Guest guest Posted March 27, 2001 Report Share Posted March 27, 2001 Thank you very much for the helpful information. I joked earlier about being sloshed but that's not true. Unfortunately my drink of choice happens to be Cranberry and Absolut but since diabetes I have experimented with other things including dietcoke and rum or diet sprite and Absolut. I think I'll find out in advance if the cruise will carry some form of diet sprite. I would never drink on an empty stomach or without all the strengous activity that goes along with dancing the nite away, lol lol Thanks again I printed this out! > << question what is anyone's experience concerning Alcohol and Diabetes. I am > going on vacation in a couple months and I intend to want to get > intoxicated, we're crusing and that's the way of the water, lol lol >> > > It's great that you are looking ahead and planning for this - that's the only > way to do this safely. Alcohol has a major impact on the liver, not just in > the long run, but also in the short run. Large quantities can interfere in a > major way with the liver's ability to sense low blood glucose levels, and can > lead to dangerously low levels if you have not compensated for that effect. > And some medications cannot be taken with alcohol. You really need to get > your doctor's and/or CDE's input on this to determine if this can be done > safely, and if so, how to do it - you may need to temporarily change both > your eating plan and your medications. > > Here's a paragraph on the subject from the book " Diabetes Type II and what to > do " by Virginia Valentine (a nurse and CDE), June Biermann and Barbara > Toohey, copyright 1994. > > " A 'lite' beer or glass of dry wine with a meal is no big deal, but if you do > serious drinking, you'll probably find that it does serious damage to blood > sugar control. You should never drink alcohol on an empty stomach because > your liver gets preoccupied with the alcohol and forgets to put glucose back > into the blood when your blood sugar starts getting low. That's why people > on pills or insulin are always advised to have their drink with a snack or > meal. " > > And from DIABETES CARE, Volume 23, Supplement 1, American Diabetes > Association: Clinical Practice Recommendations 2000 > > " The effect of alcohol on blood glucose levels is dependent not only on the > amount of alcohol ingested but also on the relationship to food intake. > Alcohol is not metabolized to glucose and inhibits gluconeogenesis; > therefore, if alcohol is consumed without food by people treated with insulin > or oral glucose†" lowering agents, hypoglycemia can result. Hypoglycemia can > occur at blood alcohol levels which do not exceed mild intoxication. > > If used in moderation and with food, however, blood glucose levels are not > affected by the ingestion of alcohol when diabetes is well controlled. For > individuals using insulin, two or less alcoholic beverages (1 alcoholic > beverage = 12 oz beer, 5 oz wine, or 1 1/2 oz distilled spirits) can be > ingested with and in addition to the regular meal plan. No food should be > omitted because of the possibility of alcohol-induced hypoglycemia. When > calories from alcohol need to be calculated as part of the total caloric > intake, alcohol is best substituted for fat exchanges (1 alcoholic beverage = > 2 fat exchanges) or fat calories. " > > Nan Quote Link to comment Share on other sites More sharing options...
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