糖尿病和肝炎都是我国的常见病、多发病。20 岁以上的普通人群糖尿病患病率达3．21％。我国以病毒性肝炎发病率最高。其中约10％发展为慢性肝炎,部分可发展为肝硬化和肝癌。近年来临床上越来越多地出现肝炎合并糖尿病的患者,这不但使患者受到双重打击,而且给临床医生的治疗及判断预后带来新的挑战。肝病和糖尿病同时存在的主要原因有三类:即慢性肝病引起肝原性糖尿病;原发 Diabetes and hepatitis are common diseases and frequently-occurring diseases in our country. The prevalence of diabetes in the general population over the age of 20 reached 3.21%. China has the highest incidence of viral hepatitis. About 10% of them develop chronic hepatitis, some can develop cirrhosis and liver cancer. In recent years, more and more clinical patients with hepatitis and diabetes mellitus, which not only double the patients hit, but also to clinicians to treat and determine the prognosis brings new challenges. There are three main reasons for the simultaneous existence of liver disease and diabetes: chronic liver disease causes hepatic diabetes; primary