- With Mayo Clinic endocrinologist
Maria Collazo-Clavell, M.D.read biographyclose window
Maria Collazo-Clavell, M.D.Maria Collazo-Clavell, M.D.
Dr. Maria Collazo-Clavell is board certified in internal medicine, endocrinology, diabetes and metabolism. She's a consultant in the Division of Endocrinology, Diabetes, Metabolism & Nutrition at Mayo Clinic and an associate professor at College of Medicine, Mayo Clinic.
The Aibonito, Puerto Rico, native has been with Mayo Clinic since 1994.
She's a member of the American Association of Clinical Endocrinologists, the American College of Endocrinology, the American Diabetes Association and The Endocrine Society.
Dr. Collazo-Clavell is medical editor of diabetes content on Mayo's health information website and for "Mayo Clinic The Essential Diabetes Book." Her clinical interests include management of type 1 and type 2 diabetes, obesity and nutritional disorders.
Risk factors (1)
- Diabetes: Does alcohol and tobacco use increase my risk?
- The dawn phenomenon: What can you do?
- Diabetes: How do I help protect my liver?
Treatments and drugs (5)
- Diabetes management: Does aspirin therapy prevent heart problems?
- Blood glucose monitors: What factors affect accuracy?
- Avandia and Actos safety concerns: What should I do?
- see all in Treatments and drugs
Lifestyle and home remedies (11)
- Caffeine: Does it affect blood sugar?
- Diabetes: Are electric blankets off-limits?
- Vegetarian diet: Can it help me control my diabetes?
- see all in Lifestyle and home remedies
Alternative medicine (1)
- Diabetes treatment: Can cinnamon lower blood sugar?
- Sodium nitrate in meat: Heart disease risk factor?
- Healthy heart for life: Avoiding heart disease
Diabetes: How do I help protect my liver?
If I have diabetes, is there anything special I need to do to take care of my liver?
from Maria Collazo-Clavell, M.D.
You're wise to wonder about steps to protect your liver. Diabetes raises your risk of nonalcoholic fatty liver disease, a condition in which excess fat builds up in your liver even if you drink little or no alcohol. This condition occurs in at least half of those with type 2 diabetes and close to half of those with type 1. Other medical conditions related to diabetes — including obesity, high cholesterol and high blood pressure — also raise your risk of nonalcoholic fatty liver disease.
Fatty liver disease itself often causes no symptoms. But it raises your risk of developing liver inflammation or scarring (cirrhosis). It's also linked to an increased risk of liver cancer and heart disease.
Your best defense against fatty liver disease includes these strategies:
- Work with your health care team to achieve good control of your blood sugar.
- Lose weight if you need to, and try to maintain a healthy weight.
- Take steps to reduce high blood pressure.
- Keep your low-density lipoprotein (LDL, or "bad") cholesterol and triglycerides — a type of blood fat — within recommended limits.
- Don't drink too much alcohol.
If you have diabetes, your doctor may recommend an ultrasound examination of your liver when you're first diagnosed and regular follow-up blood tests to monitor your liver function.Next question
Diabetes management: Does aspirin therapy prevent heart problems?
- Smith BW, et al. Nonalcoholic liver disease and diabetes mellitus: Pathogenesis and treatment. Nature Reviews Endocrinology. In press. Accessed June 27, 2011.
- Feldstein AE, et al. Fatty liver disease. The American College of Gastroenterology. http://www.gi.org/patients/gihealth/fld.asp. Accessed June 27, 2011.
- Ismail MH. Nonalcoholic fatty liver disease: The hidden epidemic. The American Journal of Medical Sciences. 2011;341:485.