Alcohol and Diabetes What You Need To Know


Hello, I am Ty Mason of thediabetescouncil.com,
researcher, writer and I have type 2 diabetes. Today I want to talk what you need to know
about alcohol. After you watch the video today, I invite
you check out the description box for my new ebook. This is one of the most comprehensive diabetes
meal planning book you can find. It contains diabetes friendly meals/recipes,
recipes for different goals such as 800-1800 calories per day meal plan, diabetes meal
planning tips and tricks. There are also tons of diabetes friendly recipes
for everyone! There’s a misconception that those with
diabetes should not consume alcohol, but the American Diabetes Association actually approves
of diabetics having a drink or two. However, alcohol is not a typical carbohydrate,
and understanding its relationship to blood sugar levels and diabetes is paramount to
using it responsibly. Many people with type 2 diabetes think they
need to eliminate alcohol completely from their diet. But, in moderation, alcohol may actually have
some health benefits. For instance, moderate alcohol consumption
may reduce the risk of developing diabetes in people who don’t have the condition,
particularly women, according to a data analysis published in the September 2015 issue of Diabetes
Care. And in people who have type 2 diabetes that
is well-controlled, a glass of red wine a day as part of a healthy diet may help improve
heart disease risk factors, according to results of a two-year study published in Annals of
Internal Medicine in October 2015. However, you need to be thoughtful about including
any type of alcohol, even red wine, in your type 2 diabetes management plan. “The most important thing is to make sure
you aren’t drinking alcohol on an empty stomach,” says Liz Brouillard, RD, LDN,
CDE, nutrition manager at the Boston Medical Center’s Center for Endocrinology, Nutrition,
and Weight Management in Massachusetts. She recommends only drinking alcohol with
a meal or snack that contains both carbohydrates and protein. That’s because alcohol can lower your blood
sugar, creating a risky situation for people with type 2 diabetes. I think this might be a good time to talk
about the liver. Why? Well, the liver has this special ability. It is called gluconeogenesis. This is a process where the liver releases
glucose from its glycogen store. The liver gets the glucose by two different
ways. One is the excess glucose from a meal or snack
will be stored in a reservoir in the liver in the form of glucogen. The liver can also make glucose from fat and
proteins. This storage of glucose is useful in the event
of a low blood sugar. When the body senses a low blood sugar, it
sends a signal to the liver to release glucose to slow down or prevent a severe reaction. As many of you know, alcohol affects the liver. One way it does so is to inhibit the liver
to release glucose. A few minutes after consuming an alcoholic
beverage, the alcohol finds its way to the blood stream. About an hour and a half later, the blood
alcohol is at its highest level. The stomach cannot break down alcohol. The body recognized alcohol as toxic. The liver works very hard to break it down
and get rid of all the alcohol. This can take a long time, up to eight hours
or greater. Since the liver is working so hard to get
rid of the alcohol, it shuts off everything else, including releasing glucose into the
body. Therefore this increases the risk of a severe
low blood sugar. This also means that you may not have a low
blood sugar until 8 hours later. This can lead to a very serious case of hypoglycemia,
which can be deadly. Symptoms of hypoglycemia — sleepiness, dizziness,
and disorientation — can look like being intoxicated. If signs of hypoglycemia are mistaken for
drunkenness, you may not get the help and treatment you need. As stated earlier, the American Diabetes Association
says that those with diabetes can drink. But they also qualify that to say no more
than 1 drink per day for women and no more than 2 drinks per day for men. (Example: one alcoholic drink=5-ounce glass
of wine, 1 1/2-ounce “shot” of liquor or 12-ounce beer). More than this can lead to different levels
of intoxication which is not good for one with diabetes on many levels. As already stated, it can cause a severe condition
of hypoglycemia. It also means you can’t think as clearly. You need to be able to take the correct dosages
of insulin or other medications, test your blood sugar, and be aware of how you are overall
felling. You don’t want to be intoxicated and take
the wrong dose of medication or none at all and then have more problems on your hands
to deal with. One very important factor when choosing to
drink, do so with a meal. This will help to somewhat absorb the alcohol. Mainly this will help you in regards to hypoglycemia. If you aren’t drinking with a meal, have
some high carb snacks available. I personally think there is a reason pretzels
are so popular at the bar. In addition to watching — and counting — your
serving size, follow these tips for safer drinking:
Wear a MediAlert bracelet or necklace identifying yourself as one with diabetes. Talk to your doctor first. Confirm that drinking alcohol is safe for
you and ask what blood sugar levels to look for and how to balance food. Monitor your blood sugar before as well as
after drinking. The ADA advises not drinking alcohol if your
blood sugar is out of control. Be aware of super-sized drinks. Though beer is usually served in a standard-size
glass, wine and liquor often get a more generous pour. Some craft beers can have a higher concentration
of alcohol, so you would need to drink less than a typical 12-ounce serving, according
to the ADA. Account for alcohol properly. Alcohol does not replace food in your meal
plan. However, do count any snacks you have with
your drink along with mixers, such as soda or juice. Choose sugar-free mixers. Use diet soda or seltzer water when making
alcoholic drinks. Drink water as well. Don’t rely on alcoholic beverages to quench
your thirst. Drink a glass of water along with or after
each drink. Have a designated driver. Don’t drink and drive. Test your blood sugar before bed. Alcohol can have a delayed effect on your
blood sugar, and you want to avoid going to bed with low levels, Brouillard says. Blood sugar should be between 100 and 140
mg/dL at bedtime, according to the ADA. You can still enjoy a drink when you have
type 2 diabetes, and a glass of red wine might even be good for you. Just plan ahead so that alcohol fits safely
into your diabetes management plan. Don’t forget to get my new ebook. Like this video and subscribe to our channel
so we can continue to bring you informative videos like this one in the future. Thanks for watching!

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