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 >>
Diabetes And Beer: 4 Tips For Your Night Out
People with diabetes are accustomed to monitoring their food choices and portions. However, they often overlook some critical areas of their disease. One of these is alcohol consumption. The common way of thinking is that unless the individual is an alcoholic, drinking beer isn't going to have a negative impact on their disease. But is that really true about diabetes and beer? Can even one beer alter blood glucose levels? The short answer is yes. Alcohol can lower glucose levels, whether you have one beer or 10. This can be dangerous for individuals who are taking insulin, since combining insulin with beer can create a hypoglycemic episode. Social drinking can be even more dangerous because it's easier to lose sight of how much alcohol you are consuming until your blood sugar drops too low. Some may argue that only drinking a few beers isn't going to cause enough damage to warrant concern. In reality, anytime blood sugar levels get too high or too low, your body will be impacted. Nevertheless, you don't have to give up drinking entirely. Here are four tips on how to drink responsibly. 1. Eat while you drink Remember: alcohol remains in your system longer than glucose from food, so you should only consume beer with food. Drinking beer with a meal helps slow the rate of alcohol absorption and offers some protection against sugar spikes or dips. 2. Try a light beer, but be aware Light beer or brands that are low carb can help a little, but they don't entirely solve the problem. Beer is loaded with sugar, so remember that you need to treat it like a sugar-laden dessert. Check out this table of popular beers and their alcohol and carb content to help you plan ahead. 3. Know your meds Those who use insulin aren't the only ones who need to be aware of their beer consumption. T Continue reading >>
Is It Safe To Mix Metformin And Alcohol?
If you’re taking metformin to treat your diabetes, you may be wondering how this drug affects your ability to drink safely. Drinking alcohol can affect your diabetes symptoms directly, but there are additional risks if you drink alcohol with metformin. This article gives you information on how alcohol interacts with metformin and also how drinking alcohol can affect your diabetes. With any medicine you take, you should be aware of interactions that can happen if you use other substances. Metformin and alcohol can interact to increase your risk of harmful effects. You are at much greater risk of these effects if you frequently drink a lot of alcohol or you binge drink (drink a lot in short periods). These effects include an extremely low blood sugar level, called hypoglycemia, and a condition called lactic acidosis. Hypoglycemia Drinking alcohol while you’re taking metformin may cause extremely low blood sugar levels. Some symptoms of low blood sugar levels can be similar to symptoms of having too much alcohol. These include: drowsiness dizziness confusion Tell the people who are with you while you drink that you have diabetes. They can help you watch for these symptoms. If you or the people around you notice these symptoms, stop drinking and eat something right away to help increase your blood sugar level. If your symptoms of hypoglycemia are severe, such as losing consciousness, and you do not have a glucagon hypoglycemia rescue kit, someone with you should call 9-1-1. A glucagon hypoglycemia rescue kit includes human glucagon (a natural substance that helps balance your blood sugar level), a syringe to inject it, and instructions. You can use this kit for severe hypoglycemia when eating food will not help. If you are not familiar with this kit, talk to your doctor Continue reading >>
Real World Advice, Metformin And Beer.. And
Real world advice, Metformin and Beer.. And I have a host of issues im dealing with right now. I just started taking meds , Metformin 500MG a day and accupril. At this time in not ready to quit my drinking. I know i must but im trying to cope as hard as i can. I was drinking a LOT in the past 4 years and have been an every day drinker since i was 18.. Im now 35. I know i must stop. Im also sure i became T2 because of it. After i was told i was T2 in 2005 i tired the diet and execise thing but i lost track in a bad way. So i have not drank in 7 days, this was the hard, i have a spinal injury that keeps me in constant pain. Long crazy story short for now, I just cracked a light beer, i plan to drink 4 tall boy light beers. What sort of drama can i expect with the meds im on? Please be kind with me, im trying real hard and its not easy. I fully know all about the fact im out of control with beer. I would just like to know the facts from people who have drank on these meds. Thank you, and thank you all for understanding this delicate time for me. I'm a T 2 on metformin ( 850 2 x a day). I drink a glass of wine 3 or 4 times a week. I find that it keeps my bg more in the normal range than without it. They tell you make sure you eat a carb with the alcohol. 500mg of met once a day, unless you have kidney issues you won't have much problem with alcohol itself. The carbs in the beer I can't help you with because they wont do the same thing for you as they do for me so you'll have to test and find out. THe alcohol warning for metformin is due to the possibility of lactic acidosis which has a high fatality rate. However, the reason that happens is alcohol and metformin are processed the same way and your body can't do both at the same time at the same rate so you will have the ef Continue reading >>
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Effects Of A Reduction In Circulating Insulin By Metformin On Serum Dehydroepiandrosterone Sulfate In Nondiabetic Men.
