Hello Rleatham-ga,
According to the sites I have found, you may drink alcohol in
moderation, if you are in control of your diabetes. The following
sites give many tips for drinking safely with diabetes. Due to
copyright restrictions, I am unable to post all of the information
here, so please review the sites I have provided for complete
information. I would also urge you to discuss this with your
endocrinologist, as s/he knows your medical history and diabetic
status best.
The American Diabetes Association says it best:
Alcohol is everywhere - when the family gathers, at cookouts, after
the softball game, at parties. "What will you have?" someone asks. If
you have diabetes, what do you say?
It all depends. Start by asking yourself three basic questions:
1.Is my diabetes under control?
2.Does my health care provider agree that I am free from health
problems that alcohol can make worse-for example, diabetic nerve
damage or high blood pressure?
3.Do I know how alcohol can affect me and my diabetes?
If you said "yes" to all three, it's OK to have an occasional drink.
But what does occasional mean? The American Diabetes Association
suggests that you have no more than two drinks a day if you are a man
and no more than one drink a day if you are a woman. This
recommendation is the same for people without diabetes.
Alcohol is a toxin. Your body reacts to alcohol like a poison. The
liver wants to clear it from the blood quickly. In fact, the liver
won't put out glucose again until it has taken care of the alcohol. If
your blood glucose level is falling, you can quickly wind up with very
low blood sugar.
This is why drinking as little as 2 ounces of alcohol (about 2 drinks)
on an empty stomach can lead to very low blood sugar.
When you mix alcohol and exercise, you increase the risk of going low.
This can happen because exercise helps lower your blood sugar levels.
Let's say you just played a couple of hard sets of tennis. You have a
beer after the match. But in the hours after the game, your body is
still working. It is replacing the energy your muscles used up. To do
this, it clears glucose from the blood and adds it to the muscles'
store. This is why exercise can cause your blood sugar level to go
down.
Some people with diabetes should not drink alcohol. Alcohol can make
some diabetic problems worse.
If you have nerve damage from diabetes in your arms or legs, drinking
can make it worse. Alcohol is toxic to nerves. Drinking can increase
the pain, burning, tingling, numbness, and other symptoms found with
nerve damage. Some studies show that even regular light drinking (less
than two drinks per week) can bring on nerve damage.
Heavy drinking (3 or more drinks per day) may make diabetic eye
disease worse. If you have high blood pressure, you can lower it if
you stop drinking alcohol.
Many people with diabetes have high levels of the fat called
triglyceride in their blood. If you do, you should not drink alcohol.
Alcohol affects how the liver clears fat from the blood. Alcohol also
spurs the liver on to make more triglycerides. Even light drinking
(two 4-ounce glasses of wine a week) can raise triglyceride levels.?
http://www.diabetes.org/type-1-diabetes/alcohol.jsp
·Alcohol can make blood glucose too high or too low. You need to know
when and how to drink to keep your diabetes under control.
·Alcohol has calories. You should fit these calories into your food
plan, especially if you want to lose weight.
·You need to know if and when it is safe for you to drink alcohol.
·When no alcohol is in the blood, your liver keeps blood glucose from
going too low by releasing glucose into your blood.
·If the liver is busy breaking down alcohol, it cannot release glucose
into your blood.
·If you take insulin or diabetes pills, your blood glucose may go too
low when you drink alcohol because the medicine and alcohol both lower
blood glucose.
·The alcohol and sugars in many drinks can cause blood glucose to go too high.
·Alcohol can also cause high blood triglycerides (fats).
·Check your blood glucose after you drink to see how alcohol affects you.
·If you have type 1 diabetes and your weight is OK, you may drink
alcohol in addition to eating the food in your meal plan.
· Talk to your dietitian about when and how you can have alcohol.
http://www.mckinley.uiuc.edu/Handouts/diabetes/alc-diab-u.html
?Medications that may decrease hypoglycemic effects of insulin include
acetazolamide, AIDS antivirals, asparaginase, phenytoin, nicotine,
isoniazid, diltiazem, diuretics, corticosteroids, thiazide diuretics,
thyroxine, estrogens, ethacrynic acid, calcitonin, oral
contraceptives, diazoxide, dobutamine, phenothiazines,
cyclophosphamide, lithium carbonate, epinephrine, morphine sulfate,
and niacin; medications that may increase hypoglycemic effects of
insulin include calcium, ACE inhibitors, alcohol, tetracyclines,
beta-blockers, lithium carbonate, anabolic steroids, pyridoxine,
salicylates, MAOIs, mebendazole, sulfonamides, phenylbutazone,
chloroquine, clofibrate, fenfluramine, guanethidine, octreotide,
pentamidine, and sulfinpyrazone?
http://www.emedicine.com/med/topic546.htm
?This so-called auto-immune reaction is probably the main process
leading to type 1 diabetes.Too much alcohol can also damage the
pancreas.?
http://www.surgerydoor.co.uk/medical_conditions/Indices/I/insulin_dependent_diabetes.htm
?Other side effects are virtually eliminated when the correct dose of
insulin is matched with the proper diet and level of physical
activity. Low blood sugar may develop in poorly controlled or unstable
diabetes. Consuming sugar or a sugar-containing product will usually
correct the condition, which can be brought about by taking too much
insulin, missing or delaying meals, exercising or working more than
usual, an infection or illness, a change in the body's need for
insulin, drug interactions, or consuming alcohol.?
http://www.healthsquare.com/newrx/INS1210.HTM
?The American Diabetes Association says that moderate use of alcohol
should not create any problems for most diabetics, assuming their
blood sugar levels are under control. That means no more than two
drinks a day for men and one for women. (A drink is defined as a can
[12 ounces] of beer, a glass [5 ounces] of wine, or one and one-half
ounces of 80-proof hard liquor.)
