Type 1 diabetes

Liver disease in people with latent autoimmune diabetes in adults (LADA): A cross-sectional study using magnetic resonance elastography

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Liver fat accumulates differently in LADA and in T1D compared to T2D, reflecting a different body fat distribution despite a similar BMI. Factors associated with liver stiffness differ among diabetes types.

Study context

Population
People with LADA, T2D and T1D; liver magnetic resonance (MR) and MR elastography for proton density fat fraction (PDFF) and stiffness; Visceral adipose tissue (VAT) by DXA
Participants
31 / 31 / 31
Exposure
LADA vs T2D vs T1D
  • LADAn = 31
  • T2Dn = 31
  • T1Dn = 31
Outcome
Liver steatosis (PDFF >5.5%)
Methodological detailsmatched
  • Matched

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Liver stiffness

Stiffness did not differ among groups

Factors associated with PDFF and liver stiffness

Body mass index (BMI) a marker of liver fat content only in T2D (interaction p-value)
<0.001
BMI a marker of liver stiffness only in T2D (interaction p-value)
0.019
HbA1c associated with liver stiffness differently among diabetes types (interaction p-value)
0.034
VAT associated with liver stiffness differently among diabetes types (interaction p-value)
0.016
VAT related to PDFF in whole population
Kidney function inversely associated with liver stiffness in whole population, without differences by diabetes type

Original publication

Liver disease in people with latent autoimmune diabetes in adults (LADA): A cross-sectional study using magnetic resonance elastography. Diabetes Res Clin Pract. Published 8 September 2025. doi:10.1016/j.diabres.2025.112465

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