Abstract Evidence suggests that hyperinsulinemic insulin resistance may reduce serum levels of the adrenal steroid dehydroepiandrosterone (DHEA) sulfate in humans. This study was conducted to assess the influence of physiological concentrations of insulin on serum adrenal steroid levels by lowering circulating insulin in nondiabetic men through the administration of the biguanide metformin. A total of 28 nondiabetic men were studied. The study group consisted of 16 obese and hypertensive men, and the control group of 12 nonobese and normotensive men. The men were studied at baseline and after the oral administration of 500 mg metformin, 3 times daily, for 21 days. Metformin administration resulted in significant reductions in serum insulin levels and concurrent increases in serum DHEA sulfate levels in both groups of men. The mean fasting serum DHEA sulfate concentration rose by 48% in the obese hypertensive men (from 5.9 +/- 0.8 to 8.7 +/- 0.7 mumol/L; P < 0.02) and by 80% in the nonobese normotensive men (from 3.5 +/- 0.5 to 6.3 +/- 0.9 mumol/L; P < 0.05). When the results from both groups were combined, changes in serum DHEA sulfate levels (i.e. day 21 value minus day 0 value) correlated positively with baseline fasting serum insulin levels (r = 0.44; P = 0.02; n = 28). Moreover, changes in fasting serum DHEA sulfate levels correlated inversely with changes in fasting serum insulin levels (r = -0.38; P < 0.05; n = 28). These findings lend further credence to the idea that insulin acts as a physiological regulator of DHEA sulfate metabolism and lowers circulating DHEA sulfate concentrations in men. Continue reading >>
Metaformin And Alcohol Consumption
I second the low carb lifestyle on metformin. When I first started, I was on WW, and I had major 'reactions' It was bad. Since I started low carb/low sugar, I have been able to take it without reparcussions. I have cut way back on drinking and stick to Diet coke and bacardi. It's a pretty guilt free way to drink with my friends. yeah the best thing i've figured out with the met is to stay on a low carb, low sugar diet. it tends to help me with the stomach problems, though it doesn't make them go away. and if you're going to drink on occassion i would say to stck with something like sprite and club soda with lime.. try to stay away from sugar mixers. ... but if you drink heavily don't take metformin at all. it can cause a sometimes fatal condition called lactic acidosis. ...met is a wonderful medicine for PCOS, but you have to use it wisely and correctly! I only drink occassionally as is. I take 500 three times a day. I have never gotten hangovers before, now I always feel terrible the next day after drinking. Honestly, though I have been feeling pretty terrible for the entire year and half I have been on Met. I get nauseous a lot and have to be careful anytime I have anything with a lot of sugar in it because it just gives me a horrible stomach ache. I am so shocked by this news...I just started metformin this week but I have a trip planned down south with my girlfriends in about 3 weeks. I specifically asked my doctor about drinking while I was on it, because we are going all inclusive, and who am I kidding, I will definitely be drinking more than 1 or 2 drinks...he said it should be fine, but if i get diareha (tmi) to stop taking it. My tummy has been slightly upset since I started taking it, but I figured i would get over it before I left on the trip. My pharmacist Continue reading >>
Metformin And Alcohol
I know one isn't supposed to drink alcohol when talking Metformin. I take 1 Metformin a day and normally don't drink but tomorrow is New Year's Eve and I would really like a glass or two of wine. Is this permissible or should I give up alcohol for good now? The doctor asked if I drank when she first prescribed Metformin and I said occassionally but she didn't tell me to stop drinking altogether. What are your thoughts? Also, is adding alcohol to food advisable for a person with diabetes? I've just bought a low fat cookery book but many of the recipes add some alcohol (wine, sherry etc.) of some sort. Should I substitute the alcohol with something else? This question is for general blood glucose level control, not really to do with Metformin. A couple of drinks while you are on Met will likely not hurt you at all...I drank in moderation when I was on it..always presuming your liver is sound to begin with... I don't believe in low fat for diabetes, I beieve in lower carb and make up the calories needed with fat...as far as alcohol and BG...red wine brings mine down a bit, white wine beer and def. sherry puts it up..reember as well if you cook with booze all the sugars remain in the pan! so I would say, if it's a tbs or so, no prob...more you need to account for it in your carb allowance... Thank you, Soso. I'm not a big drinker but I'm really looking forward to a glass or two of wine tomorrow. My cholesterol level was normal for a person without diabetes when I was first diagnosed but the practice nurse told me it should be lower for a person with diabetes and that I should cut out fat. My cholesterol is now within acceptable limits for diabetes (or at least it was before Christmas!) but I was getting bored with the food I have been eating and was looking for a way to ja Continue reading >>
