[Previous Months][Date Index][Thread Index][Join - Register][Login]   Help@Insulin-Pumpers.org
  [Message Prev][Message Next][Thread Prev][Thread Next]   for subscribe/unsubscribe assistance

RE:[IP] Alcohol and diabetes info...long

>Are people listening? This the 3rd post, besides mine, I've seen about 
something I'd call the alcohol phenomenon!  Which happens when you have a lot 
to drink. Bg can have a big, unexplainable drop.<

This isn't unexplainable at all:
Effects of alcohol on BG depends on the amount of alcohol ingested and its 
relationship to food ingested.  Alcohol is absorbed in the stomach and small 
intestine, and because the body considers it to be a toxic substance, the 
liver will metabolize it before other food nutrients are metabolized.  It 
does not need insulin to be metabolized. It is not converted to glucose, and 
excessive amounts can be potentially converted to fat.  
Alcohol blocks the process that creates glucose from its stored form, 
glycogen. The majority of glycogen is stored in the liver.  Alcohol also 
interferes with the counter-regulation that would occur with a low BG, 
meaning you might have a low BG with none of your usual reaction warning 
symptoms. Effects might last from 8 to 12 hours after the last drink was 
consumed. In other words, alcohol consumption can decrease or diminish 
awareness of hypoglycemia symptoms by interfering with glucose production by 
the liver.

When ingested in moderation, with food, BG levels are not affected. (YMMV)
Sweet wines, liqueurs, and mixed drinks made with fruit juice, or regular 
soda may require that carbohydrate content be included with the meal totals, 
but this should be done with great caution due to the potential hypoglycemic 

Ingest with food.
Limit intake to no more than one drink for women and 2 for men (adults, of 
One drink is defined as 12 oz. beer, 5 oz. wine, or 1 1/2 oz. of distilled 
Choose dry wines, light beers, and non-caloric mixers.
Don't drive.
Consider eating a snack (protein and fat) before going to sleep, or consider 
using a temporary basal rate reduction during your sleep time.
Test and retest BG, as YMMV. 

American Association of Diabetes Educators; ADA, Intensive Diabetes 
Management, 2nd Ed. Additional references can be located in Diabetes Care (an 
ADA publication), Journal of the American Medical Association, and 

Hope this is useful information.

for HELP or to subscribe/unsubscribe, contact: