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

### input:
I ve been a type1 diabetic since I was 7. I m now 50. My blood sugar control has been good,using humalog (short-acting insulin) and Lants (insulin for basal blood sugar contro),but I was in an auto accident 8 years ago. I had chronic fatigue just weeks after the accident. Many tests were done, but nothing significant was found. i have had high liver enzymes since the accident, but a biopsy showed no disease. Doctors said, Just live with it. This year i went to an osteopath, who immediately noticed my liver was congested and had structural damage. Even though my hemoglobin A1C tests have been in the mid 6 s, when i get low, my blood sugar will sometimes spike after just 5-10 grams of carbohydrates. other times I m still low after 25 grams of carbohydrates. This happens 1-2 times a week, with no triggers I can anticipate. In talking with a diabetes educator, I learned that this was probably a function of my liver being off. Is there any way I can anticipate how my liver will release sugar, or is it simply a guess and check process? I went to a new endocrinologist last week. When she looked over my labs, she said I should be referred to a liver specialist. Since my A1C levels are good, and I check blood sugars regularly, eat regularly, and do everything according o good diabetes control, she say the only variable is my liver function. She is very concerned about my blood sugar spikes and dips that don t seem to follow the rules. I take milk thistle for my liver, do liver massages and pumps my osteopath taught me, and also use creams and clay for liver support. Is there anything else you can suggest to balance my blood sugar as I get my liver healed? How long does this generally take to get a liver fully functional with enzmes in normal range? Thank you, Jayne

### output:

Dear friend, greeting. I understood your problems..... I know your liver is injured and congested with inflammation . As reflected by your elevated liver or hepatobiliary enzymes.... Plus you are a diabetes ... You need to avoid any Chat Doctor. . Please do keep a track of your liver enzymes and blood glucose levels . Keep checking your HbA1c every two months with LFT and lipid profile. You can take some heat protective 