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Alcohol And Type 2 Diabetes

Drinking And Type 2 Diabetes

Drinking And Type 2 Diabetes

Popping a champagne bottle, clinking glasses for a toast, or sharing a beer with friends are time-honored rituals. If you have type 2 diabetes, does this mean those rituals can no longer be part of your life? Questions to Ask Before Imbibing You should ask yourself these three questions before you consider drinking alcohol: Is your diabetes under control? Do you have any other illnesses that could be made worse by drinking alcohol? Do you know how to manage your blood sugar if it dips too low or rises too high? If your diabetes is not under control; if you have other illnesses affecting your liver, heart, or nerves; or if you don’t know what to do if your blood sugar fluctuates too much, alcohol may cause some significant side effects. Finally, if you didn’t drink alcohol before you were diagnosed with diabetes, you probably shouldn’t start now. Regular drinking can also interfere with good diabetes self-care. A large study of nearly 66,000 patients with diabetes published in April 2013 in the journal Acta Diabetologica found that the more patients drank, the less likely they were to adhere to important self-care behaviors like getting enough exercise, not smoking, eating a healthy diet, and taking their diabetes medications. Your Physician’s Input Is Important Cynthia Herrick, MD, a Washington University endocrinologist with Barnes-Jewish Hospital in St. Louis, says people with type 2 diabetes should talk with their physician about how often — and how much — they drink. If you’re healthy and your doctor doesn’t see any reason why you can’t drink alcohol, as always, moderation is the key. Robert Ruxin, MD, an endocrinologist in Ridgefield, Connecticut, says moderation means a daily limit of "one alcoholic drink equivalent or less for women and two or l Continue reading >>

Diabetes & Alcohol

Diabetes & Alcohol

Drinking alcohol can lead to serious low blood sugar reactions. Alcohol can also affect diabetic nerve damage, eye disease, and high blood triglycerides. You may wonder if drinking alcohol is safe for people with diabetes. If you drink alcohol, there are some things you need to know first about alcohol safety. Is it Safe to Drink Alcohol? Check with your doctor to make sure alcohol doesn’t interfere with your medications or complicate any of your medical conditions. Drinking alcohol can lead to serious low blood sugar reactions, especially if you take insulin or types of diabetes pills that stimulate the release of insulin from the pancreas. Alcohol can also affect other medical conditions you may have, like diabetic nerve damage, diabetic eye disease, and high blood triglycerides. Get guidelines for alcohol use from your medical provider. How Much Alcohol Can I Drink? If you choose to drink alcohol, drink in moderation. Limit your intake of alcohol to no more than one serving per day for women, and no more than two servings per day for men. One serving size of alcohol equals: 12 ounces of beer 5 ounces of wine 1½ ounces of distilled spirits (such as rum, whiskey, gin, etc.) Alcohol and Risk of Low Blood Sugar If you are managing your diabetes with diet and exercise alone, drinking alcohol can stil increase your risk of low blood sugars. And if you take insulin or types of diabetes pills that stimulate insulin production, drinking alcohol can lead to even more serious low blood sugar reactions. Normally, the liver releases glucose to maintain blood sugar levels. But when you drink alcohol, the liver is busy breaking the alcohol down, so it does a poor job of releasing glucose into the bloodstream. This can lead to a drop in blood sugar levels if you are drinking alco Continue reading >>