Beer & Metformin - Type 2 Diabetes - Diabetes Forums
Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. My husband was just diagnosed with Type II diabetes. He is a beer drinker. His doctor prescribed Metformin. I know that liquors and wines have high sugar content and users of Metformin are urged to stay away from those, but what about beer? I know that drinking on medication is frowned upon, but I think it will be hard for my hubby to go without his beer! Any beer drinkers out there that can help?? I'm not on Metformin but I'm not sure there's a specific reason why your husband can't drink beer. He just needs to be aware that it can raise his blood sugar and confusingly, also lower it several hours later. There's a few threads in my signature on alcohol and diabetes - these are written from the perspective of a T1 on insulin, but do also explain a lot of the basic principles behind how alcohol affects your blood sugar and what action may be required to drink safely. I have been on Metformin for close to 20 years and have had no issues with alcohol as long as it's done in moderation. That's beer, hard liquors or wines. In my case it actually allows me to have a bit more carbs if alcohol is consumed with a meal. Best of luck and Cheers! It WILL give you an increased "buzz" effect. I get drunkish fast. Tell him to be very careful if he choses to drink until he knows how it effects him on metformin. Type II since 1989. On glimeperide, lisinoprol, metoprolol,tramadol. Have had one beer a day since diagnosed, never more than one. Weight at time was 216 on a 5'9" frame. Current weight 138 (too low, but Dr. says it's ok) Have not felt "normal" since BG was brought under control shortly after diagnosi Continue reading >>
Metformin And Alcohol
Tweet It is generally recommended that people not use metformin and alcohol at the same time. Taking metformin and alcohol together can increase your risk of developing a life-threatening condition called lactic acidosis. However, drinking small amounts of alcohol should not be a problem for most people taking the medication. Before taking metformin, be sure to talk to your healthcare provider about drinking alcohol while taking the drug. An Overview of Metformin and Alcohol Metformin (Glucophage®) is a prescription medication licensed as a type 2 diabetes treatment. Often, people are warned to avoid alcohol entirely while taking metformin. This may (or may not) be good advice, depending on your particular situation. Metformin, Alcohol, and Lactic Acidosis Taking metformin increases your chance of developing a life-threatening condition called lactic acidosis (see Metformin and Lactic Acidosis). Drinking large amounts of alcohol also increases your risk for lactic acidosis, and combining metformin and large amounts of alcohol can be dangerous (due to the risk of lactic acidosis). As a result, drinking large amounts of alcohol (either on a daily basis or as "binge drinking") is not recommended while taking metformin. Small amounts of alcohol should not be a problem for most people taking metformin. However, because other medical conditions may also increase your risk of lactic acidosis (including kidney or liver problems), there may be some situations where avoiding alcohol entirely might be a good idea. Metformin and Alcohol: Suggestions It is usually not necessary to completely avoid alcohol while taking metformin. However, drinking large amounts of alcohol while taking metformin is not recommended. Be sure to ask your healthcare provider if it would be okay to drink Continue reading >>
Glyburide And Metformin (oral Route)
