What are the best alcoholic drinks for people with diabetes. How can diabetics enjoy alcohol safely. Which beers and wines are low in carbohydrates. What are the health benefits of moderate alcohol consumption for diabetics.

Understanding Alcohol and Diabetes: Balancing Enjoyment with Health

For individuals with diabetes, the relationship between alcohol consumption and blood sugar management is complex. While moderate alcohol intake may offer certain health benefits, it’s crucial to understand how different types of drinks can affect blood glucose levels and interact with diabetes medications.

The American Diabetes Association suggests that moderate alcohol consumption – up to one drink per day for women and up to two drinks per day for men – may be incorporated into a diabetes management plan. However, it’s essential to choose wisely and be aware of the potential risks.

What constitutes a standard drink?

• 12 fluid ounces (360 mL) of regular beer (5% alcohol)
• 5 fluid ounces (150 mL) of wine (12% alcohol)
• 1.5 fluid ounces (45 mL) of 80 proof distilled spirits (40% alcohol)

Low-Carb Beer Options for Diabetics: Enjoy Responsibly

For beer enthusiasts with diabetes, low-carb options can be a game-changer. These beers typically contain fewer calories and significantly fewer carbohydrates than their regular counterparts, making them a more suitable choice for those monitoring their blood sugar levels.

Miller Lite: A Diabetic-Friendly Lager

Miller Lite stands out as an excellent option for diabetics who enjoy beer. With only 3.2 grams of carbohydrates per 12-ounce (360-mL) serving, it offers a substantial reduction compared to regular Miller beers, which contain around 12 grams per serving. Its crisp flavor and light body make it a refreshing choice, especially during warmer months.

Coors Light: Refreshing and Low in Carbs

Another popular choice among diabetics is Coors Light. This American-style light lager contains just 5 grams of carbs per 12-ounce (360-mL) bottle, less than half the carbohydrate content of standard Coors options. Many consumers find it easy to drink and not overly filling, making it a suitable option for those watching their carb intake.

Bud Light: A Widely Available Low-Carb Option

Bud Light is a widely accessible low-carb beer option for individuals with diabetes. With 4.6 grams of carbohydrates per 12-ounce (360-mL) serving, it contains approximately 50% fewer carbs than a regular Budweiser. While some reviewers note a slightly sweet taste, others find it somewhat bland. Nevertheless, its low carb content makes it a practical choice for diabetics who enjoy beer.

Busch: Variety in Low-Carb Offerings

Busch beers present several options for diabetics, with most of their products featuring low carbohydrate content. A standard 12-ounce (360-mL) serving of regular Busch contains 7 grams of carbs, while Busch Ice and Busch Light offer even lower carb counts at 4.2 and 3.2 grams, respectively. These beers are often praised for their refreshing qualities, particularly during hot weather.

Wine Choices for Diabetics: Potential Health Benefits and Low-Carb Options

Moderate wine consumption has been associated with various health benefits for people with diabetes, including a reduced risk of heart disease. When choosing wine, it’s important to consider both the potential health advantages and the carbohydrate content.

Red Wine: Antioxidant-Rich and Heart-Healthy

Red wine is often touted as the most beneficial type of wine for both diabetics and the general population, primarily due to its high antioxidant content. Research suggests that moderate red wine consumption may improve heart disease markers and reduce the risk of diabetes-related complications, such as diabetic retinopathy.

From a carbohydrate perspective, red wine is a sensible choice for diabetics, containing only 3.8 grams of carbs in a standard 5-ounce (150-mL) serving. This relatively low carb content, combined with potential health benefits, makes red wine an attractive option for those with diabetes who wish to enjoy an occasional alcoholic beverage.

White Wine: A Surprising Low-Carb Alternative

Contrary to popular belief, white wines can have a similar carbohydrate content to red wines. A standard 5-ounce (150-mL) glass of white wine typically contains 3.8 grams of carbs, matching that of red wine. This makes white wine another viable option for diabetics looking to enjoy wine while managing their carbohydrate intake.

Champagne: The Ultimate Low-Carb Wine Choice

For those seeking to minimize their carb intake further, certain types of Champagne can be an excellent choice. The carbohydrate content of Champagne varies depending on its style, with dry and brut varieties being the lowest in sugar.

• Extra-dry Champagne: 1.7–2.5 grams of carbs per 5-ounce (150-mL) serving
• Brut Champagne: Fewer than 1.7 grams of carbs per 5-ounce (150-mL) serving
• Extra-brut Champagne: Fewer than 0.8 grams of carbs per 5-ounce (150-mL) serving

The Impact of Alcohol on Blood Sugar Levels: What Diabetics Need to Know

Understanding how alcohol affects blood glucose levels is crucial for diabetics who choose to drink. Alcohol can cause both immediate and delayed effects on blood sugar, which can be particularly dangerous for those with diabetes.

