diabetestalk.net

Diabetes Type 1 And Alcohol

The Influence Of Liberal Alcohol Consumption On Glucose Metabolism In Patients With Type 1 Diabetes: A Pilot Study

The Influence Of Liberal Alcohol Consumption On Glucose Metabolism In Patients With Type 1 Diabetes: A Pilot Study

Background: Little is known about the consequences of excessive alcohol ingestion in patients with type 1 diabetes. Aim: To examine the metabolic effects of acute ingestion of liberal amounts of alcohol in patients with type 1 diabetes. Design: A pilot study using a randomized, placebo controlled, double blind design in Hospital Clinical Research Unit. Methods: The study included 10 patients with type 1 diabetes (seven male, age 43.9 ± 9.0 years, duration of diabetes 17.3 ± 13.8 years, HbA1c 8.0 ± 1.5%) who had a standard 600-calorie lunch on two separate occasions, together with either white wine (men eight units, women six units), or an equivalent volume of alcohol-free wine. Bloods were collected before lunch and hourly for 4 h for glucose, intermediary metabolites, counter-regulatory hormones and inflammatory markers. Results: There were no significant differences between alcohol and alcohol-free days in levels of glucose, triglycerides, free fatty acids, glycerol, cortisol and growth hormone. In contrast, lactate levels rose in response to the meal but with alcohol the overall response was augmented (P = 0.014). β-Hydroxybutyrate levels were suppressed post prandially on the alcohol-free day but were significantly elevated with alcohol (P < 0.001). Conclusions: A rise in ketones following alcohol ingestion occurred despite subjects being in a strictly controlled environment with no interruption in insulin administration. Such individuals might be at risk of significant ketosis in less-controlled circumstances where insulin administration might be more erratic. Patient education material should contain information to highlight these potential problems. 1 2 3 4 5 Next Abstract Extract Abstract Extract Abstract Abstract Abstract Abstract Abstract Abstract Abstract Continue reading >>

Drinking

Drinking

Your social life doesn't need to stop when you have type 1 diabetes You don’t need to stop drinking, but it is best to avoid drinking excessive amounts of alcohol, as it could cause you to have a hypo. That’s because when you drink, the liver has to stop work to break down the toxins and remove it. While your liver is doing this it can’t do all the other jobs it normally would, such as releasing stored glucose if your levels start to fall. This effect can last for many hours after you have been drinking and may continue overnight and into the next day. To avoid this, it’s recommended that you don’t drink too much in one session and have some carbohydrate to eat before or while you drink. You should also test your blood glucose level before you go to bed and eat a snack if your level is normal to low. On occasion, you may find that your blood glucose level rises too high after drinks that contain carbohydrate, such as spirits mixed with regular soft drink or large amounts of beer. Where possible, choose a diet drink as a mixer. Continue reading >>

Diabetes Type 1

Diabetes Type 1

Alcohol confused many young people we talked to for this project - many said they didn't know what a 'unit' of alcohol was - and several had ended up in hospital after evenings out drinking. One young woman said the 'culture of drinking' was hard to handle when she was 16 and she wanted to fit in with her friends. Most young people said that they enjoyed drinking and had learned by trial and error which drinks they could take. Some had had experimented with different drinks to see how they felt, and several had experienced hypos from drinking too much - and said that afterwards they took more care. Everyone said they had been told they must eat before they had a drink and that it was very important to eat something starchy (like bread or cereals) after they had been out drinking and before they went to bed. They understood that they risked having a hypo if they didn't eat before going to sleep. And do you drink alcohol? Yes, probably more than I should. It's a, it's not really, it's not been a particularly big problem. I mean obviously a student at university, everyone drinks kind of a fair bit from time to time, but as long as you don't go and make a complete mess of yourself it's not normally been too much of a problem. So kind of drink and have fun, but don't go and wake up in the gutter somewhere. That's pretty much the same advice you'd give to anyone, but you have to kind of be a bit more strict with yourself about following it really. Which kind of safety guidelines do you follow? Do you eat before you, if you know that you're going to drink, do you eat beforehand? Yes, definitely. There was one time when I started drinking without eating and it played all kinds of havoc. It was quite interesting the way that different drinks affect my blood sugar as well. So if Continue reading >>

