Elevated Liver tests: May be non alcoholic fatty liver liver disease . which is becoming more common and associated with central obesity , diabetes ,dyslipidemia , hypertension and metabolic syndrome. With HgbA1c of 8. 8 your DM is not ideally controlled and that can be a source of fatigue. f/u/ w/ endocrinologist. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112878/
Answered 2/9/2019
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