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Non-alcoholic fatty liver disease (NAFLD) is a highly prevalent disorder associated with obesity and metabolic syndrome. The main pathophysiological factor of liver steatosis is insulin resistance that may lead to development of type 2 diabetes mellitus. Overcoming of insulin resistance by means of body weight reduction and administration of insulin sensitizers is considered to be a promising approach to NAFLD treatment. In accordance with the Russian guidelines on diagnostics and treatment of NAFLD, sibutramine is the drug of choice for medical treatment of obesity. As for insulin sensitizers, metformin (biguanide class) is widely used for treatment of NAFLD in everyday clinical practice. Treatment of NAFLD as a component of metabolic syndrome should be multifactorial and aimed at different aspects of the disease pathophysiology. 

About the authors

O. A. Pavlenko

Siberian State Medical University, Tomsk

Author for correspondence.
Email: pavlenko.51@mail.ru

Pavlenko Olga Alekseevna – MD, PhD, Professor, Department of Endocrinology and Diabetology

* 81–7 Tverskaya ul.,Tomsk, 634041,Russian Federation. E-mail: pavlenko.51@mail.ru

Russian Federation


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