Type 1 Diabetes And Drinking: Tips For Young Adults

Type 1 Diabetes And Drinking: Tips For Young Adults

Type 1 diabetes shouldn't get in the way of a great night. Here are some tips to help you make sure it doesn't. First thing's first: the principles of sensible drinking apply whether you have diabetes or not. It’s safest not to regularly drink more than 14 units a week. You can read more at drinkaware.co.uk And when you have Type 1 diabetes, there are some extra things to think about to make sure you’re safe. Drinking alcohol can make managing blood sugar levels more tricky, and increase your risk of hypos while you're drinking and the day after. We've brought together tips from young adults and guidance to help you manage your diabetes so nothing gets in the way of having a great time. Before a night out Don’t drink on an empty stomach. Eating a carb-containing meal like pasta before a night out drinking will help balance your blood sugar levels. Get all your diabetes kit and hypo treatments ready in advance, especially if you’re pre-drinking. It'll help you avoid forgetting any of your essentials, or having a mad rush when the taxi arrives. Make sure the friends you are with know about your diabetes and what to do if you have a hypo. Check your blood sugar level before you go out. Make sure you have a pint of water and your hypo treatments ready next to your bed for when you get home. On a night out Pace yourself and check your blood sugar level regularly so you can catch any hypos early. Have diet or sugar-free mixers with any spirits. There's more information about different types of alcohol and the affect they might have on your sugar levels on the main alcohol page. Remember that physical activity often makes blood sugar levels drop. This includes dancing or walking around town trying to find a place to go. You might need some snacks to keep your blood sug Continue reading >>

Alcohol And Diabetes

Alcohol And Diabetes

Home » About Diabetes » Living With Diabetes » Alcohol and Diabetes Alcohol and diabetes When you drink alcohol, your liver decreases its ability to release glucose so that it can clean the alcohol from your blood. Because glucose production is shut down, hypoglycaemia [low blood sugar] becomes a risk for people with diabetes, particularly if you drink on an empty stomach or shortly after taking insulin or glucose-lowering tablets. It takes two hours for just one ounce of alcohol to metabolise and leave your system so the risk continues long after your glass is empty. Even modest amounts of alcohol can have this effect. Research carried out at the Royal Bournemouth Hospital [Diabetes Care, July 2005] showed that alcohol has been implicated in up to one fifth of hospital visits for hypoglycaemia, low blood sugars. The researchers investigated the effect of evening alcohol in 16 people with Type 1 diabetes who had normal hypo warnings and who drank alcohol on a regular basis. The participants were evaluated with continuous blood glucose monitoring on two occasions – after taking orange juice and vodka or just orange juice followed by the same meal and same dose of insulin. The participants experienced 1.3 episodes of hypoglycaemia per day during the 24 hours after the alcoholic drink compared to 0.6 episodes after a non-alcoholic drink. The researchers suggest that this research may encourage people to be more ‘proactive’ in adjusting their insulin appropriately if they are drinking alcohol. Facts about alcohol and diabetes: Alcohol lowers blood glucose levels so increases the risk of hypoglycaemia (low blood sugars) not just while drinking but also over the next 24 hours or longer. Alcohol impairs judgement, so you may not realise that you are hypo and will not Continue reading >>

Diabetes And Alcohol: Do The Two Mix? (part 1)

Diabetes And Alcohol: Do The Two Mix? (part 1)

A nice glass of Chianti…a cold beer on a hot summer day…celebrating with a flute of champagne. There are so many ways that alcohol is integrated into both everyday life and special occasions. Granted, not everyone drinks alcohol, but many people do. And when it comes to the question, "Can I drink alcohol if I have diabetes?" the answer is about as clear as that for "Is a low-carb diet good for diabetes?" In other words, the answer really is, "It depends!" It’s important to mention right off the bat that there are certainly many reasons why people should not drink alcohol. Some may be related to diabetes and some may be related to other reasons. Therefore, it’s important to discuss this issue with your health-care provider if you have any doubts or concerns. And if you’re newly diagnosed with diabetes or starting on a new medicine, it’s worthwhile bringing up the topic if your provider doesn’t. While you’d be hard-pressed to find any health organization actually recommending that you drink alcohol, you might take some comfort in knowing that the American Diabetes Association, the American Heart Association, and even the American Cancer Society agree that drinking alcohol in moderation is certainly not off-limits to most people. But back to diabetes and alcohol. What’s the concern here? And why should some people with diabetes not drink alcohol? To answer these questions, it’s helpful to understand a little bit about how alcohol is processed in the body. The body treats alcohol as a drug, not as a food product. This means that, when you drink any type of alcoholic beverage, your liver kicks into high gear, preparing itself to “detoxify” the body of this “poison” (I’m using these words for dramatic effect). Essentially, the liver has to metabo 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 >>

