If you have type 2 diabetes, drinking fruit juice with fructose might affect your liver more than it would for someone without diabetes, possibly leading to more fat building up in the liver.

Even if you drink fruit juice with lots of fructose, it doesn’t seem to make your body less sensitive to insulin or worsen fatty liver—once you account for how much you eat overall and how active you are.

Drinking a lot of fruit juice might increase fat in your liver, even if you're not eating too many calories overall.

If you’ve just been diagnosed with type 2 diabetes and you eat twice as much fruit as before, you might be 13% less likely to get a fatty liver—even if you’re eating the same total amount of calories.

Eating fructose from whole fruits doesn’t seem to raise liver fat in middle-aged people, even after accounting for things like how much they eat or how active they are — maybe because the natural package of the fruit protects against any downsides of fructose.

Drinking more sugary drinks might increase fat in your liver, especially if you're a middle-aged adult. People who drink the most of these beverages tend to have about 9% more liver fat than those who drink the least, even after accounting for other health and lifestyle differences.