I am 45 and diagnosed with HBV 10 years ago, probably having it since birth. I have been on Entecavir for the last 10 years.
The HBV viral load has been TND since I started the treatment.
HbsAb was also insignificant but this time its increasing,
Ultrasound was always - “The liver shows coarse echotexture and diffuse increased echogenicity”, this time its - “Echotexture is normal. Surface is smooth”
I noticed more than 5% weight loss without any lifestyle changes and was always feeling hungry, hence blood work and Glucose came very high - 350, so was diagnosed with diabetes.
I am guessing that diabetes caused my body to burn all the fat in my liver and hence it shows a smooth surface on ultrasound. At the same time HbsAb increased to 4.3, not sure what is causing what. Even though HbsAab is still not at where it should be, should I feel happy about the fact that it’s increasing? or am I reading too much into it?
My doctor immediately started me on metformin which hopefully should keep diabetes in control…