Diabetes, Alcohol, And Social Drinking

Diabetes, Alcohol, And Social Drinking

People with diabetes should be particularly cautious when it comes to drinking alcohol because alcohol can make some of the complications of diabetes worse. First of all, alcohol impacts the liver in doing its job of regulating blood sugar. Alcohol can also interact with some medications that are prescribed to people with diabetes. Even if you only rarely drink alcohol, talk with your healthcare provider about it so that he or she knows which medications are best for you. Here’s what you need to know: 1. Alcohol interacts with diabetes medications Alcohol can cause blood glucose levels to rise or fall, depending on how much you drink. Some diabetes pills (including sulfonylureas and meglitinides) also lower blood glucose levels by stimulating the pancreas to make more insulin. Combining the blood-sugar-lowering effects of the medication with alcohol can lead to hypoglycemia or “insulin shock,” which is a medical emergency. 2. Alcohol prevents your liver from doing its job The main function of your liver is to store glycogen, which is the stored form of glucose, so that you will have a source of glucose when you haven’t eaten. When you drink alcohol, your liver has to work to remove it from your blood instead of working to regulate blood sugar, or blood glucose. For this reason, you should never drink alcohol when your blood glucose is already low. 3. Never drink alcohol on an empty stomach Food slows down the rate at which alcohol is absorbed into the bloodstream. Be sure to eat a meal or snack containing carbohydrates if you are going to drink alcohol. 4. Always test blood sugar before having an alcoholic beverage Alcohol impairs your liver’s ability to produce glucose, so be sure to know your blood glucose number before you drink an alcoholic beverage. 5. Al Continue reading >>

Alcohol And Type 2 Diabetes: What You Need To Know

Alcohol And Type 2 Diabetes: What You Need To Know

Many people with type 2 diabetes think they need to eliminate alcohol completely from their diet. But, in moderation, alcohol may actually have some health benefits. For instance, moderate alcohol consumption may reduce the risk of developing diabetes in people who don’t have the condition, particularly women, according to a data analysis published in the September 2015 issue of Diabetes Care. And in people who have type 2 diabetes that is well-controlled, a glass of red wine a day as part of a healthy diet may help improve heart disease risk factors, according to results of a two-year study published in Annals of Internal Medicine in October 2015. However, you need to be thoughtful about including any type of alcohol, even red wine, in your type 2 diabetes management plan. “The most important thing is to make sure you aren’t drinking alcohol on an empty stomach,” says Liz Brouillard, RD, LDN, CDE, nutrition manager at the Boston Medical Center’s Center for Endocrinology, Nutrition, and Weight Management in Massachusetts. She recommends only drinking alcohol with a meal or snack that contains both carbohydrates and protein. That's because alcohol can lower your blood sugar, creating a risky situation for people with type 2 diabetes. Symptoms of low blood sugar — sleepiness, dizziness, and disorientation — can look like being intoxicated, she says, adding that people who use insulin or other medications that lower blood sugar are at greater risk for hypoglycemia. If signs of hypoglycemia are mistaken for drunkenness, you may not get the help and treatment you need. For added safety and security, tell someone you're with about your condition. The American Diabetes Association (ADA) recommends wearing a medical ID that lets people know you have diabetes. Be C Continue reading >>

Diabetes And Alcohol

Diabetes And Alcohol

If you have diabetes, drinking alcohol may cause your blood sugar to either rise or fall. Plus, alcohol has a lot of calories. If you drink, do it occasionally and only when your diabetes and blood sugar level are well-controlled. If you are following a calorie-controlled meal plan, one drink of alcohol should be counted as two fat exchanges. It is a good idea to check with your doctor to see if drinking alcohol is safe for you. Here are some other ways that alcohol can affect diabetes: While moderate amounts of alcohol may cause blood sugar to rise, excess alcohol can actually decrease your blood sugar level -- sometimes causing it to drop into dangerous levels, especially for people with type 1 diabetes. Beer and sweet wine contain carbohydrates and may raise blood sugar. Alcohol stimulates your appetite, which can cause you to overeat and may affect your blood sugar control. Alcoholic drinks often have a lot of calories, making it more difficult to lose excess weight. Alcohol may also affect your judgment or willpower, causing you to make poor food choices. Alcohol can interfere with the positive effects of oral diabetes medicines or insulin. Alcohol may increase triglyceride levels. Alcohol may increase blood pressure. Alcohol can cause flushing, nausea, increased heart rate, and slurred speech. These may be confused with or mask the symptoms of low blood sugar. People with diabetes who drink should follow these alcohol consumption guidelines: Do not drink more than two drinks of alcohol in a one-day period if you are a man, or one drink if you are a woman. (Example: one alcoholic drink = 5-ounce glass of wine, 1 1/2-ounce "shot" of liquor or 12-ounce beer). Drink alcohol only with food. Drink slowly. Avoid "sugary" mixed drinks, sweet wines, or cordials. Mix liquor Continue reading >>

