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Re: [IP] Alcohol, your liver and BGs



I was told that the problem was that alcohol prevents the liver from converting
glycogen to glucose -ie., if you are going to drink (which I don't and won't), you
had better be very careful to eat so as to avoid sever hypoglycaemia...

Celia

John Neale wrote:

> Darci wrote:
> > 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.
> > :)
>
> Darci,
>
> Surely that can't be the whole story. Firstly, many alcohol drinks
> contain little carbohydrate (dry white and red wines, pils beer, whisky,
> gin and diet tonic etc), and yet these can still "do things" to the bg.
> Secondly, the "havoc" is often different from what other empty carbs
> cause.
>
> I suppose one "pump strategy" for drinking on an empty stomach would be
> to do a cautious bolus for carbs if there are any, whilst reducing the
> basal substantially (perhaps with a temp basal) until most of the
> alcohol is out of your system. Clearly frequent testing would be needed
> to keep an eye on things. These strategies weren't really available
> before pumps and Humalog.
>
> At the end of the day, perhaps alcohol just does random things to your
> metabolism as a whole, and regular testing with a slightly raised target
> is the best strategy :-/
>
> John
> --
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