• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

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Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

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Diabetes symptoms

Diabetes Symptoms in Men: Early Warning Signs You Should Not Ignore

Diabetes is one of the fastest-growing health challenges worldwide, and men are particularly vulnerable to its long-term complications. In India, the burden of diabetes has increased sharply over the past two decades, driven by lifestyle changes, sedentary habits and dietary patterns. Despite this, many men remain unaware of early diabetes symptoms or delay medical consultation until complications develop.

Understanding diabetes symptoms in men is essential for early diagnosis, effective management and prevention of serious health consequences.

 

What Is Diabetes?

Diabetes is a chronic metabolic disorder characterised by high blood sugar levels due to:

  • insufficient insulin production
     

  • ineffective insulin action
     

  • or both
     

The most common form affecting men is type 2 diabetes, which is strongly linked to lifestyle factors.

 

Why Men Are at Higher Risk

Several factors increase diabetes risk in men:

  • higher abdominal fat accumulation
     

  • smoking and alcohol consumption
     

  • irregular eating patterns
     

  • work-related stress
     

  • lower healthcare-seeking behaviour
     

According to Indian Council of Medical Research data, a significant proportion of men remain undiagnosed until advanced stages.

 

Early Diabetes Symptoms in Men

Frequent Urination

Excess sugar in the blood causes kidneys to work harder, leading to increased urination, especially at night.

 

Excessive Thirst

Frequent urination leads to dehydration, causing constant thirst.

 

Fatigue and Weakness

Cells cannot utilise glucose efficiently, resulting in low energy levels and persistent tiredness.

 

Unexplained Weight Changes

Men may experience unexplained weight loss despite normal or increased appetite.

 

Increased Hunger

Insulin resistance prevents glucose from entering cells, triggering frequent hunger.

 

Diabetes Symptoms Unique or Commonly Seen in Men

Erectile Dysfunction

Diabetes damages blood vessels and nerves, leading to erectile dysfunction.

Studies show a strong association between diabetes and male sexual health problems.

 

Reduced Testosterone Levels

Men with diabetes often have lower testosterone, affecting libido, muscle mass and mood.

 

Decreased Muscle Strength

Poor glucose utilisation affects muscle health and physical stamina.

 

Skin and Infection-Related Symptoms

Slow-Healing Wounds

High blood sugar impairs wound healing, increasing infection risk.

 

Frequent Infections

Men with diabetes are more prone to:

  • skin infections
     

  • urinary tract infections
     

  • fungal infections
     

 

Vision and Nerve Symptoms

Blurred Vision

Fluctuating blood sugar affects eye lenses, causing blurred vision.

 

Tingling or Numbness

Nerve damage, known as diabetic neuropathy, causes tingling or numbness in hands and feet.

 

Why Diabetes Symptoms Are Often Ignored by Men

Many men dismiss symptoms as:

  • work-related fatigue
     

  • ageing
     

  • stress
     

This delay increases the risk of complications.

 

Long-Term Complications of Untreated Diabetes

If untreated, diabetes can lead to:

  • heart disease
     

  • kidney failure
     

  • nerve damage
     

  • vision loss
     

  • sexual dysfunction
     

According to WHO and Lancet studies, early detection significantly reduces complication risk.

 

Importance of Early Diagnosis

Early diagnosis allows:

  • better blood sugar control
     

  • lifestyle modification
     

  • prevention of organ damage
     

Routine screening is crucial, even in the absence of symptoms.

 

When Should Men Get Tested?

Men should consider testing if they:

  • are over 30 years old
     

  • have a family history of diabetes
     

  • are overweight
     

  • have a sedentary lifestyle
     

  • experience any warning signs
     

Annual screening is recommended for at-risk individuals.

 

Managing Diabetes After Diagnosis

Effective management includes:

  • healthy diet
     

  • regular physical activity
     

  • weight control
     

  • stress management
     

  • medical treatment as advised
     

Early management improves quality of life.

 

Role of Preventive Healthcare

Preventive healthcare focuses on:

  • early screening
     

  • lifestyle intervention
     

  • regular follow-up
     

According to NITI Aayog, preventive strategies are essential to control India’s diabetes burden.

 

Mental Health and Diabetes in Men

Diabetes can affect mental wellbeing, leading to:

  • stress
     

  • anxiety
     

  • depression
     

Addressing emotional health improves diabetes outcomes.

 

Breaking the Stigma Around Men’s Health

Men often avoid seeking help due to stigma.

Promoting awareness helps:

  • normalise health conversations
     

  • encourage timely medical care
     

  • reduce preventable complications
     

 

Conclusion

Diabetes symptoms in men often develop gradually and may go unnoticed for years. Frequent urination, fatigue, unexplained weight changes and sexual health issues should never be ignored. Early diagnosis and timely management significantly reduce the risk of serious complications and improve long-term health outcomes. Awareness, routine screening and proactive healthcare are essential steps for men to protect their health and wellbeing in an era of rising lifestyle diseases.

 

References

  • Indian Council of Medical Research (ICMR) – Diabetes Epidemiology and Risk Studies
  • World Health Organization (WHO) – Diabetes Prevention and Management Guidelines
  • National Family Health Survey (NFHS-5) – Diabetes Prevalence in Men
  • Lancet Diabetes & Endocrinology – Male-Specific Diabetes Outcomes
  • NITI Aayog – Non-Communicable Disease Prevention Reports
  • Statista – Global Diabetes Trends and Gender Differences

 

See all

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