How does alcohol influence blood sugar?

Alcohol consumption can lead to initial blood sugar spikes, especially when mixed with sugary beverages or consumed with carbohydrate-rich foods. However, it can also cause delayed hypoglycemia (low blood sugar) several hours after drinking, as the liver prioritizes metabolizing alcohol over maintaining blood glucose levels.

Precautions for diabetics when consuming alcohol

1. Never drink on an empty stomach
2. Monitor blood glucose levels before, during, and after drinking
3. Inform friends or family about your condition and how to recognize signs of hypoglycemia
4. Wear medical identification indicating you have diabetes
5. Avoid drinking when your blood sugar is already low or unstable

Beyond Beer and Wine: Other Low-Carb Alcoholic Options for Diabetics

While beer and wine are popular choices, there are other low-carb alcoholic beverages that diabetics can consider. These options can provide variety while still aligning with blood sugar management goals.

Spirits: The Zero-Carb Choice

Pure distilled spirits such as vodka, gin, whiskey, and rum contain zero carbohydrates. When consumed neat or with sugar-free mixers, they can be a suitable option for diabetics. However, it’s important to note that spirits often have a higher alcohol content, so moderation is key.

Light Ready-to-Drink Cocktails

Some brands offer pre-mixed cocktails that are low in carbs and calories. These can be convenient options for social situations, but it’s crucial to read labels carefully and choose products specifically marketed as low-carb or diet versions.

Hard Seltzers: A Trendy Low-Carb Alternative

Hard seltzers have gained popularity in recent years and can be a good choice for diabetics. Many brands offer options with less than 5 grams of carbs per serving, making them comparable to light beers in terms of carbohydrate content.

The Potential Benefits of Moderate Alcohol Consumption for Diabetics

While excessive alcohol consumption can be harmful, particularly for individuals with diabetes, some studies suggest that moderate intake may offer certain health benefits. It’s important to weigh these potential advantages against the risks and to consult with a healthcare provider before incorporating alcohol into a diabetes management plan.

Cardiovascular health improvements

Moderate alcohol consumption, particularly red wine, has been associated with improved cardiovascular health markers in people with diabetes. This includes potential reductions in the risk of heart disease and improvements in cholesterol levels.

Potential reduction in diabetes-related complications

Some research indicates that moderate wine consumption may help reduce the risk of certain diabetes-related complications, such as diabetic retinopathy. However, more studies are needed to fully understand these effects.

Possible improvements in insulin sensitivity

Limited evidence suggests that moderate alcohol intake might improve insulin sensitivity in some individuals with type 2 diabetes. This could potentially lead to better blood sugar control, but more research is required to confirm these findings.

Alcohol to Avoid: High-Sugar Drinks and Diabetes Risk

While some alcoholic beverages can be incorporated into a diabetes-friendly diet, others should be avoided or consumed only in very limited quantities due to their high sugar and carbohydrate content.

Sweetened cocktails and mixed drinks

Cocktails made with sugary mixers, syrups, or liqueurs can contain significant amounts of carbohydrates and calories. These drinks can cause rapid spikes in blood sugar levels and should generally be avoided by people with diabetes.

Sweet wines and dessert wines

Wines with high residual sugar content, such as Port, Moscato, and Ice Wine, can contain substantially more carbohydrates than dry wines. These should be consumed sparingly, if at all, by individuals managing diabetes.

Regular beers and malt beverages

Full-strength beers and malt beverages typically contain more carbohydrates than their light or low-carb counterparts. While an occasional regular beer may be acceptable for some diabetics, it’s generally advisable to opt for lower-carb alternatives.

Strategies for Safe Alcohol Consumption with Diabetes

For diabetics who choose to drink alcohol, implementing certain strategies can help minimize risks and maintain better blood sugar control. These approaches can make it easier to enjoy social situations involving alcohol while managing diabetes effectively.

Pairing alcohol with food

Consuming alcohol with a meal or snack that contains protein and healthy fats can help slow the absorption of alcohol and minimize its impact on blood sugar levels. This can also reduce the risk of delayed hypoglycemia.

Alternating alcoholic drinks with water

Drinking water between alcoholic beverages can help prevent dehydration, slow down alcohol consumption, and make it easier to track intake. This practice can also help mitigate the blood sugar-altering effects of alcohol.