Precautions Drug information provided by: Micromedex It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects. Under certain conditions, too much metformin can cause lactic acidosis. The symptoms of lactic acidosis are severe and quick to appear. They usually occur when other health problems not related to the medicine are present and very severe, such as a heart attack or kidney failure. The symptoms of lactic acidosis include abdominal or stomach discomfort; decreased appetite; diarrhea; fast, shallow breathing; a general feeling of discomfort; muscle pain or cramping; and unusual sleepiness, tiredness, or weakness. If you have any symptoms of lactic acidosis, get emergency medical help right away. It is very important to carefully follow any instructions from your health care team about: Alcohol—Drinking alcohol may cause severe low blood sugar. Discuss this with your health care team. Other medicines—Do not take other medicines unless they have been discussed with your doctor. This especially includes nonprescription medicines such as aspirin, and medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems. Counseling—Other family members need to learn how to prevent side effects or help with side effects if they occur. Also, patients with diabetes may need special counseling about diabetes medicine dosing changes that might occur because of lifestyle changes, such as changes in exercise and diet. Furthermore, counseling on contraception and pregnancy may be needed because of the problems that can occur in patients with diabetes during pregnancy. Travel—Keep your recent prescription and your medical history with yo Continue reading >>
Alcohol And Metformin | Alcohol With Metformin Side Effects
What are the possible interactions of alcohol and metformin? What should you know about alcohol with metformin side effects? These are common questions people about metformin, which is a diabetic drug. Below what should be known about alcohol and metformin will be covered, including the possible alcohol with metformin side effects. Metformin is a drug that’s used to treat type 2 diabetes, and it can be used alone or with other medicines, and in adults and children. For people who are at risk of developing diabetes it can also be used as a way to prevent that, and it can be used as a treatment option for polycystic ovaries and weight gain due to the use of certain medicines. Metformin helps control high blood sugar levels, and this can in turn help prevent serious complications like kidney damage, nerve problems, and blindness. When your diabetes is well-controlled, it can also help lower the risk of a stroke or heart attack. The way metformin works is by restoring the way your body responds to the insulin you produce, and it decreases the amount of sugar made by your liver, and thereby absorbed by your stomach and intestines. Side effects of metformin can include nausea, vomiting, general upset stomach, diarrhea, weakness or a metallic taste in your mouth. In some cases, if metformin is taken with other diabetic medications, it can cause low blood sugar, but this isn’t usually a symptom of this medicine on its own. Understanding drug interactions is important with any medicine you’re prescribed, which is why you should tell your doctor about all other medicines you’re taking, your medical history, and even supplements and vitamins you take. Some of the medicines that can interact with metformin include beta-blockers and any medicine that affects your blood sugar Continue reading >>
Can You Drink Alcohol While Taking Metformin?
Metformin is a medication that helps manage type 2 diabetes and occasionally prediabetes. In general, drinking alcohol while taking metformin is not helpful and not recommended by doctors. The side effects of metformin can be life-threatening with excessive alcohol consumption. Metformin and alcohol both put stress on the liver, so intensifying the harmful effects and increasing the risk of liver complications. How does metformin and alcohol affect the body? Metformin is a popular, effective, and inexpensive management medication, prescribed for the treatment of type 2 diabetes. In 2014, some 14.4 million people in the United States were prescribed metformin. Metformin is also being used more and more frequently in prediabetes cases. Metformin use in overweight people with type 1 diabetes may also reduce insulin requirements and increase metabolic control. The drug works by improving insulin sensitivity, promoting the uptake of glucose into tissues and lowering sugar levels in the bloodstream. By increasing how effectively the existing glucose is used, metformin reduces the amount of glucose the liver produces and the intestines absorb. Alcohol also affects blood sugars significantly. Alcohol digestion puts stress on the liver, an organ dedicated to the removal of poisons from the body. When the liver is forced to process high amounts of alcohol, it becomes overworked and releases less glucose. Long-term alcohol use can also make cells less sensitive to insulin. This means that less glucose is absorbed from the blood and levels in the bloodstream increase. Over time, alcohol consumption damages the liver, especially when it is consumed in excess. It reduces the liver's ability to produce and regulate glucose. Conditions like alcoholic hepatitis and cirrhosis of the live Continue reading >>
Can You Drink Alcohol While On Metformin?
