Diabetes and Alcohol

Nectar of the Gods?

The topic of diabetes and alcohol is a bit like the monster in the corner. No one really likes to talk about it. For many, including myself, a glass of good red wine is one of life's small pleasures. However, do the risks associated with alcohol and diabetes outweigh this simple pleasure? Are there any advantages to drinking alcohol?

First, let's focus on the positive and look at potential advantages of alcohol and diabetes. One study has found that drinking red wine may help control blood glucose.

In 2008, University of Massachusetts at Amherst scientists found that the moderate consumption of red wine after a meal slowed the absorption of glucose into the blood. This is important because after meals, there is often a spike in blood glucose levels.

Over time, these blood sugar spikes can lead to an increase in diabetic complications, such as eye, nerve and cardiovascular damage. If these spikes can be reduced or eliminated, then the risk of developing complications can also be reduced.

The antioxidants in the red wine, specifically polyphenolics, are attributed with this effect. In the interest of full disclosure, the same study also found that green tea had the same effect. So, don't go having a glass of red wine after breakfast!

Next, let's look at the disadvantages of the diabetes and alcohol combination. There are numerous significant risks to drinking alcohol, particularly for diabetics. The general disadvantage is that alcohol can dangerously lower your blood sugar, particularly if you drink on an empty stomach. Why?

Well, your liver is responsible for releasing stored glucose into your body for fuel. The liver is also responsible for clearing or processing the alcohol from your system.

Alcohol is viewed as a toxin or poison by the body, thus the liver prioritizes the elimination of the alcohol, instead of providing the body with needed glucose. Without additional glucose, blood sugar levels can drop dangerously. If you take insulin or other diabetes medication, then this situation can be worse.

Over time, alcohol and diabetes can also damage your liver, leading to further complications. Excessive drinking can also cause you to gain weight, making it difficult to control your diabetes. Think Beer Belly.

So, how do you have a drink from time to time without being scared to death of causing yourself damage? Here are some guidelines:

• Consult your doctor. Every person is different when it comes to diabetes and alcohol. Some diabetics can have a drink from time to time; others should never touch the stuff.
• Never drink on an empty stomach.
• Drink in moderation. The ADA recommends 1 drink for women, 2 for men. Sorry ladies.
• Drink light beer, dry wine (less sugar - So stay away from the Boone's Farm) and don't use sugary mixes (that is, use diet coke, instead of regular coke).

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