### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have the beginning of fatty liver disease. I m told that it is not cause by eating fat. I ve read that there is no sure answer as to what causes it. I m a diabetic Type II for over 20 years. Insulin dependent, extreme insulin resistant, and now insulinemia. So what can I do to prevent any further damage. I was having pre and post meal counts of over 250 and ocassionally was over 300. This has been going on for a while. I went on the Keto diet at 20total carbs per day...once in a while 30. So, now I am aiming for zero carbs a day. I know there are 1/2 - 2 carbs in some things, but my goal is to stay as close to zero as possible. It has brought my sugar levels down to 90-126 2hr post meals so it is working pretty well. I walk on the treadmill 4-5 days a week trying to build from 30 minutes to 45. I work 5-6 days a week in real estate so I m on the go a lot. I m 71.

### output:

Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Type two diabetes and hypercholesterol is associated with fatty liver disease. Now as your diabetes is controlled, you can switch over to oral antihypoglycemic Chat Doctor.  Healthy lifestyle change should be continued. For fatty liver Adílio tablet can be prescribed. Fatty foods and refined food should be restricted. Take fruits more that is having low glycemic index. Hope I have solved your query. Let me know if I can assist you further.