糖尿病合并肝脏疾病(肝炎、肝硬化、脂肪肝),从来就是引人重视的问题,但至今尚未明确两者并存时有无相互的因果关系。近年来,随着血糖检查的普及和对肝脏疾病诊断方法的进步,两者合并的病例比以前明显增多,下面仅将治疗要点简述如下: (1) 饮食疗法对糖尿病患者要限制总能量,而肝脏病患者却要给予高能量饮食,但两者合并时饮食疗法就不同了,作者指出现在糖尿病饮食疗法的原则是八分饱,不偏食,这与健康长寿的饮食保健法是一致的,也是肝脏病患者必须遵循的原则。最近肝脏病之临床医学进一步研究了高能量,高蛋白饮食,并指出防止肥胖的重要性及高蛋白饮食的问题所在。每日摄取的适当能量为每公斤标准体重30千卡左右,其中蛋白质1～1.5克/公斤,亦可根据病情适当增减。要注意蛋白质饮食质的方面;选择容易消化吸收和蛋白质营养价较高的食物。最近渡辺等人进一步指出少摄取芳香族氨基酸,而多摄取分枝氨基酸的食物,这对改善肝脏病是有效的。因为前者多含兽类 Diabetes combined with liver disease (hepatitis, cirrhosis, fatty liver) has always been an issue of great importance, but so far it is not yet clear whether there is any mutual causal relationship between the two. In recent years, with the popularization of blood sugar test and diagnosis of liver disease progress, the combined cases of the two significantly increased, the following summary of treatment points are as follows: (1) Diet therapy for diabetic patients to limit the total energy, and Hepatitis patients have to give high-energy diet, but the combination of the two dietary therapy is different, the author pointed out that the principle of diet therapy is eight full, not partial eclipse, which is consistent with the health and longevity diet health care method, but also liver disease Patients must follow the principle. Recent clinical studies of liver disease further studied high-energy, high-protein diets and pointed out the importance of preventing obesity and the problem of high-protein diets. The appropriate daily intake of energy per kilogram of standard weight 30 kcal, of which 1 to 1.5 grams of protein / kg, may also be appropriate to increase or decrease according to the disease. To pay attention to aspects of protein diet quality; choose easily digestible protein nutrition and higher prices of food. Recently Watanabe et al further pointed out that less intake of aromatic amino acids, and more intake of branched-chain amino acid foods, which is effective in improving liver disease. Because the former contains more mammals