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Re: [IP] Alcohol

A lot of people are taking extra insulin when they drink. If you are
drinking "No Carb" drinks that may not be a good idea. Insulin is not needed
to metabolize alcohol.

Alcohol may lower your BS..see below::

Clinical Care/Education/Nutrition
Original Article

The Effect of Evening Alcohol Consumption on Next-Morning Glucose Control in
Type 1 Diabetes
Benjamin C. Turner, MRCP1, Emma Jenkins, BSC1, David Kerr, MD, FRCP1, Robert
S. Sherwin, MD2 and David A. Cavan, MD, FRCP1
1 Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital,
Bournemouth, U.K.
2 Yale University School of Medicine, New Haven, Connecticut

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 7 kg-1 7 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] 5g 7 l-1 7 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 nocturnal growth hormone secretion.
Patients should be informed of this risk and advised regarding appropriate
preventative measures

-Posted by James
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