about a swimmer named Peaty) who consumes 6000 calories a day of only chicken, fish and salad. He is clearly very fit on that diet, although how he manages to plough through 6000 calories worth, I can't imagine.

I am not only cutting out as many carbs as possible but keeping food intake as low as I can in order to get rid of some of the weight I am carrying. Drinking about 2 litres a day (tea - 3 or 4 cups daily, water (mostly to swallow pills) makes up the balance. I'm not good at counting calories - don't know how many are in what but 2 small meals a day of protein and veg/salad shouldn't count for too many. Not that this has helped over the years I have been trying to lose weight.

As an aside - when I had my second son in 1969 I weighed 11stone 10lb. Next day I went into premature labour (only about 3 weeks) and had my 9lb 10oz boy. "Great", I thought, "I should be about a stone lighter" so I weighed myself - 11stone 10lb on the button! It was very disheartening and I've been struggling with my weight ever since.

Someone said recently that women who have babies weighing over 8lb will probably be diabetic - well, I had 2 of them. Maybe there is some connection...

Ann
I use glucose tablets due to insulin Iinjections but to be honest very few hypos these days on toujeo300 basal.

In the past smokers in pregnancy had small babies so difficult to judge diabetic mum's when they were smokers but if mum isnt a drinker or smoker the data is more reliable.
I hope much less mums smoke in pregnancy so babies will naturally be bigger.
I guess if 2 big babies then likelihood insulin resistance in mum.
 

Liam1955

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Hi @Bluetit1802 :). I asked GP for a "breakdown" on Chlolesterol and I had a Fasting Bloods done last week and today was at the Hospital Diabetic Clinic.
My total Cholesterol is 3.4
HDL (good) is 0.9.
LDL (bad) is 1.9
Triglycerides is 1.3

My HBA1C is down to 58 (from 68).
My Gamma GT down to 44 (from 48).
My ALT has shot up to 95 (from 89).
Ferritin levels up to 26 (from 19).

Good News is - have been discharged from the Hospital Diabetic Clinic back to the care of my GP Practise Diabetic Clinic. (Over 4 years going to the Hospital Diabetic Clinic)
It was suggested I can start to decrease my Insulin now by 1 unit at a time.

Tomorrow I am booked in for my 6 monthly Liver MRI Scan at the Hospital.
 
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nomoredonuts

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Great work William!
And all done despite blocked sinuses. You're today's winner! :happy::happy:
 
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ickihun

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Please do pass the liver shrinking diet on x
Will do serenity. Still not at that stage but hoping in the next few months.
Veg is definitely part of it. I'll plug my dietician on wednesday to see what else. ;)
 

buckmr2

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Pretty sure this is the liver shrinking diet I followed for the week or two leading up to my Roux-En-Y bypass:-
DIET THREE – MENU IDEAS

It is important to have 3 meals a day with 1-2 snacks if required

Breakfast Choices

1 small glass pure fruit juice (150ml) – orange, apple, pineapple, cranberry

(only 1 small glass of pure juice per day)

or 1piece of sliced fruit on a breakfast cereal

With

Small bowl (35g) unsweetened cereal with 150ml skimmed or semi skimmed milk from allowance

All cereals can be sweetened with granulated artificial sweetener if necessary

Good cereals to choose from are:-

 Weetabix

 Plain porridge, loose or sachet,



avoid flavoured porridges which have added sugar

 Bran Flakes – avoid choices with died fruit and nuts



 Shreddies – original only, avoid the frosted, chocolate or honey coated choices



 Shredded Wheat – 1 large biscuit or bite size, original only, avoid honey nut choices or any options containing dried fruit



 All Bran – original choice only



 Special K – original choice only



Avoid all cereals which are coated with sugar/honey/yogurt/chocolate/coco or with frosting, or have dried fruit. Also avoid muesli and granola, even low sugar versions. All of these choices are very high in sugar and could affect your blood sugar levels

Avoid breakfast biscuits and bars as these can also be high in sugar.

