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What is the best alcoholic drink for diabetes. Best Alcoholic Drinks for Diabetes: A Comprehensive Guide to Managing Blood Sugar

What are the safest alcoholic beverages for people with diabetes. How do different types of alcohol affect blood sugar levels. Which drinks should diabetics avoid to maintain optimal health.

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Understanding the Impact of Alcohol on Diabetes Management

For individuals managing diabetes, the choice of beverages, including alcoholic drinks, can significantly impact blood sugar levels. While moderate alcohol consumption may be permissible for some diabetics, it’s crucial to understand how different types of alcoholic beverages affect glucose levels and overall health.

The Relationship Between Alcohol and Blood Sugar

Alcohol can have complex effects on blood sugar levels. Initially, it may cause a spike in blood glucose, followed by a potentially dangerous drop. This occurs because the liver, which normally releases glucose into the bloodstream, is busy metabolizing the alcohol instead.

  • Short-term effects: Possible increase in blood sugar
  • Long-term effects: Risk of hypoglycemia (low blood sugar)
  • Impact on medication: Can interfere with diabetes medications

Best Alcoholic Choices for Diabetics

When it comes to selecting alcoholic beverages, some options are more diabetes-friendly than others. The key is to choose drinks that have a lower carbohydrate content and avoid those with added sugars.

Light Beer: A Lower-Carb Option

Light beer can be a suitable choice for diabetics who enjoy beer. It typically contains fewer carbohydrates and calories compared to regular beer.

  • Average carbs in light beer: 3-6 grams per 12 oz serving
  • Calories: Usually under 100 per serving

Dry Wines: Red and White

Dry wines, both red and white, are relatively low in carbohydrates and can be a good option for diabetics who enjoy wine.

  • Average carbs in dry wine: 3-4 grams per 5 oz serving
  • Potential health benefits: Contains antioxidants (especially red wine)

Spirits: The Low-Carb Choice

Clear spirits like vodka, gin, and tequila contain virtually no carbohydrates when consumed neat or with sugar-free mixers.

  • Carb content: 0 grams per standard serving
  • Calorie content: Approximately 97 calories per 1.5 oz shot

Alcoholic Drinks Diabetics Should Avoid

While some alcoholic beverages can be consumed in moderation, others should be avoided due to their high sugar and carbohydrate content.

Sweet Wines and Dessert Wines

Sweet wines and dessert wines are high in sugar and can cause rapid spikes in blood glucose levels.

  • Carb content: Can exceed 14 grams per 5 oz serving
  • Examples: Port, Moscato, Ice Wine

Sweetened Cocktails and Mixed Drinks

Cocktails made with sugary mixers, syrups, or fruit juices can contain a significant amount of carbohydrates and calories.

  • Carb content: Can range from 30-80 grams per serving
  • Examples: Margaritas, Piña Coladas, Long Island Iced Tea

Tips for Safe Alcohol Consumption with Diabetes

If you choose to drink alcohol while managing diabetes, it’s essential to do so safely and responsibly. Here are some guidelines to follow:

  1. Never drink on an empty stomach
  2. Stay hydrated by alternating alcoholic drinks with water
  3. Monitor your blood sugar levels before, during, and after drinking
  4. Wear a medical ID indicating you have diabetes
  5. Educate your companions about the signs of hypoglycemia

Recommended Alcohol Limits for Diabetics

The American Diabetes Association suggests the following limits for alcohol consumption:

  • Women: Up to one drink per day
  • Men: Up to two drinks per day

A standard drink is defined as 12 oz of beer, 5 oz of wine, or 1.5 oz of distilled spirits.

The Role of Mixers in Alcoholic Drinks for Diabetics

The choice of mixer can significantly impact the overall carbohydrate content and blood sugar effect of an alcoholic beverage. Opting for sugar-free or low-carb mixers can help manage blood glucose levels more effectively.

Best Mixer Options for Diabetics

  • Soda water or club soda
  • Diet tonic water
  • Sugar-free flavored sparkling water
  • Unsweetened iced tea
  • Low-carb vegetable juices (e.g., tomato juice)

Mixers to Avoid

Certain mixers can drastically increase the carbohydrate content of a drink and should be avoided or used sparingly:

  • Regular soda
  • Fruit juices
  • Sweetened tonic water
  • Energy drinks
  • Premade cocktail mixes

Alcohol and Diabetes Medications: What You Need to Know

The interaction between alcohol and diabetes medications is a crucial consideration for diabetics who choose to drink. Certain medications can have amplified or altered effects when combined with alcohol, potentially leading to dangerous situations.

Insulin and Alcohol

Alcohol can increase the risk of hypoglycemia in people taking insulin. This is because alcohol interferes with the liver’s ability to produce glucose, which is essential for maintaining blood sugar levels, especially during periods of fasting or overnight.

