Liver Cirrhosis And The Use Of Insulin: What You Need To Know

Insulin is primarily used to lower blood sugar levels in individuals with diabetes. However, for patients suffering from liver cirrhosis, the use of insulin requires careful consideration. The liver plays a crucial role in the synthesis and storage of glycogen, and its functionality deteriorates as cirrhosis progresses. This decline in function means that the liver cannot effectively store and release glucose as needed.

Patients with liver cirrhosis may experience episodes of low blood sugar or hypoglycemia. Administering insulin during these times can exacerbate the condition, leading to dangerously low blood sugar levels, which can have serious health consequences. Therefore, insulin should be avoided unless absolutely necessary.

In some cases, individuals with liver cirrhosis may also develop secondary conditions such as diabetes or complications like gastrointestinal bleeding or infections. These situations can lead to temporary increases in blood sugar levels. If fasting blood glucose exceeds 8 mmol/L or post-meal blood sugar levels go beyond 9-10 mmol/L, insulin therapy might be considered.

It's essential for healthcare providers to closely monitor blood sugar levels in cirrhotic patients and tailor treatment plans accordingly. Proper management of blood glucose helps prevent complications and improves overall patient outcomes. Patients and caregivers should work closely with medical professionals to understand when and how insulin should be used safely in the context of liver disease.