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 >>

Touchy Topics

Touchy Topics

A comprehensive guide to all the sticky situations that arise when you’re a college student with diabetes. Have a question that isn't answered here? Ask our student advice columnists (anonymously) and we'll get it answered for you. Type 1 diabetes is sometimes linked to another autoimmune disease called Celiac Disease. Alcohol It’s no surprise that drinking happens on campuses all over the country. If you plan on drinking while at school, make sure you understand how to do it safely with diabetes. Check out our FAQ below, which includes many of the common questions young adults have regarding drinking, and make sure to check out our partners at Drinking with Diabetes for additional information. FAQs We know it’s hard to bring up certain questions in the doctor’s office. But often, the hard questions are the ones we most need answers to. Below is an exhaustive list of questions you might be thinking about, but may or may not have asked a healthcare professional. If your question isn’t here, we’re happy to help – send it along, and we’ll get it answered. The information below is not meant to replace the advice of your healthcare team. Individual responses to diabetes management approaches can vary considerably. Speak with your physician before making any changes to your therapy. Answers courtesy of Gary Scheiner MS (T1D since 1985!), CDE and his team at IDS. How can I tell the difference between being low and being drunk? And being low while drunk? Being drunk and being low can look the same. And both conditions can severely impair your judgment as well as your ability to function. Intoxication, however, does not usually cause the “shaking/sweating/rapid heartbeat” associated with hypoglycemia. Unfortunately, drinking can actually suppress these sympto Continue reading >>

Alcohol Poses Serious Risks For Those With Diabetes

Alcohol Poses Serious Risks For Those With Diabetes

FRIDAY, July 20, 2012 (HealthDay News) — People who have certain chronic medical conditions, such as type 1 diabetes, are even more susceptible than most to the ill effects of alcohol, though they may not be aware of how potentially dangerous alcohol can be. That was the case for Cynthia Zuber when she first went away to college. Although Zuber had type 1 diabetes, also known as insulin-dependent diabetes, she didn't know at the time that mixing an alcohol binge and insulin use might have deadly consequences. Zuber was just 18 when she went to a fraternity party. "It was a party of upperclassmen, and my friend and I, both freshmen, felt very young and out of place," she recalled. "To deal with the discomfort, I started drinking beer." Throughout the evening, she said, she went back for refills on her own, and people also repeatedly brought her refills. "I had no idea how many beers I had," she said, nor did she know her blood sugar levels because she didn't test them during the party. Alcohol can cause blood sugar levels to drop dangerously low for people on blood sugar-lowering medications for as long as 12 hours after their last drink, according to the American Diabetes Association. "Things got out of control quickly, and when we went to leave I had to be carried to the car and into my dorm," she explained. Zuber said she vomited throughout the night, probably from the beer, but she doesn't know for sure because she didn't test her blood sugar levels before going to bed, either. At some point during the night, she passed out, and when she woke in the morning, she was still vomiting. When she tested her blood sugar, it was low enough that she knew she'd have to eat something or she would quickly be in serious trouble. The problem was, she couldn't keep food down. She 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 >>

The Dangers Of Alcohol Addiction And Type I Diabetes

The Dangers Of Alcohol Addiction And Type I Diabetes

Recently, more information has come about concerning links between alcohol addiction and Type I diabetes. Research now shows that alcoholism has become one of the causes of death regarding individuals who suffer from Type I Diabetes. This is an issue that could be easily remedied. In the study reported by Medical News Today, they tested more than 17,000 patients in Finland who suffered from Type I Diabetes and were 30 years old or younger at the beginning of the study. The researchers followed these specific patients for an average of 21 years. In their discovery, the researchers found that a staggering 39 percent of deaths among patients who developed diabetes between the ages of 15 to 29 were due to alcohol- and drug-related causes. Alcohol addiction can not only take a toll on your body by destroying your liver and causing seizures from withdrawal, but now it is known to cause diabetes as well. Type I Diabetes is a life-long disease in which the pancreas produces little or no insulin, a hormone needed to allow sugar to enter cells to produce energy. Though there is constant research being done, there is currently no cure for the disease, but is something that can be managed. Common symptoms of Type I Diabetes include increased thirst or frequent urination, extreme hunger, weight loss, fatigue and blurred vision. While drinking can seem like fun to many, the abuse and misuse that eventually leads to alcohol addiction is not fun. And what makes it even less fun is the thought of dealing with diabetes for the rest of one’s life due to alcohol addiction. The study also showed that survival of people with early onset Type 1 diabetes, who developed the disease by age 14, has shown improvement over time, while survival of people who develop the disease after that age has Continue reading >>