Using blood glucose monitoring tools

Continuous glucose monitors (CGMs) or frequent blood sugar checks can be invaluable for diabetics who drink alcohol. These tools can help identify trends and alert individuals to potential blood sugar issues before they become serious.

Planning ahead for social situations

Before attending events where alcohol will be served, diabetics can prepare by:

• Eating a balanced meal beforehand
• Bringing diabetes-friendly snacks
• Researching drink options in advance
• Informing friends about their condition and any necessary precautions

By implementing these strategies and choosing lower-carb alcoholic beverages, individuals with diabetes can enjoy social drinking while minimizing risks to their health and blood sugar management. However, it’s crucial to remember that every person’s response to alcohol can vary, and what works for one individual may not be suitable for another. Always consult with a healthcare provider for personalized advice on alcohol consumption and diabetes management.

10 of the Best Alcoholic Beverage for People with Diabetes

Drinking alcohol may affect your blood sugar levels, interact with diabetes medications, and contribute to complications. But drinking a moderate amount of certain types of alcohol, such as red wine, may be safer.

If you have diabetes, drinking alcohol may be safe for you as long as you choose the right types of drinks and consider alcohol’s effects on your blood sugar levels.

Diabetes causes lower-than-normal production or function of insulin — the hormone that helps control your blood sugar levels — so blood sugar management is important (1).

In addition, alcohol consumption may excessively raise or lower your blood sugar levels, depending on the drink and whether you have eaten recently (2).

Studies suggest that moderate intake of alcohol — especially red wine — is associated with health benefits in people with diabetes. But heavy drinking may interfere with some medications and increase the risk of diabetes-related complications (2, 3, 4, 5, 6).

The 2020–2025 Dietary Guidelines for Americans define moderate alcohol intake as up to 1 drink per day for women and up to 2 drinks per day for men (7).

Here’s what one standard drink looks like (7):

• 12 fluid ounces (360 mL) of regular beer (5% alcohol)
• 5 fluid ounces (150 mL) of wine (12% alcohol)
• 1.5 fluid ounces (45 mL) of 80 proof distilled spirits (40% alcohol)

This article lists 10 types of alcohol that are most appropriate for people with diabetes, based on carb content, as well as a few drink types to avoid.

Generally speaking, low carb beers may have up to 37% fewer calories and 80% fewer carbs than regular beers (8, 9).

Here are some of the most popular low-carb beer options.

1. Miller Lite

Miller Lite is an American-style light lager made with barley malt and corn syrup, among other ingredients.

However, it contains only 3.2 grams of carbohydrates in a standard 12-ounce (360-mL) can or bottle, compared with 12 grams for the same serving in regular Miller beers (10).

According to online consumer reviews, people also think it has a great aroma and flavor. Thus, it may be a popular choice during hot summer months.

2. Coors Light

Coors is another of America’s favorite beer brands. It also has a low carb version suitable for people with diabetes.

Like Miller Lite, Coors Light is an American-style light lager. It provides 5 grams of carbs per 12-ounce (360-mL) bottle.

In contrast, standard options, such as Coors Banquet, provide almost 12 grams of carbs per bottle (10).

Reviews often describe this beer as refreshing, easy to drink, and not too filling due to its lower carb count.

3. Bud Lite

Bud Lite is another low carb beer that provides fewer than 5 grams of carbs per serving.

With 4.6 grams of carbs per 12-ounce (360-mL) serving, it provides roughly 50% fewer carbs than a regular Budweiser (11, 12).

Bud Lite is known for being slightly sweet. However, some consumer reviews say it tastes a bit bland.

4. Busch

Busch beers are good alternatives for people with diabetes due to the low carb content of most of the brand’s products — including their beers that are not branded as low carb.

For instance, a 12-ounce (360-mL) serving of regular Busch contains just 7 grams of carbs, while the same serving sizes of Busch Ice and Busch Light provide 4.2 and 3.2 grams, respectively (13, 14, 15).

People also seem to enjoy Busch beers on hot summer days.

Summary

Low carb beer is a better option than regular beer for people with diabetes who want to enjoy a cold brew now and then.

Moderate wine intake in people with diabetes is linked to a reduced risk of heart disease (3, 16).

Here are two types of wine with low carb counts.

5. Red wine

Among all types of wine, red wine is linked with the most health benefits — both for people with diabetes and for the general population — due to its high antioxidant content (17, 18, 19).

Studies show that drinking it may improve heart disease markers and reduce the risk of diabetes-related complications such as diabetic retinopathy, which damages blood vessels in the eyes (16, 20).

Plus, it provides only 3.8 grams of carbs in a standard 5-ounce (150-mL) serving (21).

6. White wine

White wines are often regarded as high sugar drinks. However, their carb content can be virtually the same as that of red wines.