Home Q & A Questions Can you drink alcohol while... Can you drink alcohol while on metformin? If you're diabetic then you have to be careful of the drinks you have, because of sugar. The interaction checker says Ask your doctor before using ethanol together with metFORMIN. Taking this combination may cause a condition called lactic acidosis. Get emergency medical help if you have any of these symptoms of lactic acidosis: weakness, increasing sleepiness, slow heart rate, cold feeling, muscle pain, shortness of breath, stomach pain. Use alcohol cautiously. If your doctor prescribes these medications together, you may need a dose adjustment or special tests to safey take this combination. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Having one drink for women (12 oz beer, 5 oz glass of wine and 0.5-1 oz hard liquor means one drink) or two drinks (same measurements except for hard alcohol can be only 1 1/2 oz liquor between two drinks) for men is usually permissible but you must consider the drink as a sugar/carb in your diet. Alcohol becomes pure glucose in your body, just like eating a high carb/sugar dessert. If you have alcohol, have it with a meal or snack (be sure to adjust for the alcohol's added carbs so you will need to reduce carbs somewhere else in the diet). One effect of alcohol is that it shuts off your liver from releasing stored glucose from your liver into your blood stream which increases the likelihood of experiencing low blood sugar. Many of the symptoms of low blood sugar resemble intoxication (like dizziness, slurred speech, blurred vision, muscle weakness and a shaky feeling). If you are on insulin or pills, the medication Continue reading >>
What Happens If You Drink Alcohol While Taking Metformin
What is Metformin? It is an oral diabetes drug that is used to control blood glucose levels. Metformin can be used alone or in combination with other medications to treat people with type 2 diabetes. Type 2 diabetes refers to a chronic condition where the pancreas cannot produce enough insulin or use it properly. Insulin is a natural hormone which transports glucose from the blood stream to the body tissue to be stored or used for energy. Without insulin, glucose cannot enter the body’s cells and stays in the bloodstream. Too much glucose in the bloodstream can lead to serious health complications. People with type 2 diabetes can take this medicine to help them reduce their blood sugar levels. However, this medication should not be used to treat type 1 diabetes, a condition where the body produces little or no insulin at all. This is because the drug works by helping the body respond properly to the insulin it already makes. In addition, it reduces the amount of glucose produced by the liver and decreases the amount of glucose absorbed by the intestines. This helps to control high blood glucose levels. How to take this medication The dosage of metformin will vary depending on the patient’s medical condition and response to treatment. To reduce the risk of side effects such as stomach upset, your doctor may advise you to start on a lower dose then increase it gradually. Make sure you take this medication exactly as it is prescribed by your doctor. This medication is supposed to be taken by mouth, normally one to three times per day together with meals. Use this medication every day so that you can get the most benefit out of it. Your doctor may need to change your dose occasionally so that you can get the best results. Remember to use this drug at the same time every Continue reading >>
What Is The Effect Of A Glass Of Wine After Taking Metformin?
It is generally acceptable to drink a glass of wine while taking metformin; however, it's best to be careful because of the risk of lactic acidosis. Additionally, there is a risk of hypoglycemia when a diabetes patient drinks alcohol, whether or not the patient takes metformin. Symptoms of hypoglycemia include hunger, shakiness, nervousness, sweating, dizziness, sleepiness, confusion, difficulty speaking, anxiety and weakness. Symptoms of lactic acidosis include nausea, vomiting, hyperventilation, abdominal pain, lethargy, anxiety, hypotension, rapid or irregular heart rate and metal status changes. If you take metformin or are diabetic, ask your doctor if it's safe to drink alcoholic beverages. Video of the Day Metformin is a biguanide, a type of oral medication used to treat Type 2 diabetes by helping control the amount of glucose in the blood. It primarily works to reduce gluconeogenesis, glucose production by the liver, but also aids in blood glucose control by increasing insulin sensitivity and decreasing glucose absorption in the gastrointestinal tract. The most common side effects of metformin are gastrointestinal related, but rarely, lactic acidosis can occur. Hypoglycemia is an unlikely side effect of metformin when it is used alone. The liver is largely responsible for clearing lactate from the body, and when a patient takes metformin, the rate of clearance by the liver is reduced. This is part of the reason for the correlation between taking metformin and the risk of lactic acidosis. Dr. Thomas Higgins, an endocrinologist at Boulder Medical Center, cautions against prescribing metformin to patients with conditions that predispose them to lactic acid accumulation. For example, use of metformin, which is not metabolized but cleared via tubular secretion into th Continue reading >>