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[IP] Re: alcohol, etc.

To John and others' comments regarding alcohol.

	 I think that there is a serious issue that is being overlooked
here (and with things like exercise and eating fatty foods), and that is
the dynamics.  If one gets 15 g of carbo in a nice imported beer, you will
have to supply enough insulin to handle that.  It doesn't matter what the
liver does.  The question is timing.  If the alcohol shuts down the
coversion of glycogen to glucose for a time, then you may have to bolus
later.  Perhaps not immediately for the beer carbos, but later to
compensate for the glucose not being used to replenish the normal glycogen
levels.   The opposite situation can apply  for exercise.  Exercise can
deplete the glycogen level acutely, so BG can actually rise, but later
those glycogen stores will be replaced, and this will lower the BG .
	Obviously if the timing of these changes is not known, it is very
difficult to know just when to bolus.  And everyone seems to be a little
different (thank the Lord!).  In my case I just drink the beer and bolus
like a normal carb.  For me any shut down of liver glycogenolysis is minor
or short-lived.  I've checked this out with BG measurements.  But everyone
should check this for themselves to understand how their own bodies react
dynamically to these activities.   For me that is the only challege with
the pump that I haven't yet mastered.  (Oops, I still also haven't mastered
how to bolus for protein :-),
 and ..............., and...

<<<Date: Thu, 11 Jun 1998 01:17:39 EDT
From: email @ redacted
Subject: Re: [IP] Alcohol, your liver and BGs

John...you did a very good job of explaining that.  My understanding of why
alcohol plays such havoc with your blood sugar has to do with the fact that
there are so many "empty carbs" that they are used up fast, thus raising your
bg, then they are gone, so your blood sugar drops.  I don't know if that makes
any sense, but that is how it was explained to me before I left for college.


Wayne Mitzner
Department of Environmental Health Sciences
The Johns Hopkins School of Hygiene and Public Health
615 N. Wolfe St.
Baltimore, MD 21205
Tel. 410 614 5446
Fax 410 955 0299

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