This advice comes with several caveats: You should only drink alcohol
with a meal; it can cause low blood sugar in a person who has fasted
for more than 5 hours. The risk is even greater for anyone taking
insulin or oral drugs that lower blood sugar levels, such as Orinase
or Tolinase.
And people who have had a problem with alcohol abuse, as well as those
with pancreatitis, gastritis, certain forms of kidney and heart
disease, frequent bouts of low blood sugar, and neuropathy?a form of
nerve damage common in many diabetics?should probably not include
alcohol in their diets at all.?
http://www.pdrhealth.com/content/nutrition_health/chapters/fgnt23.shtml
?It is very important for you to be extremely moderate in your
consumption of alcohol and to always avoid drinking on an empty
stomach. Even if you are very careful with the rest of your diet,
anything more than very light, occasional drinking will make it
extremely difficult, if not impossible, for you to lose weight and get
control of your diabetes.
Drinking alcohol on an empty stomach can be dangerous because it can
cause sudden, very severe low blood sugar. For this reason, never
drink on an empty stomach.?
http://depts.washington.edu/uwcoe/healthtopics/diabetes.html
?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 nocturnal growth hormone
secretion. Patients should be informed of this risk and advised
regarding appropriate preventative measures.?
http://care.diabetesjournals.org/cgi/content/full/24/11/1888
There are warnings against heavy drinking:
?Heavy alcohol use, diabetes, and viral hepatitis combine
synergistically to raise the risk of developing liver cancer,
according to a new report.
As lead investigator Dr. Jian-Min Yuan told Reuters Health,
"Physicians should be aware of the increased risk of liver cancer for
their patients who are obese and possess additional risk factors such
as hepatitis virus infection and heavy alcohol consumption."
Yuan from the University of Southern California, Los Angeles, and
colleagues examined viral and non-viral risk factors for liver cancer
among 295 patients with the disease and 435 matched cancer-free
"controls."
As expected, hepatitis B virus and hepatitis C virus infections were
both risk factors for liver cancer, the authors report, with hepatitis
C exerting a stronger effect.
Compared with non-drinkers, moderate drinkers actually had a 40
percent lower risk of liver cancer, but heavy alcohol consumption
significantly increased the risk. In addition, a history of diabetes
increased the risk of liver cancer almost three-fold.
Heavy drinking in those with diabetes raised the likelihood of
developing liver cancer more than 17-fold, the team reports, while the
combinations of viral hepatitis and diabetes or viral hepatitis and
heavy alcohol consumption each increased the risk for liver cancer
about 48 times.?
http://www.lifescan.com/diabetes/news/dn091704-2/
According to this site, one should consume alcohol in moderation while
using Novolog/ Lantus.
?Limit alcohol intake (includes wine, beer, and liquor). Can cause low
blood sugar. This is most common if you miss a meal.?
http://www.umm.edu/altmed/ConsDrugs/InsulinPreparationscd.html
?You may have low blood sugar while you are using insulin, especially
if you miss a meal, exercise for a long time, or drink alcohol.
Symptoms of low blood sugar include sweating, feeling very hungry, a
fast heartbeat, vision changes, drowsiness, confusion, persistent
headache, chills, or vomiting.
· Ask your doctor what to do if you have low blood sugar. You will
need to control it quickly. Teach your friends, co-workers, or family
members what they can do to help you in case you have low blood sugar.
· The dose of insulin that you need may change slightly with changes
in your diet or activity. Your dose needs may also change while you
are ill, pregnant, traveling, taking a new medicine, or exercising
more than usual. Follow your doctor's instructions about making any
changes in your insulin dose.?
http://www.healthdigest.org/drugs/Lantus-(Injection)_4374_PRO.php
·?Wear disease medical alert identification for diabetes.
·Limit alcohol intake (includes wine, beer, and liquor). Can cause low
blood sugar. This is most common if you miss a meal.
·Keep hard candies, liquid glucose, or milk on hand for low blood sugars.
·If you are 80 years of age or older, you may be more sensitive to low
blood sugars (more confusion).
·Do not drive if blood sugar has been low. There is a greater risk of an accident.
·Increases in exercise can decrease insulin needs (be consistent).
·Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes
telling about rash; hives; itching; shortness of breath; wheezing;
cough; swelling of face, lips, tongue, throat; or any other symptoms
involved.
·Tell healthcare provider if you are pregnant or plan on getting pregnant.
·Tell healthcare provider if you are breast-feeding. Insulin dose may change.?
http://www.dukehealth.org/HealthLibrary/DrugsAndHerbs/Drugs/InsulinPreparations/#Precautions-Section
??alcohol consumption could increase the global risk of hypoglycaemia,
both in the fasting state and after a meal (reactive hypoglycaemia) in
both diabetic and nondiabetic subjects. These latter effects may
result from a direct inhibition of gluconeogenesis, from a reduced
secretion of counterregulatory hormones and/or from an alcohol-induced
inappropriate behaviour.?
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14579614&dopt=Abstract
?Hypoglycemia occurs when your blood glucose drops too low?u sually
less than 4 mmol/L.
This is caused by:
·Not eating enough food
·Missing or delaying a meal
·Exercising without taking the necessary precautions
·Taking too much insulin
·Drinking alcohol
Low blood glucose can happen quickly, so it is important to take care
of it right away.
http://www.diabetes.ca/Section_About/type1.asp#4
There you go! I hope this has answered your question adequately. If
any part of this answer is unclear, please request an Answer
Clarification, before rating. This will allow me to assist you
further, of possible.
Regards, Crabcakes
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Alcohol + diabetes type I
Alcohol interaction + insulin
Insulin + alcohol consumption + diabetes type I |
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