or

2 slices of wholemeal or granary bread/toast (from a 400g loaf) with a thin scraping of low fat spread

Do not add any jam/marmalade/lemon curd/chocolate spread/peanut butter to bread

Lunch Choices

2 slice of wholemeal bread (from a 400g loaf)

or 4 wholegrain/whole wheat crackers e.g. Ryvita or similar crispbreads.

or 1 medium soft Tortilla, preferably wholemeal

or 1 small wholemeal pitta bread

No spread such as butter or margarine, even low fat options

With

1 medium slice of ham, beef, chicken

or 80g low fat fish e.g. tuna in spring water or brine – not oil

or 80g fat free cottage cheese – natural or onion and chive, avoid pineapple

or 1 egg, boiled or scrambled with small amount of semi skimmed milk and cooked without fat

Serve with a raw salad

This could contain a mix of lettuce, cucumber, radishes, tomatoes, red and yellow peppers, grated carrot, and celery

Salad dressing – any bought fat free salad dressing, 15ml only, or balsamic vinegar

Avoid any dressing containing oil, cream, cheese or mayonnaise

Or

200g low calorie vegetable soup – preferably home made.

If using a bought soup from a tin or carton try to avoid soups containing potatoes, or pulses including beans, peas and lentils

With 1 slice ham or beef or chicken or 80g fat free cottage cheese or 80g low fat fish

and

2 slice wholemeal bread or 4 wholemeal/wholegrain crackers – no spread

Dinner Choices

Small portion of meat or chicken or fish (80g) – cooked without fat

e.g. sliced ham or beef, skinless chicken breast (avoid the brown meat)

low fat white fish such as tuna, cod, haddock

or Quorn, plain pieces or minced only

With

2 small potatoes – jacket or boiled (120g)

or 4 tablespoons boiled rice

or 4 tablespoons pasta, preferably wholemeal

With

3 to 4 tablespoons vegetables

e.g. carrots, turnip, onions, leeks, parsnips, broccoli, cabbage

avoid peas, beans, lentils, or sweetcorn

or small side dish of salad

e.g. lettuce, cucumber, peppers, radishes, tomatoes, spring onions, beetroot, carrots

– add oil free low calorie dressing if required (15ml)

avoid peas, beans, lentils, or sweetcorn

Or

Homemade vegetable soup – 300g maximum

or 300g tinned or chilled carton soup which does not contain potatoes, sweetcorn, or pulses such as beans, peas or lentils

With

40g meat/chicken/fish – cooked without fat

e.g. sliced ham or beef, skinless chicken breast (avoid the brown meat)

low fat white fish such as tuna, cod, haddock

or Quorn, plain pieces or minced only

and

2 slice of wholemeal bread (from a 400g loaf) or 4 wholegrain/whole wheat crackers e.g. Ryvita or similar crispbreads

Daily

 ½ pint skimmed or semi skimmed milk for use with cereals or in drinks

 1 fat free diet natural or fruit flavoured yogurt (max 150g/d)

 2 portions of fruit (this is in addition to the glass of fruit juice or piece of fruit recommended to have with breakfast)



e.g. medium sized apple, orange, pear, banana, peach, nectarine

small handful of strawberries, blackberries, cherries, blueberries

tinned fruit in natural juice is acceptable but drain off all juice (160g max)

Fat free Yogurt and fruit from allowance can be combined to make a snack e.g. chopped banana and yogurt, or eaten separately either between meals or after meals as a pudding

Drinks

2L of fluid per day is recommended. This is the amount you will be required to drink after your bariatric surgery, and in the longer term to avoid constipation and promote weight

loss. We strongly advise patients to get into the habit of drinking adequate amounts of fluid before surgery

Recommended daily fluid intake does not need to be solely from water, although this liquid will hydrate you the best

Choose from the following:-

 Water – tap, bottled, still or carbonated* - flavoured water is acceptable but check labels to ensure that it is sugar free