Effects Of Alcohol On Diabetes

Effects Of Alcohol On Diabetes

Alcohol, which is made from fermented yeast, sugars, and starches is a very commonly used substance. In fact, 87.6% of adults aged 18 and over have consumed it at some point in their lifetime. It is also known as a depressant due to its capability to depress the central nervous system. About 71% have drank in the past year. When enjoyed in moderation, alcohol does not pose a risk, and actually has some health benefits to it. However, for those with diabetes, it can be a struggle to maintain a safe blood sugar while drinking. It is very easy to become hypoglycemic (low blood sugar) or hyperglycemic (high blood sugar), depending on which type of diabetes you have and the medications that you take. Understanding the effects drinking has on diabetes is very important. This article discusses the risks and benefits of drinking. It also explains what drinks are best for individuals with Type 1 and Type 2 diabetes. Can I drink if I have diabetes? You can most certainly drink alcohol with diabetes. The key, just like many other things, is to do so in moderation. Also, if your blood sugar is not under good control, you should not drink because it can cause it to become too high or too low. Your doctor should be aware of your drinking habits so that they can make sure that you are not experiencing any complications related to it. I recommend reading the following articles: How does alcohol affect diabetes and my blood sugar levels? Normally, the liver is the organ that stores and secretes glucose to the cells in the body to fuel them when you are not eating. The liver is also responsible for cleansing the body of toxins. The liver does not recognize alcohol as food. Instead, it sees it as a drug and a toxin. When alcohol is in the system, the liver changes gears and begins to deto Continue reading >>

And Diabetes

And Diabetes

Diabetes is a common, life-long condition that occurs when the pancreas doesn’t produce enough insulin, or the insulin it does produce doesn’t work properly. Insulin is a hormone that transfers glucose from the bloodstream into the cells to be used for energy. If you have diabetes, your body cannot make proper use of this glucose so it builds up in the blood instead of moving into your cells. The chances of developing diabetes may depend on a mix of your genes and your lifestyle. Drinking to excess, for example, can contribute to individuals becoming diabetic. Diabetes is a manageable condition. But when it’s not well managed, it is associated with serious health complications including heart disease, stroke, blindness, kidney disease, nerve damage and amputations2. There are two main types of diabetes3 Type 1 diabetes develops if the body can’t produce enough insulin, because insulin-producing cells in the pancreas have been destroyed. It can happen: Because of genetic factors When a virus or infection triggers an autoimmune response (where the body starts attacking itself). People who have this type of diabetes are usually diagnosed before they’re 40 and there’s currently no way to prevent it. It’s the least common type of diabetes – only 10% of all cases are type 14. Type 2 diabetes. Develops when the body can still make some insulin, but not enough, or when the body becomes resistant to insulin. It can happen: When people are overweight and inactive. People who are an ‘apple-shape’ (with lots of fat around the abdomen) have a greater risk of developing type 2 diabetes Because of genetic factors. People who have this type of diabetes are usually diagnosed when they’re over 40, and it’s more common in men. However, more overweight children and Continue reading >>

