الفهرس 
Introduction and aim of the workOnly 14 pages are availabe for public view
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Abstract
Liver is unique in control of carbohydrate metabolism. Impaired glucose tolerance occurs in approximately 60-80% of cirrhotic patients and diabetes mellitus in 10-30%. Cirrhosis and diabetes mellitus are very common diseases. There are protective factors in cirrhosis (low blood pressure. cholesterol level. low platelet count) protect the cirrhotic diabetic patients from diabetic complications. Patients with cirrhosis and clinically detectable diabetes are at increased risk for mortality, the causes of death were mainly related to liver cell failure and not due to diabetes associated cardiovascular complications. Our subjective in this study is to evaluate the effect of cirrhosis on diabetic complications in patients with diabetes and cirrhosis. To fulfil this aim, one hundred and fifty patients were studied. The patients were classified into five main groups: group I: cirrhotic in prediabetic state (IGT) . this group include three subgroups: i. Cirrhotic in prediabetic state with positive Anti-HCY ii. cirrhotic in prediabetic state with HBsAg positive. iii LBilharzial hepatic fibrosis in prediabetic state. group II: cirrhotic diabetic. this group include three subgroups: Lcirrhotic diabetic with positive Anti-HCY subgroup ii. cirrhotic diabetic with positive HBsAg subgroup iii. Bilharzial hepatic fibrosis in diabetic state. group III : cirrhotic with normal glucose tolerance. group IV: patients with diabetes mellitus. group V : patients with impaired glucose tolerance.