 Tea – all types including black and green teas and flavoured teas

 Coffee – all types including caffeinated and de-caffeinated – avoid Coffee Mate even the low sugar/fat varieties

 Sugar Free Squashes – all flavours

 Sugar free fizzy drinks* – e.g. Diet Coke, Pepsi Max, diet lemonade



*At this stage these drinks are acceptable however following any bariatric surgery they are not recommended as they can cause trapped gas so try and reduce the amount you have in the follow up to surgery
 
S

serenity648

Guest
Pretty sure this is the liver shrinking diet I followed for the week or two leading up to my Roux-En-Y bypass:-
DIET THREE – MENU IDEAS

It is important to have 3 meals a day with 1-2 snacks if required

Breakfast Choices

1 small glass pure fruit juice (150ml) – orange, apple, pineapple, cranberry

(only 1 small glass of pure juice per day)

or 1piece of sliced fruit on a breakfast cereal

With

Small bowl (35g) unsweetened cereal with 150ml skimmed or semi skimmed milk from allowance

All cereals can be sweetened with granulated artificial sweetener if necessary

Good cereals to choose from are:-

 Weetabix

 Plain porridge, loose or sachet,



avoid flavoured porridges which have added sugar

 Bran Flakes – avoid choices with died fruit and nuts



 Shreddies – original only, avoid the frosted, chocolate or honey coated choices



 Shredded Wheat – 1 large biscuit or bite size, original only, avoid honey nut choices or any options containing dried fruit



 All Bran – original choice only



 Special K – original choice only



Avoid all cereals which are coated with sugar/honey/yogurt/chocolate/coco or with frosting, or have dried fruit. Also avoid muesli and granola, even low sugar versions. All of these choices are very high in sugar and could affect your blood sugar levels

Avoid breakfast biscuits and bars as these can also be high in sugar.

or

2 slices of wholemeal or granary bread/toast (from a 400g loaf) with a thin scraping of low fat spread

Do not add any jam/marmalade/lemon curd/chocolate spread/peanut butter to bread

Lunch Choices

2 slice of wholemeal bread (from a 400g loaf)

or 4 wholegrain/whole wheat crackers e.g. Ryvita or similar crispbreads.

or 1 medium soft Tortilla, preferably wholemeal

or 1 small wholemeal pitta bread

No spread such as butter or margarine, even low fat options

With

1 medium slice of ham, beef, chicken

or 80g low fat fish e.g. tuna in spring water or brine – not oil

or 80g fat free cottage cheese – natural or onion and chive, avoid pineapple

or 1 egg, boiled or scrambled with small amount of semi skimmed milk and cooked without fat

Serve with a raw salad

This could contain a mix of lettuce, cucumber, radishes, tomatoes, red and yellow peppers, grated carrot, and celery

Salad dressing – any bought fat free salad dressing, 15ml only, or balsamic vinegar

Avoid any dressing containing oil, cream, cheese or mayonnaise

Or

200g low calorie vegetable soup – preferably home made.

If using a bought soup from a tin or carton try to avoid soups containing potatoes, or pulses including beans, peas and lentils

With 1 slice ham or beef or chicken or 80g fat free cottage cheese or 80g low fat fish

and

2 slice wholemeal bread or 4 wholemeal/wholegrain crackers – no spread

Dinner Choices

Small portion of meat or chicken or fish (80g) – cooked without fat

e.g. sliced ham or beef, skinless chicken breast (avoid the brown meat)

low fat white fish such as tuna, cod, haddock

or Quorn, plain pieces or minced only

With

2 small potatoes – jacket or boiled (120g)

or 4 tablespoons boiled rice

or 4 tablespoons pasta, preferably wholemeal

With

3 to 4 tablespoons vegetables

e.g. carrots, turnip, onions, leeks, parsnips, broccoli, cabbage

avoid peas, beans, lentils, or sweetcorn

or small side dish of salad

e.g. lettuce, cucumber, peppers, radishes, tomatoes, spring onions, beetroot, carrots

