Diabetic patients are prone to develop altered liver functions. If you have any of the symptoms like pain in the stomach, loss of appetite, bloating, nausea, tiredness, yellow skin and eyes, confusion, bad breath, tremors in hand, itching or bleeding, visit your doctor and inform them about that. Your doctor will get your liver function tests done and then decide if you need Hepamerz injection or not. You should avoid self-medication.