For instance, a standard 5-ounce (150-mL) glass of white wine also provides 3.8 grams of carbs (22).

Among white wines, Champagne may be a particularly good choice if you’re trying to keep the carb content to a minimum. However, this depends on the style of Champagne — dry and brut varieties are low in sugar.

For example, a 5-ounce (150-mL) serving of extra-dry champagne provides 1.7–2.5 grams of carbs. Brut and extra-brut champagne in the same serving size offer fewer than 1.7 grams and fewer than 0.8 grams of carbs, respectively (23).

Summary

Aside from having a low carb content, red wine may lower the risk of diabetes-related complications if consumed in moderation. White wines, especially some types of Champagne, also generally have a low carb count.

Distilled spirits or hard liquors contain few to no carbs. However, you should be aware of the potential for hypoglycemia, also called low blood sugar levels, when consuming them.

This may happen because your liver can’t maintain basal blood sugar levels while also metabolizing alcohol. This may lead to excessively low blood sugar — and even more so if you drink on an empty stomach (2).

Here are some possible distilled spirit options.

7. Gin, rum, vodka, or whiskey

These liquors contain 0 grams of carbs per 1.5-ounce (45-mL) serving (24).

However, the carb content of your drink may vary depending on what you mix the liquor with.

Avoid mixing liquor with sugary juices or sugar-containing soda. If you do drink these with alcohol, your blood sugar may spike and then dip to dangerously low levels.

Summary

When consumed on their own, hard liquors provide 0 grams of carbs but may lead to very low blood sugar levels. Avoid drinking them on an empty stomach or mixing them with sugary drinks.

Make sure to go for low sugar options if you feel like having a cocktail.

Here are some of the best low carb cocktails.

8. Martini

You make a martini by mixing gin or vodka with dry vermouth in a 2-to-1 ratio and then garnishing it with an olive or a twist of lemon peel.

Since it doesn’t contain juices or other mixers, it contains 0.2 grams of total carbs in a 4-ounce (120-mL) drink. This makes it a good choice for people with diabetes — provided you drink it in moderation (25).

9. Vodka soda

As its name implies, you make a vodka soda by combining vodka and club soda.

As long as you use club soda or seltzer, your drink’s carb count will stay at 0 grams (26).

However, the carb content may rise significantly if you mix vodka with tonic water — which has 32 grams of carbs per 12-ounce can — or a sugar-containing soda (27).

If you’d rather have a flavored version, go for flavored sparkling water instead of flavored vodka, which may contain added syrups.

10. Bloody Mary

You make a Bloody Mary by mixing vodka and tomato juice with different sauces and spices, depending on the recipe, and typically serve it with a celery stick.

People often think of this as a “healthy” cocktail due to its vegetable content. It has a carb count of 7 grams from the tomato juice (28).

Tomato juice in a Bloody Mary provides lycopene, a pigment in tomatoes that has antioxidant and anti-diabetes properties and may protect people with diabetes from heart disease (29, 30, 31).

If you’re making a Bloody Mary, opt for a variety of tomato juice without added salt to lower its sodium content. A high sodium intake may lead to high blood pressure (32).

Summary

People with diabetes may also enjoy low sugar cocktails. Again, avoid those with added sugars in the form of fruit juice, syrup, or regular soda.

While there are some diabetes-friendly cocktails, such as the ones mentioned above, traditional cocktails are generally very high in added sugars. Therefore, try to avoid them unless you’re making them yourself.

For example, margaritas, piña coladas, and daiquiris may pack 35–44 grams of carbs per 7-ounce (225-mL) serving — and that is if you’re having just one serving (33, 34, 35).

Dessert wines, such as vermouth, port, and sherry, are also high in carbs. As the name of these drinks implies, people typically serve them after a meal (36).

The same goes for cream liqueurs such as Bailey’s Irish Cream and Kahlua. These provide around 13 grams of carbs, of which 12 grams are from sugar, for every 2 ounces (60 grams) of liqueur (37).

Lastly, aside from taking into account your drink’s carb content, try to follow these practices when drinking:

• Eat beforehand to avoid drinking on an empty stomach.
• Avoid drinking if your blood sugar is low.
• Monitor your blood sugar regularly before, during, and after drinking.

Summary

Avoid drinking traditional cocktails, dessert wines, and cream liqueurs, because they’re generally high in sugar.

The best types of alcohol for people with diabetes are those with a low sugar or carb content.

That includes light beers, red and white wines, distilled spirits, and low carb cocktails, as long as you avoid sugary juices or syrups.