Type 2 Diabetes And Alcohol: Proceed With Caution

Type 2 Diabetes And Alcohol: Proceed With Caution

Alcohol can worsen diabetes-related nerve damage.(RON CHAPPLE STOCK/CORBIS)Hoping for a beer at the ball game, or a glass of wine with dinner? If you have type 2 diabetes, that's probably OK as long as your blood sugar is under control, you don't have any complications that are affected by alcohol (such as high blood pressure), and you know how the drink will affect your blood sugar, according to the American Diabetes Association. An alcohol-containing drink a day might even help your heart (though if you don't already drink, most experts say that's not a reason to start). In moderation, alcohol may cut heart disease risk According to a study by researchers at the Harvard School of Public Health, women with type 2 diabetes who drank relatively small amounts of alcohol had a lower heart-disease risk than those who abstained. A second study found that men with diabetes had the same reduction in heart risk with a moderate alcohol intake as non-diabetic men. In general, the recommendations for alcohol consumption for someone with type 2 diabetes are the same as anyone else: no more than two drinks per day for men and no more than one drink per day for women. (Make sure to measure: A drink serving is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of hard liquor such as scotch, gin, tequila, or vodka.) People with diabetes who choose to drink need to take extra care keeping food, medications, alcohol, and blood sugars in balance. Janis Roszler, RD, a certified diabetes educator in Miami, Fla., recommends: Mixing alcoholic drinks with water or calorie-free diet sodas instead of sugary (and calorie- and carbohydrate-laden) sodas and other mixers. Once you have had your drink, switch to a non-alcoholic drink, such as sparkling water, for the rest of the evening. Make sure yo Continue reading >>

Alcohol Consumption And The Incidence Of Type Ii Diabetes

Alcohol Consumption And The Incidence Of Type Ii Diabetes

Alcohol consumption and the incidence of type II diabetes This article has been cited by other articles in PMC. Background: This study examines the relation between alcohol and type II diabetes and the possible mediating effects of HDL-cholesterol and serum insulin. Methods: Prospective study of 5221 men aged 4059 years with no history of coronary heart disease, diabetes, or stroke drawn from general practices in 18 British towns. Results: During the mean follow up of 16.8 years there were 198 incident cases of type II diabetes. Occasional drinkers were the reference group. A non-linear relation was seen between alcohol intake and age adjusted risk of diabetes, with risk lowest in light and moderate drinkers and highest in heavy drinkers (quadratic trend p=0.03). Further adjustment for body mass index decreased risk in heavy drinkers. After additional adjustment for physical activity, smoking, and (undiagnosed) pre-existing coronary heart disease, only moderate drinkers showed significantly lower risk than occasional drinkers (RR=0.66 95% CI 0.44 to 0.99). Alcohol intake was inversely associated with serum insulin and positively associated with HDL-cholesterol. Adjustment for these factors reduced the "protective" effect in moderate drinkers (adjusted RR=0.73 95% CI 0.48 to 1.10) but the quadratic trend remained significant (p=0.02). Conclusion: There is a non-linear relation between alcohol intake and the risk of type II diabetes. Serum insulin and HDL-cholesterol explained a small amount (20%) of the reduction in risk of type II diabetes associated with moderate drinking. The adverse effect of heavy drinking seemed to be partially mediated through its effect on body weight. The Full Text of this article is available as a PDF (139K). These references are in PubMed. Th Continue reading >>

Alcohol Consumption And The Incidence Of Type 2 Diabetes

Alcohol Consumption And The Incidence Of Type 2 Diabetes

A 20-year follow-up of the Finnish Twin Cohort Study Abstract OBJECTIVE—The aim of this study was to investigate alcohol consumption in relation to the incidence of type 2 diabetes. RESEARCH DESIGN AND METHODS—The study population consisted of 22,778 twins of the Finnish Twin Cohort. This cohort was compiled in 1975 and includes all same-sexed twins born in Finland before 1958. Information on alcohol, smoking, diet, physical activity, medical, and social conditions was obtained by questionnaires administered in 1975, 1981, and 1990. By record linkage to national registers of hospital discharge and prescribed medication, 580 incident cases of type 2 diabetes were identified during 20 years of follow-up. RESULTS—Moderate alcohol consumption (5–29.9 g/day in men and 5–19.9 g/day in women) tended to be associated with a reduced incidence of type 2 diabetes compared with low consumption (<5 g/day). The estimates were lower in overweight (BMI ≥25.0 kg/m2) subjects (relative risk 0.7, 95% CI 0.5–1.0 [men]; 0.6, 0.3–1.1 [women]). High alcohol consumption (≥20 g/day) was associated with an increased incidence of type 2 diabetes in lean women (2.9, 1.1–7.5) but not in overweight women or in men. In women, binge drinking was associated with an increased incidence of type 2 diabetes (2.1, 1.0–4.4). Analyses of alcohol-discordant twin pairs supported a reduced risk in moderate consuming twins compared with their low-consuming cotwins (odds ratio 0.5, 95% CI 0.2–1.5). CONCLUSIONS—The results of this study suggested that moderate alcohol consumption may reduce the risk of type 2 diabetes. On the other hand, binge drinking and high alcohol consumption may increase the risk of type 2 diabetes in women. In recent years, increasing attention has been paid to the Continue reading >>

