Type 1 diabetes

Liver fat content is not elevated in people with type 1 diabetes: the Maastricht Study

DiabetologiaPublished Cross-sectional analysis of a population-based cohort study

Authors' conclusion

The liver fat content of individuals with type 1 diabetes was comparable to that of people without diabetes and lower than that in those with type 2 diabetes. This difference was independent of the level of obesity, dietary factors and other potential confounders, but was partially explained by insulin sensitivity and insulin treatment.

Study context

Population
Participants of The Maastricht Study with T1D, T2D or normal glucose metabolism, matched on BMI, sex, age and educational level1:2:2 matched
Participants
29 / 58 / 58
Exposure
Liver fat content in T1D vs T2D vs normal glucose metabolism
  • T1Dn = 29
  • T2Dn = 58
  • Normal glucose metabolismn = 58reference
Outcome
Liver fat content estimated by MRI (log-transformed)
Methodological detailsThe Maastricht Study, 1:2:2 matching on BMI, sex, age and educational level, multiple linear regression, MRI-estimated liver fat
  • The Maastricht Study
  • 1:2:2 matching on BMI, sex, age and educational level
  • Multiple linear regression
  • MRI-estimated liver fat

Main finding

As reported in the abstract

Liver fat content

T1D vs T2D: P = 0.001 · T1D vs Normal glucose metabolism: P = 0.064

Observational data: associations, not effects.

Original publication

Liver fat content is not elevated in people with type 1 diabetes: the Maastricht Study. Diabetologia. Published 7 November 2025. doi:10.1007/s00125-025-06597-y

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