The Effect Of Evening Alcohol Consumption On Next-morning Glucose Control In Type 1 Diabetes

The Effect Of Evening Alcohol Consumption On Next-morning Glucose Control In Type 1 Diabetes

OBJECTIVE—Alcohol is associated with acute hypoglycemia in patients with type 1 diabetes. After drinking alcohol in the evening, delayed hypoglycemia has also been described, although its cause is unknown. We performed a controlled study to investigate this phenomenon. RESEARCH DESIGN AND METHODS—We admitted six men with type 1 diabetes (aged 19–51 years, HbA1c 7.0–10.3%) on two occasions, from 5:00 p.m. to 12:00 noon the following day. They received regular insulin injections before standardized meals, at 6:00 p.m. and 8:00 a.m., and a basal insulin infusion (0.15 mU · kg−1 · min−1) from 11:00 p.m. They drank either dry white wine (0.75 g/kg alcohol) or mineral water at 9:00 p.m. over 90 min. Blood glucose, alcohol, insulin, cortisol, growth hormone, and glucagon levels were measured. RESULTS—Blood ethanol reached a mean (SEM) peak of 19.1 (1.2) mmol/l and was undetectable by 8:00 a.m. There were no significant differences in evening or overnight blood glucose levels between the studies. In the morning, fasting and postprandial blood glucose levels were significantly lower after consumption of wine (postprandial peak 8.9 [1.7] vs. 15 [1.5] mmol/l, P < 0.01), and from 10:00 a.m., five subjects required treatment for hypoglycemia (nadir 1.9–2.9 mmol/l). None of the subjects had hypoglycemia after consumption of water. After consumption of wine, growth hormone secretion was significantly reduced between midnight and 4:00 a.m. (area under the curve 2.1 [1.1] vs. 6.5 [2.1] μg · l–1 · h–1, P = 0.04). There were no differences in insulin or other hormone levels. CONCLUSIONS—In type 1 diabetes, moderate consumption of alcohol in the evening may predispose patients to hypoglycemia after breakfast the next morning. This is associated with reduced noctu 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 >>

The Alcohol And Diabetes Guide

The Alcohol And Diabetes Guide

Editors Note: This content has been verified byMarina Basina, MD, a Clinical Associate Professor at Stanford University. Shes a clinical endocrinologist and researcher with a focus on diabetes management and diabetes technology. Dr. Basina is an active member of multiple medical advisory boards and community diabetes organizations, and she is on the Beyond Type 1 Science Advisory Council. Alcohol and diabetes: do they mix? The short answer is yes, you can drink if you have diabetes. But before you drink, its a good idea to educate yourself on how drinking can impact your body and specifically your blood sugar management. Here are some tips on drinking responsibly with diabetes. The liver is the part of your body that stores glycogen (the stored form of glucose). Usually, your livers job is to steadily convert glycogen to glucose, regulating your blood glucose level (BGL). But when you drink, your liver sees alcohol, thinks poison!, and switches gears to detoxing your body of that alcohol. This means that your liver is no longer as focused on releasing glucose, which in turn affects your blood sugar management. Alcohol-induced hypoglycemia with diabetes Because alcohol decreases your livers efficiency at releasing glucose, drinking puts you at risk of a alcohol-induced hypoglycemia . Hypoglycemia, or a hypo, is when you dont have enough glucose in your bloodstream so your BGL is dangerously low. A hypo can happen immediately, or up to 12 hours after drinking. Plus, if you are on insulin for diabetes or you are taking diabetes medication that stimulates insulin-creation , your insulin will continue to work and drop your blood sugar further. Add to that the fact that a hypo can look a lot like being drunk: drowsiness, unsteady movements, slurred speech, etc. A severe hypo Continue reading >>

More in diabetes