Symptom 15. The Not-So-Sweet Truth: Hyperglycemia
Cirrhosis can lead to a surprising array of symptoms, and one such symptom is hyperglycemia, or high blood sugar. The liver plays a crucial role in regulating blood sugar levels, so when it’s damaged, it can lead to disruptions in glucose metabolism, resulting in hyperglycemia.
The liver helps maintain blood sugar balance in two primary ways. First, it stores excess glucose in the form of glycogen, releasing it into the bloodstream when blood sugar levels drop. Second, it produces glucose from non-carbohydrate sources, a process known as gluconeogenesis, to keep blood sugar levels steady during periods of fasting or increased energy demand.
In the case of cirrhosis, the liver’s ability to perform these functions can be compromised, leading to hyperglycemia. This can result in symptoms like frequent urination, increased thirst, fatigue, blurred vision, and headaches. If left unmanaged, hyperglycemia can lead to serious complications, including nerve damage, kidney damage, and cardiovascular disease. (15)