Diabetes And Alcohol: Do The Two Mix? (part 3)

Diabetes And Alcohol: Do The Two Mix? (part 3)

Over the last two weeks, we’ve been taking a closer look at alcohol. Several of you have submitted great questions and comments about alcohol, too. The use of alcohol among people with diabetes often stirs up controversy: There are those who feel that people with diabetes shouldn’t drink at all, while others remain on the fence and believe it’s OK to have alcohol once in a while. It’s important to point out that there are no hard and fast rules when it comes to drinking alcohol. That’s why I repeatedly state that it’s important to have this discussion with your health-care provider, as the “rules” can vary from person to person. But, assuming that you’ve gotten the green light from your provider to carefully and safely enjoy alcohol on occasion, how do you fit it into your meal plan? How much can you drink? And what are the best choices? Let’s go through these questions one by one. Fitting alcohol into your meal plan Alcohol is unlike carbohydrate, protein, and fat. However, alcohol is metabolized, or handled, by the body in a manner similar to fat. This means that calories from alcohol can easily be stored as fat unless you burn them off. Alcohol contains 7 calories per gram; fat contains 9 calories per gram, and carb and protein contain 4 calories per gram. So alcohol is a prime source of calories. If you’re trying to lose or maintain your weight, you need to think about this carefully. An occasional glass of wine isn’t a problem. But if you tend to have a glass of wine every night, you need to consider that 4 ounces of wine contains about 90 calories. Over time, this can add up. You may want to cut out 90 calories somewhere else in your meal plan to balance things out and avoid that spare tire around your waist. Remember, too, that alcohol may Continue reading >>

Alcohol Consumption And The Incidence Of Type Ii Diabetes

Alcohol Consumption And The Incidence Of Type Ii Diabetes

Abstract Background: This study examines the relation between alcohol and type II diabetes and the possible mediating effects of HDL-cholesterol and serum insulin. Methods: Prospective study of 5221 men aged 40–59 years with no history of coronary heart disease, diabetes, or stroke drawn from general practices in 18 British towns. Results: During the mean follow up of 16.8 years there were 198 incident cases of type II diabetes. Occasional drinkers were the reference group. A non-linear relation was seen between alcohol intake and age adjusted risk of diabetes, with risk lowest in light and moderate drinkers and highest in heavy drinkers (quadratic trend p=0.03). Further adjustment for body mass index decreased risk in heavy drinkers. After additional adjustment for physical activity, smoking, and (undiagnosed) pre-existing coronary heart disease, only moderate drinkers showed significantly lower risk than occasional drinkers (RR=0.66 95% CI 0.44 to 0.99). Alcohol intake was inversely associated with serum insulin and positively associated with HDL-cholesterol. Adjustment for these factors reduced the “protective” effect in moderate drinkers (adjusted RR=0.73 95% CI 0.48 to 1.10) but the quadratic trend remained significant (p=0.02). Conclusion: There is a non-linear relation between alcohol intake and the risk of type II diabetes. Serum insulin and HDL-cholesterol explained a small amount (20%) of the reduction in risk of type II diabetes associated with moderate drinking. The adverse effect of heavy drinking seemed to be partially mediated through its effect on body weight. Continue reading >>

Should I Drink Alcohol?

