Individuals with fatty liver and high triglycerides but normal glucose may have 'pre-pre-diabetes' and represent a key population for early intervention.

“I'd say the majority of the population that I see they've already got fatty liver they've got high triglycerides but their glucose looks fine and that is a really important population to really educate because I'm telling them now that you don't have pre-diabetes you have pre pre-diabetes and this is where we can make the most impact at this stage because you've probably got some preserved beta cell function you've got some compensatory hyperinsulinemia that's overcoming that”