On the other hand, traditional cocktails, dessert wines, and cream liqueurs tend to have higher sugar counts, which may spike your blood sugar levels.

Regardless of which type of alcoholic drink you choose, remember that it’s not just sugar that interferes with your blood sugar management. The alcohol itself does too. Thus, you should drink in moderation and follow the practices listed above.

Certain diabetes medications, such as insulin and sulfonylureas, can increase your risk of hypoglycemia, and alcohol further affects that risk. If you’re taking medication, talk with your doctor about whether and how you can safely drink alcohol.

Read this article in Spanish.

10 of the Best Alcoholic Beverage for People with Diabetes

Drinking alcohol may affect your blood sugar levels, interact with diabetes medications, and contribute to complications. But drinking a moderate amount of certain types of alcohol, such as red wine, may be safer.

If you have diabetes, drinking alcohol may be safe for you as long as you choose the right types of drinks and consider alcohol’s effects on your blood sugar levels.

Diabetes causes lower-than-normal production or function of insulin — the hormone that helps control your blood sugar levels — so blood sugar management is important (1).

In addition, alcohol consumption may excessively raise or lower your blood sugar levels, depending on the drink and whether you have eaten recently (2).

Studies suggest that moderate intake of alcohol — especially red wine — is associated with health benefits in people with diabetes. But heavy drinking may interfere with some medications and increase the risk of diabetes-related complications (2, 3, 4, 5, 6).

The 2020–2025 Dietary Guidelines for Americans define moderate alcohol intake as up to 1 drink per day for women and up to 2 drinks per day for men (7).

Here’s what one standard drink looks like (7):

• 12 fluid ounces (360 mL) of regular beer (5% alcohol)
• 5 fluid ounces (150 mL) of wine (12% alcohol)
• 1.5 fluid ounces (45 mL) of 80 proof distilled spirits (40% alcohol)

This article lists 10 types of alcohol that are most appropriate for people with diabetes, based on carb content, as well as a few drink types to avoid.

Generally speaking, low carb beers may have up to 37% fewer calories and 80% fewer carbs than regular beers (8, 9).

Here are some of the most popular low-carb beer options.

1. Miller Lite

Miller Lite is an American-style light lager made with barley malt and corn syrup, among other ingredients.

However, it contains only 3.2 grams of carbohydrates in a standard 12-ounce (360-mL) can or bottle, compared with 12 grams for the same serving in regular Miller beers (10).

According to online consumer reviews, people also think it has a great aroma and flavor. Thus, it may be a popular choice during hot summer months.

2. Coors Light

Coors is another of America’s favorite beer brands. It also has a low carb version suitable for people with diabetes.

Like Miller Lite, Coors Light is an American-style light lager. It provides 5 grams of carbs per 12-ounce (360-mL) bottle.

In contrast, standard options, such as Coors Banquet, provide almost 12 grams of carbs per bottle (10).

Reviews often describe this beer as refreshing, easy to drink, and not too filling due to its lower carb count.

3. Bud Lite

Bud Lite is another low carb beer that provides fewer than 5 grams of carbs per serving.

With 4.6 grams of carbs per 12-ounce (360-mL) serving, it provides roughly 50% fewer carbs than a regular Budweiser (11, 12).

Bud Lite is known for being slightly sweet. However, some consumer reviews say it tastes a bit bland.

4. Busch

Busch beers are good alternatives for people with diabetes due to the low carb content of most of the brand’s products — including their beers that are not branded as low carb.

For instance, a 12-ounce (360-mL) serving of regular Busch contains just 7 grams of carbs, while the same serving sizes of Busch Ice and Busch Light provide 4.2 and 3.2 grams, respectively (13, 14, 15).

People also seem to enjoy Busch beers on hot summer days.

Summary

Low carb beer is a better option than regular beer for people with diabetes who want to enjoy a cold brew now and then.

Moderate wine intake in people with diabetes is linked to a reduced risk of heart disease (3, 16).

Here are two types of wine with low carb counts.

5. Red wine

Among all types of wine, red wine is linked with the most health benefits — both for people with diabetes and for the general population — due to its high antioxidant content (17, 18, 19).

Studies show that drinking it may improve heart disease markers and reduce the risk of diabetes-related complications such as diabetic retinopathy, which damages blood vessels in the eyes (16, 20).

Plus, it provides only 3.8 grams of carbs in a standard 5-ounce (150-mL) serving (21).

6. White wine

White wines are often regarded as high sugar drinks. However, their carb content can be virtually the same as that of red wines.

For instance, a standard 5-ounce (150-mL) glass of white wine also provides 3.8 grams of carbs (22).