Oral Diabetes Medications and Alcohol

Some oral diabetes medications, particularly sulfonylureas and meglitinides, can interact with alcohol, increasing the risk of hypoglycemia. Other medications, such as metformin, may have a lower risk of interaction but can still be affected by alcohol consumption.

  • Sulfonylureas (e.g., glipizide, glyburide): High risk of hypoglycemia when combined with alcohol
  • Meglitinides (e.g., repaglinide, nateglinide): Increased risk of hypoglycemia
  • Metformin: Lower risk of interaction, but may increase the risk of lactic acidosis in heavy drinkers

It’s crucial to consult with your healthcare provider about the specific interactions between your medications and alcohol. They can provide personalized advice based on your individual health situation and medication regimen.

Long-Term Effects of Alcohol on Diabetes Management

While moderate alcohol consumption may be permissible for some diabetics, it’s important to consider the long-term effects of regular drinking on diabetes management and overall health.

Impact on Blood Sugar Control

Regular alcohol consumption can make it more challenging to maintain stable blood sugar levels. This is due to several factors:

  • Interference with the liver’s glucose production
  • Potential for increased insulin resistance
  • Risk of weight gain, which can affect insulin sensitivity

Complications and Comorbidities

Chronic alcohol use can exacerbate diabetes-related complications and increase the risk of developing other health issues:

  • Cardiovascular disease: Increased risk of high blood pressure and heart problems
  • Neuropathy: Alcohol can worsen nerve damage associated with diabetes
  • Retinopathy: May accelerate eye damage in diabetics
  • Liver disease: Increased risk of fatty liver and cirrhosis
  • Pancreatitis: Higher risk, especially with heavy drinking

Given these potential risks, it’s crucial for individuals with diabetes to carefully consider their alcohol consumption and discuss it with their healthcare team. For some, abstaining from alcohol entirely may be the best choice for optimal diabetes management and overall health.

Strategies for Enjoying Social Situations While Managing Diabetes

Social events often involve alcohol, which can present challenges for individuals managing diabetes. However, with proper planning and strategies, it’s possible to participate in social activities without compromising diabetes management.

Planning Ahead for Social Events

Preparation is key when attending social gatherings where alcohol may be present:

  • Eat a balanced meal before the event to stabilize blood sugar
  • Bring diabetes-friendly snacks to have on hand
  • Research the venue or menu in advance to identify suitable drink options
  • Consider informing the host or close friends about your dietary needs

Non-Alcoholic Alternatives

Opting for non-alcoholic beverages can be a great way to participate in social drinking without the risks associated with alcohol:

  • Sparkling water with a splash of fruit juice
  • Sugar-free mocktails
  • Herbal teas or infused water
  • Low-carb smoothies

Communicating with Others

Open communication about your diabetes management can help create a supportive environment:

  • Be confident in explaining your choices to others
  • Educate friends and family about the importance of your dietary decisions
  • Don’t feel pressured to drink if you’re uncomfortable doing so

By implementing these strategies, individuals with diabetes can navigate social situations more comfortably while maintaining their health and well-being.

The Importance of Regular Monitoring and Professional Guidance

Managing diabetes while incorporating alcohol into your lifestyle requires vigilant monitoring and ongoing communication with healthcare providers. Regular check-ups and adjustments to your management plan are crucial for maintaining optimal health.

Blood Sugar Monitoring

Frequent blood glucose checks are essential, especially when consuming alcohol:

  • Check levels before, during, and after drinking
  • Be aware of the signs of hypoglycemia, which can mimic intoxication
  • Consider using continuous glucose monitoring (CGM) for real-time tracking

Regular Health Check-ups

Scheduled appointments with your healthcare team are vital for assessing the impact of alcohol on your diabetes management:

  • Discuss any changes in your drinking habits with your doctor
  • Review your medication regimen and make adjustments if necessary
  • Monitor for any signs of diabetes-related complications
  • Assess liver function and overall health regularly

Personalized Approach to Diabetes Management

Every individual with diabetes is unique, and management strategies should be tailored accordingly:

  • Work with your healthcare team to develop a personalized plan for alcohol consumption
  • Consider factors such as age, overall health, and diabetes type when making decisions
  • Be open to adjusting your approach based on your body’s response and changing health needs

By maintaining regular communication with healthcare providers and staying attuned to your body’s signals, you can make informed decisions about alcohol consumption while effectively managing your diabetes. Remember that your health and well-being should always be the top priority, and it’s okay to abstain from alcohol if that’s the best choice for your individual situation.

