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mmol/l. You are asked to see him by the nurse practitioner as he has abnormal liver function tests (LFTs), with an aspartate aminotransferase (AST) of 108 units/l (normal range 12-39 units/l), and alanine aminotransferase (ALT) of 97 units/l (normal range <40 units/l). He is obese (BMI 34), hypertensive (blood pressure 165/88 mmHg), microalbuminuric (albumin:creatinine ratio 6.9) and has dyslipidaemia (total cholesterol 6.9 mmol/l, LDL-cholesterol 4.6 mmol/l, fasting triglycerides 3.4 mmol/l, HDL-cholesterol 0.9 mmol/l). An abdominal ultrasound suggests that find information he has a fatty liver. A standard liver screen, including hepatitis find information serology, is negative. The find information nurse practitioner is concerned that pharmacotherapy may exacerbate his liver dysfunction. * What is the aetiology of fatty liver in people with diabetes?
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