Among white wines, Champagne may be a particularly good choice if you’re trying to keep the carb content to a minimum. However, this depends on the style of Champagne — dry and brut varieties are low in sugar.

For example, a 5-ounce (150-mL) serving of extra-dry champagne provides 1.7–2.5 grams of carbs. Brut and extra-brut champagne in the same serving size offer fewer than 1.7 grams and fewer than 0.8 grams of carbs, respectively (23).

Summary

Aside from having a low carb content, red wine may lower the risk of diabetes-related complications if consumed in moderation. White wines, especially some types of Champagne, also generally have a low carb count.

Distilled spirits or hard liquors contain few to no carbs. However, you should be aware of the potential for hypoglycemia, also called low blood sugar levels, when consuming them.

This may happen because your liver can’t maintain basal blood sugar levels while also metabolizing alcohol. This may lead to excessively low blood sugar — and even more so if you drink on an empty stomach (2).

Here are some possible distilled spirit options.

7. Gin, rum, vodka, or whiskey

These liquors contain 0 grams of carbs per 1.5-ounce (45-mL) serving (24).

However, the carb content of your drink may vary depending on what you mix the liquor with.

Avoid mixing liquor with sugary juices or sugar-containing soda. If you do drink these with alcohol, your blood sugar may spike and then dip to dangerously low levels.

Summary

When consumed on their own, hard liquors provide 0 grams of carbs but may lead to very low blood sugar levels. Avoid drinking them on an empty stomach or mixing them with sugary drinks.

Make sure to go for low sugar options if you feel like having a cocktail.

Here are some of the best low carb cocktails.

8. Martini

You make a martini by mixing gin or vodka with dry vermouth in a 2-to-1 ratio and then garnishing it with an olive or a twist of lemon peel.

Since it doesn’t contain juices or other mixers, it contains 0.2 grams of total carbs in a 4-ounce (120-mL) drink. This makes it a good choice for people with diabetes — provided you drink it in moderation (25).

9. Vodka soda

As its name implies, you make a vodka soda by combining vodka and club soda.

As long as you use club soda or seltzer, your drink’s carb count will stay at 0 grams (26).

However, the carb content may rise significantly if you mix vodka with tonic water — which has 32 grams of carbs per 12-ounce can — or a sugar-containing soda (27).

If you’d rather have a flavored version, go for flavored sparkling water instead of flavored vodka, which may contain added syrups.

10. Bloody Mary

You make a Bloody Mary by mixing vodka and tomato juice with different sauces and spices, depending on the recipe, and typically serve it with a celery stick.

People often think of this as a “healthy” cocktail due to its vegetable content. It has a carb count of 7 grams from the tomato juice (28).

Tomato juice in a Bloody Mary provides lycopene, a pigment in tomatoes that has antioxidant and anti-diabetes properties and may protect people with diabetes from heart disease (29, 30, 31).

If you’re making a Bloody Mary, opt for a variety of tomato juice without added salt to lower its sodium content. A high sodium intake may lead to high blood pressure (32).

Summary

People with diabetes may also enjoy low sugar cocktails. Again, avoid those with added sugars in the form of fruit juice, syrup, or regular soda.

While there are some diabetes-friendly cocktails, such as the ones mentioned above, traditional cocktails are generally very high in added sugars. Therefore, try to avoid them unless you’re making them yourself.

For example, margaritas, piña coladas, and daiquiris may pack 35–44 grams of carbs per 7-ounce (225-mL) serving — and that is if you’re having just one serving (33, 34, 35).

Dessert wines, such as vermouth, port, and sherry, are also high in carbs. As the name of these drinks implies, people typically serve them after a meal (36).

The same goes for cream liqueurs such as Bailey’s Irish Cream and Kahlua. These provide around 13 grams of carbs, of which 12 grams are from sugar, for every 2 ounces (60 grams) of liqueur (37).

Lastly, aside from taking into account your drink’s carb content, try to follow these practices when drinking:

• Eat beforehand to avoid drinking on an empty stomach.
• Avoid drinking if your blood sugar is low.
• Monitor your blood sugar regularly before, during, and after drinking.

Summary

Avoid drinking traditional cocktails, dessert wines, and cream liqueurs, because they’re generally high in sugar.

The best types of alcohol for people with diabetes are those with a low sugar or carb content.

That includes light beers, red and white wines, distilled spirits, and low carb cocktails, as long as you avoid sugary juices or syrups.

On the other hand, traditional cocktails, dessert wines, and cream liqueurs tend to have higher sugar counts, which may spike your blood sugar levels.

