Glycogenic Hepatopathy: A Case Report of a Rare Complication in Uncontrolled Diabetes

Glycogenic hepatopathy (GH) is an underrecognized yet reversible cause of hepatomegaly and transaminase elevation in adolescents with poorly controlled type 1 diabetes mellitus (T1DM). While liver biopsy is often utilized to exclude other hepatic pathologies, it can also aid in confirming GH when noninvasive findings are inconclusive. We present a case of an 18-year-old male with type 1 diabetes, whose poorly controlled condition led to the development of GH. The diagnosis was confirmed through a liver biopsy, emphasizing the significance of early detection and proper glycemic management in preventing irreversible liver damage.