Liver stiffness identified by elastography was linked to a greater risk of death among adults with diabetes, suggesting elastography may help identify high-risk individuals.
Question Is a higher liver stiffness measurement (LSM), which indicates liver fibrosis, associated with an increase in all-cause mortality in unselected patients with diabetes?
Findings In this cohort study of 4,102 adults, high LSM was an independent risk factor for all-cause mortality in diabetes, even after a relatively short follow-up. Moreover, the coexistence of liver fibrosis and uncontrolled hemoglobin A1c level was associated with a higher risk of all-cause mortality compared with each condition individually.
Meaning Findings of this study suggest that using LSM to screen for liver fibrosis as part of routine diabetes management could aid in early identification of patients with high mortality risk.









