Hi, My name is XXXXX and my husband has some lab work done yesterday and his alt and ast is elevated to 618 for the ast and alt is 287 and since I am a nurse I am racking my brain out. He has been diagnosed with fatty liver and we have kept a eye on his enzymes and they have never been over 90. I have researched and he has DM,HTN.please help.email YYYY@YYYY
Hi, Welcome to Chat Doctor Firstly Fatty liver i not a dangerous condition. It is the most common incidental finding during Ultrasound scan of whole abdomen.  But the elevated GOT and SGPT indicates presence of some hepatocellular injury.  But in these conditions Bilirubin levels are also becomes elevated. So, for total impression you have to give the other reports.  If all others are normal, then 1. Avoid rich diets, 2. Avoid alcohol.  3. Take nutritional and balanced diet.  4. Consult with treating doctor for taking liver protective Chat Doctor.  5. Follow up the enzyme levels after 2 months.  Regards.