liver fibrosis

[Cola25R]

Hi im 24 years old i was recently diagnosed with mild to moderate liver fibrosis and S3 fatty liver. I’ve struggled with alcohol and eating problems for the past 4/5 years I use to binge drink a lot that became more frequent as time went on. I recently last year August (2023) found out I had liver damage from the drinking and i started my sober journey I was then able to go 9 months no alcohol my eating habits got really bad and I gained weight and found out I had type 2 diabetes too. I then started to change my diet and exercise not always consistently but try to do 5 days a week of exercise and healthy eating I’ve lost a good amount of weight but I’ve been struggling with slipping up with alcohol and then getting back on track for a month or two and then slipping again I’m really struggling to stay on track but I want nothing more than to get healthy and beat this I really am worried I’m going to do more damage and I can’t shake this feeling of being doomed because of it. My recent fibroscan score was 11.0 kpa which the consultant said puts me in the mild to moderate category for fibrosis but when I google my results it says it’s a more severe stage I’m just confused and worried. Just wondering if anyone else has been through the same issues or are currently could really use some advice please, thank you

[Fibro2021]

Hi You’ve already made huge progress by recognizing the problem and taking steps to improve your health. It’s understandable that staying on track is tough, especially with so many factors at play.

Since you mentioned both liver fibrosis and type 2 diabetes, you might want to look into how liver-related insulin resistance (sometimes called hepatogenic diabetes) could be affecting your metabolism. It’s not just about weight or blood sugar levels, but also how your liver processes energy. Have you had any discussions with your doctor about this connection?

Also, have you ever had your thyroid function checked? Sometimes, even mild thyroid dysfunction can contribute to metabolic issues, fatigue, and difficulty maintaining weight and blood sugar control. It might be worth discussing with your doctor.

In any case you’ve already taken important steps in the right direction. It’s about finding the right strategy that works for you.

[Cola25R in reply to Fibro2021]

hi thank you for the reply thank you for the kind words, no haven’t spoken to the dr about that I wasn’t aware of that type of problem..I got diagnosed with pcos last year too along with type 2 diabetes so they put it down to that as pcos came with the risk of diabetes. Yes I had my thyroid checked that was all normal which is good. I just hope it’s not too late for me and I’m able to get somewhat healthy again. Also when I first got diagnosed with diabetes my hbA1c level was 56 mmol/mol and in January this year it was 43 mmol/mol which is a good sign right?

[Fibro2021 in reply to Cola25R]

That’s really great that your HbA1c has improved—it means your efforts are working! PCOS does increase the risk of diabetes, but since the liver plays a key role in blood sugar regulation, it’s good to keep an eye on both. Some studies suggest that fatty liver and fibrosis can also contribute to insulin resistance, independent of PCOS. So continuing with a liver-friendly approach (healthy diet, regular exercise, and minimizing alcohol) will likely help both your liver and diabetes.

Did they check your fasting insulin or C-peptide when diagnosing diabetes? Sometimes these can give a better picture of how your body is handling blood sugar and whether insulin resistance is a big factor.

[Cola25R in reply to Fibro2021]

Thank you ahh really I never actually knew that I just thought it could be because of the pcos..thanks for the information I’ll speak with my doctor about it when available. No they just did the hbA1c blood test and went off that with the pcos diagnosis at the same time :/ I also wasn’t referred for a fibroscan unit a year later after an ELF blood test was done and I spoke with a different doctor who referred me for one. Thanks for the information it’s much appreciated