Should I Drink Alcohol?

In Australia, drinking alcohol is generally acceptable and for many people is a normal part of social events. However, for as long as alcohol has been used and enjoyed, some people have experienced problems associated with it. Most people with diabetes can enjoy a small amount of alcohol. However, it’s best to discuss it first with your diabetes health care team. For people who are on insulin or certain diabetes tablets, alcohol may increase the risk of hypoglycaemia (‘hypos’). Guidelines Limit your alcohol intake if you choose to drink. Current guidelines recommend no more than two standard drinks a day for both men and women. For those who need to control weight or lose weight, it's a good idea to cut down your intake. It is also best to drink alcohol with a meal or some carbohydrate-containing food. One standard drink is equal to: 100 mL wine 285 mL regular beer 30 mL spirits 60 mL fortified wine 375 mL low-alcohol beer (less than 3% alcohol). It is important to remember: All alcoholic drinks are high in kilojoules and can contribute to weight gain Too much alcohol can increase the risk of developing complications by putting on weight and increasing blood pressure Drinking a lot of alcohol can cause hypoglycaemia if you are taking insulin or certain diabetes tablets Low alcohol or ‘lite’ beers are a better choice than regular or diet beers because they are lower in alcohol When mixing drinks use low joule/diet mixers such as diet cola, diet ginger ale, diet tonic water. Continue reading >>

Type 2 Diabetes: Drinking Alcohol Regularly Could Reduce Risk Of Disease

Type 2 Diabetes: Drinking Alcohol Regularly Could Reduce Risk Of Disease

Alcohol in moderation could avoid the need for painful daily injections for type 2 diabetes sufferers. It's associated with a reduced risk of diabetes in both men and women, according to a new study published in Diabetologia. Experts have found with alcohol consumption over 3 to 4 week days giving the lowest risks of diabetes. They study analysed 70,000 participants who gave detail of alcohol consumption. Participants were told two record the amount of alcohol they consumed in questionnaires. Participants were also asked whether their alcohol consumption had increased, decreased or remained stable over the previous five years. The data was adjusted to take the following factors into consideration: age, sex, level of education, body mass index, smoking status, diet, leisure time activity, current or previous hypertension and family history of diabetes. During follow up, 859 men and 887 women developed diabetes. In terms of weekly alcohol amount, the lowest risk of developing diabetes being found in individuals consuming moderate amounts of alcohol. Men consuming 14 drinks per week were found to have a 43 per cent lower risk of diabetes relative to no alcohol intake, and women consuming nine drinks per week had a 58 per cent lower risk compared with women who did not drink at all. In terms of frequency, the data revealed that consumption of alcohol three to four days a week gave the lowest risk of diabetes – a 27 per cent lower risk in men and a 32 per cent lower risk in women – when compared to individuals drinking less than one day per week. However women who drink spirits frequently had an increased risk of diabetes, the study found. The authors conclude: “Our findings suggest that alcohol drinking frequency is associated with the risk of diabetes and that consum Continue reading >>

Alcohol As A Risk Factor For Type 2 Diabetes

Alcohol As A Risk Factor For Type 2 Diabetes

Alcohol as a Risk Factor for Type 2 Diabetes 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; 3Technische Universitt Dresden, Dresden, Germany. 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; 3Technische Universitt Dresden, Dresden, Germany. Corresponding author: Dolly Baliunas, [email protected] . Received 2009 Feb 6; Accepted 2009 Jul 22. Copyright 2009 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See for details. This article has been cited by other articles in PMC. To clarify the dose-response relationship between alcohol consumption and type 2 diabetes. A systematic computer-assisted and hand search was conducted to identify relevant articles with longitudinal design and quantitative measurement of alcohol consumption. Adjustment was made for the sick-quitter effect. We used fractional polynomials in a meta-regression to determine the dose-response relationships by sex and end point using lifetime abstainers as the reference group. The search revealed 20 cohort studies Continue reading >>

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