Regardless of which type of alcoholic drink you choose, remember that it’s not just sugar that interferes with your blood sugar management. The alcohol itself does too. Thus, you should drink in moderation and follow the practices listed above.

Certain diabetes medications, such as insulin and sulfonylureas, can increase your risk of hypoglycemia, and alcohol further affects that risk. If you’re taking medication, talk with your doctor about whether and how you can safely drink alcohol.

Read this article in Spanish.

Top 5 types of alcohol for people with diabetes

If you have diabetes, drinking alcohol can be safe for you, as long as you choose the right types of drinks and consider the effect of alcohol on blood sugar levels.

Diabetes causes less than normal production or function of insulin, the hormone that helps control your blood sugar, so managing your blood sugar is important.

In addition, drinking alcohol can excessively raise or lower your blood sugar, depending on the drink and whether you have eaten recently.

Research shows that moderate alcohol consumption – especially red wine – is associated with health benefits in people with diabetes. But heavy drinking can interfere with certain medications and increase the risk of diabetes-related complications.

The 2020-2025 Dietary Guidelines for Americans define moderate alcohol consumption as up to 1 drink per day for women and up to 2 drinks per day for men.

This is what one standard drink looks like:

• 12 fl oz (360 ml) regular beer (5% alcohol)
• 5 fl oz (150 ml) wine (12% alcohol)
• 1.5 fl oz (45 ml) 80 proof distilled spirits ( 40% alcohol)

This article lists the top 5 types of alcohol for people with diabetes based on their carbohydrate content, as well as a few drinks to avoid.

• Beer
• Wine
• Perfume
• Cocktails
• Drinks to avoid

1. Beer

Generally speaking, low-carb beer can contain up to 37% fewer calories and 80% fewer carbohydrates than regular beer.

Here are some of the most popular low carb beers.

Miller Lite

Miller Lite is an American style pale lager made from barley malt and corn syrup, among other ingredients.

However, it contains only 3.2 grams of carbs in a standard 12-ounce (360 ml) can or bottle, compared to 12 grams for the same serving in a regular Miller beer.

According to online consumer reviews, people also find it has a great aroma and taste. As such, it can become a popular choice during the hot summer months.

Coors Light

Coors is another of America’s favorite beer brands. It also has a low carb version suitable for people with diabetes.

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Like Miller Lite, Coors Light is an American-style pale lager. It provides 5 grams of carbs per 12-ounce (360 ml) bottle.

In contrast, standard options like Coors Banquet provide nearly 12 grams of carbs per bottle.

Reviews often describe this beer as refreshing, easy to drink, and not overly full due to the lower amount of carbohydrates.

Bud Lite

Bud Lite is another low carb beer that provides less than 5 grams of carbs per serving.

With 4.6 grams of carbs per 12 oz (360 ml) serving, it provides approximately 50% less carbs than regular Budweiser.

Bud Lite is known for being slightly sweet. However, some consumer reviews state that it tastes a bit bland.

Busch

Busch beer is a good alternative for people with diabetes due to the low carb content of most of the brand’s products – including their beer, which is not labeled as low carb.

For example, a 12-ounce (360 ml) serving of regular Busch contains only 7 grams of carbohydrates, while the same servings of Busch Ice and Busch Light provide 4.2 and 3.2 grams, respectively.

People also seem to like Busch beer on hot summer days.

General Information: Low carb beer is a better option than regular beer for people with diabetes who want to enjoy a cold brew from time to time.

2-3. Red wine and white wine

Moderate wine consumption in people with diabetes is associated with a reduced risk of heart disease.

Here are 11 foods and drinks to avoid if you have diabetes

Here are two types of low carbohydrate wines.

2. Red Wine

Of all types of wine, red wine is associated with the greatest health benefits – both for people with diabetes and the general population – due to its high antioxidant content.

Research shows that eating it can improve markers of heart disease and reduce the risk of diabetes-related complications such as diabetic retinopathy, which damages the blood vessels in the eyes.

Plus, it provides just 3.8 grams of carbs in a standard 5 oz (150 ml) serving.

3. White wine

White wines are often considered high sugar drinks. However, the carbohydrate content in them can be almost the same as in red wines.

For example, a standard 5-ounce (150 ml) glass of white wine also provides 3.8 grams of carbohydrates.

Among white wines, Champagne can be a particularly good choice if you’re trying to keep carbohydrates to a minimum. However, it depends on the style of champagne – dry and brut varieties are low in sugar.

For example, a 5-ounce (150 ml) serving of extra-dry champagne contains 1. 7-2.5 grams of carbohydrates. Brut and extra brut champagnes in the same serving contain less than 1.7 grams and less than 0.8 grams of carbohydrates, respectively.