– add oil free low calorie dressing if required (15ml)

avoid peas, beans, lentils, or sweetcorn

Or

Homemade vegetable soup – 300g maximum

or 300g tinned or chilled carton soup which does not contain potatoes, sweetcorn, or pulses such as beans, peas or lentils

With

40g meat/chicken/fish – cooked without fat

e.g. sliced ham or beef, skinless chicken breast (avoid the brown meat)

low fat white fish such as tuna, cod, haddock

or Quorn, plain pieces or minced only

and

2 slice of wholemeal bread (from a 400g loaf) or 4 wholegrain/whole wheat crackers e.g. Ryvita or similar crispbreads

Daily

 ½ pint skimmed or semi skimmed milk for use with cereals or in drinks

 1 fat free diet natural or fruit flavoured yogurt (max 150g/d)

 2 portions of fruit (this is in addition to the glass of fruit juice or piece of fruit recommended to have with breakfast)



e.g. medium sized apple, orange, pear, banana, peach, nectarine

small handful of strawberries, blackberries, cherries, blueberries

tinned fruit in natural juice is acceptable but drain off all juice (160g max)

Fat free Yogurt and fruit from allowance can be combined to make a snack e.g. chopped banana and yogurt, or eaten separately either between meals or after meals as a pudding

Drinks

2L of fluid per day is recommended. This is the amount you will be required to drink after your bariatric surgery, and in the longer term to avoid constipation and promote weight

loss. We strongly advise patients to get into the habit of drinking adequate amounts of fluid before surgery

Recommended daily fluid intake does not need to be solely from water, although this liquid will hydrate you the best

Choose from the following:-

 Water – tap, bottled, still or carbonated* - flavoured water is acceptable but check labels to ensure that it is sugar free

 Tea – all types including black and green teas and flavoured teas

 Coffee – all types including caffeinated and de-caffeinated – avoid Coffee Mate even the low sugar/fat varieties

 Sugar Free Squashes – all flavours

 Sugar free fizzy drinks* – e.g. Diet Coke, Pepsi Max, diet lemonade



*At this stage these drinks are acceptable however following any bariatric surgery they are not recommended as they can cause trapped gas so try and reduce the amount you have in the follow up to surgery
Interesting, thank you. As a diet controlled type 2, I couldnt follow this as, for me personally, my bs would be sky high.
 

ickihun

Master
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13,698
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Interesting, thank you. As a diet controlled type 2, I couldnt follow this as, for me personally, my bs would be sky high.
I will have to stick to it but use insulin to cover. If it shrinks liver for op, that is. No weight loss from me in that period then. :(
It was the same on lchf. My liver loved it but no weight loss.
 
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Liam1955

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Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
Just to update - Received today my 6 monthly Blood Test Results for B12 = my result is: 408 (range is 197 - 771). Hepatologist is happy with this number.
He is not so happy with the Ferritin result of 26 ? For the Iron Deficiency Aneamia (In May it was 19) But, I am eating more Iron enriched foods than ever.
Appointments being arranged for repeat Endoscopy and Fibroscan. Had my 6 monthly Liver MRI Scan done yesterday.
 

Annb

Expert
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7,326
Type of diabetes
Treatment type
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Interesting, thank you. As a diet controlled type 2, I couldnt follow this as, for me personally, my bs would be sky high.

It sounds very similar to the diet my son and his family are following - he is a very little overweight, despite exercise, she is diabetic and needs to get her BS down and her weight as well despite being very active and doing loads of water sports, their son is very definitely overweight and is very much like his biological father, who was diabetic and their daughter is too fond of sweets and chocolate for safety. For myself, it doesn't work - BS too high on any overt carbs and even some less obvious ones. It will work for some, so it's good to have it set out so clearly.
 

letstalk1

Well-Known Member
Messages
308
Type of diabetes
Type 2
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Other
I need to have checked via ulta sound exam since some major weight loss- again , my fatty liver is non alcholic.
 
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