I ve been a type1 diabetic since I was 7. I m now 50. My blood sugar control has been good,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 m going to a new endocrinologist next week. 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