Summary: In addition to being low in carbohydrates, red wine may reduce the risk of complications associated with diabetes if consumed in moderation. White wines, especially some champagnes, also tend to be low in carbohydrates.

4. Distilled spirits

Distilled spirits or spirits contain little or no carbohydrates. However, when using them, you should be aware of the possibility of hypoglycemia, also called low blood sugar.

This may be because your liver cannot maintain basal blood sugar while also metabolizing alcohol. This can lead to excessively low blood sugar levels – and even more so if you drink on an empty stomach.

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Here are a few options for distilled alcohol.

Gin, rum, vodka or whiskey

These liqueurs contain 0 grams of carbohydrates per 1.5 oz (45 ml) serving.

However, the carbohydrate content of your drink may vary depending on what you mix the liquor with.

Avoid mixing alcohol with sugary juices or sugary sodas. If you drink them along with alcohol, your blood sugar can spike and then drop to dangerously low levels.

Summary: When consumed alone, hard alcoholic beverages contain 0 grams of carbohydrates but can lead to very low blood sugar levels. Avoid drinking them on an empty stomach or mixing them with sugary drinks.

5. Low Carb Shakes

Be sure to choose the low sugar options if you want to have a shake.

Here are some of the best low carb shakes.

Martini

You make a martini by mixing gin or vodka with dry vermouth in a ratio of 2 to 1 and then garnishing it with an olive or lemon zest.

Because it contains no juices or other mixers, it contains 0. 2 grams of total carbohydrates per 4-ounce (120 ml) drink. This makes it a good choice for people with diabetes – as long as you drink it in moderation.

Vodka Soda

As the name suggests, you make vodka soda by mixing vodka and soda.

As long as you use soda or seltzer, the amount of carbohydrates in your drink will remain at 0 grams.

However, the carbohydrate content can increase significantly if you mix vodka with tonic water – it has 32 grams of carbohydrates per 12-ounce can – or with soda containing sugar.

If you prefer the flavored version, choose flavored sparkling water instead of flavored vodka, which may contain syrups.

Bloody Mary

You make Bloody Mary by mixing vodka and tomato juice with various sauces and spices, depending on the recipe, and you usually serve it with a stick of celery.

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People often consider this smoothie to be “healthy” due to its vegetable content. The amount of carbohydrates in it is 7 grams due to tomato juice.

The tomato juice in Bloody Mary provides lycopene, a pigment found in tomatoes that has antioxidant and anti-diabetic properties and may protect people with diabetes from heart disease.

If you’re making Bloody Marys, opt for tomato juice varieties without salt to reduce the sodium content. High sodium intake can lead to high blood pressure.

General Information: People with diabetes can also enjoy low sugar shakes. Again, avoid those that have added sugar in the form of fruit juice, syrup, or regular soda.

Drinks to avoid

While there are some diabetes-friendly smoothies, such as those mentioned above, traditional smoothies tend to be very high in added sugars. Therefore, try to avoid them unless you are preparing them yourself.

For example, margaritas, piña coladas, and daiquiris can contain 35-44 grams of carbs per 7 ounces (225 ml) – and that’s if you only drink one serving.

Dessert wines such as vermouth, port and sherry are also high in carbohydrates. As the name of these drinks suggests, people usually serve them after a meal.

The same goes for cream liqueurs such as Bailey’s Irish Cream and Kahlua. They provide about 13 grams of carbohydrates, of which 12 grams are sugar, for every 2 ounces (60 grams) of liquor.

Finally, in addition to taking into account the carbohydrate content of your drink, try to adhere to the following practices when drinking alcohol:

• Eat early so you don’t drink on an empty stomach.
• Avoid drinking if you have low blood sugar.
• Monitor your blood sugar levels regularly before, during and after drinking alcohol.

General Information: Avoid traditional cocktails, dessert wines and cream liqueurs because they tend to be high in sugar.

Summary

The best types of alcohol for people with diabetes are those that are low in sugar or carbohydrates.

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This includes light beers, red and white wines, distilled spirits, and low-carb smoothies, as long as you avoid sugary juices or syrups.

On the other hand, traditional cocktails, dessert wines and cream liqueurs tend to contain more sugar, which can spike your blood sugar.

No matter what type of alcoholic drink you choose, remember that it’s not just sugar that gets in the way of your blood sugar management. Alcohol also has an effect. Thus, you should drink in moderation and follow the practices listed above.

Some diabetes medications, such as insulin and sulfonylurea, may increase your risk of hypoglycemia, and alcohol increases this risk even more. If you are taking medication, talk to your doctor about whether it is safe for you to drink alcohol and how to do so.

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