10 Beverage Dos and Don’ts for Diabetes

1. Drink Plain Water, Which Has a Neutral Effect on Blood Sugar

Water is one of the few beverages you can drink without worry throughout the day. “Water is neutral,” Zanini says. This means that water neither raises nor lowers your blood sugar.

Drinking water is also a great way to stay hydrated, and staying hydrated will help you regulate your blood sugar. “Water helps dilute your blood, which lowers your blood sugar levels,” Zanini explains.

In terms of daily intake, the National Academies of Sciences, Engineering, and Medicine recommends drinking ½ ounce (oz) to 1 oz of fluid, such as water, for each pound of body weight. Keep an eye on your hydration by checking that the color of your urine is light yellow, Zanini says.

If you often forget to drink as much water as you should, Basbaum has a suggestion for increasing your intake: Drink one 8 oz glass of water for every other beverage you drink that contains sugar substitutes or caffeine. Shake things up with sparkling water or by squeezing lemon or lime juice into your glass.

2. Drink Cow’s Milk, Which Also Provides Protein and Calcium

“Skim or low-fat milk is also a good beverage option, but it must be counted toward your carb total for a particular meal or snack,” Basbaum says.

According to the U.S. Department of Agriculture (USDA), a cup of 1 percent milk (low-fat milk) also provides 305 milligrams (mg) of calcium, which accounts for about 23 percent of the daily value.

Be aware that nondairy milk options, such as almond milk, may have added sweeteners and flavorings. They also often lack the blood-sugar-stabilizing protein of cow’s milk.

RELATED: A Detailed Guide to Soy Milk

3. Don’t Drink Sugar-Sweetened Sodas or Teas

Regular consumption of sugar-sweetened beverages like soda and sweetened bottled tea wreaks havoc on your body in a variety of ways.

For example, a study published in December 2016 in The Journal of Nutrition found that middle-aged adults who drank more than three sugar-sweetened beverages per week had a 46 percent higher risk of developing prediabetes than people who didn’t drink sugary beverages. Similarly, an earlier study revealed that people who consumed just two sugar-sweetened soda or juice beverages per week had an increased risk of developing type 2 diabetes, particularly if they’d gained more than 6 pounds over a five-year period.

“Sugar-sweetened drinks are absorbed into your bloodstream much too quickly, causing a spike in blood glucose levels,” explains Basbaum. Furthermore, these drinks will affect your carb intake. A typical 12 oz can of soda contains about 39 g of carbs, according to the USDA. Meanwhile, 12 oz of fruit punch contains roughly the same amount of carbs as a can of cola.

Get in the habit of carrying a bottle of water with you in case you get caught somewhere with no sugar-free drink options available.

4. Drink Artificially Sweetened Drinks — Maybe

Drinks with artificial sweeteners, such as diet sodas, remain a controversial topic.

On the one hand, drinks with artificial sweeteners can be a calorie-reducing alternative to sweetened drinks. “I do endorse artificially sweetened beverages for the purpose of controlling blood sugar and weight,” Basbaum says.

Because artificially sweetened drinks have zero carbohydrates and low calorie counts, they may be a good alternative to soda and juice sweetened with traditional sugar, according to the Mayo Clinic.

Yet artificial sweeteners can be several hundred to several thousand times more intense than natural sugar, research has shown. Plus, in Zanini’s experience, they cause people to crave sweets more.

Some studies support this notion. An article published in Trends in Endocrinology and Metabolism notes that eating artificial sweeteners may cause brain changes that trigger overeating. The article also references research that may link consumption of these sugar alternatives to a higher risk of type 2 diabetes and cardiovascular disease. Ultimately, more studies are needed, the authors concluded.

Whether you decide to drink artificially sweetened beverages (and how much) is a matter of taste and preference, and a choice to make with your healthcare team.

RELATED: How Much Caffeine Is Safe for People With Diabetes?

5. Drink Tomato Juice Instead of Sugary Fruit Juice

If you enjoy drinking juice — or you’re tired of drinking water all the time — avoid sugary fruit options and instead opt for a small portion of vegetable juice, like tomato juice, Zanini says. And as long as you stick to 100 percent tomato juice with no added salt or sugar, it might provide you with some good overall health benefits.

For instance, drinking 1½ cups of tomato juice a day for a month cut down on some measures of inflammation in obese women, according to research published in the British Journal of Nutrition. Tomato juice has about 10 grams (g) of carbs per cup, so you’ll need to factor that in.

As always, it’s better to eat whole fruits and vegetables than drink them, Zanini says. Eating one whole tomato per day may help reduce blood pressure and, by extension, the cardiovascular risk associated with type 2 diabetes, according to a study published in the International Journal of Food Sciences and Nutrition.

6. Drink Unsweetened Coffee and Tea — in Small Amounts

Feel free to drink tea and coffee — hot or iced — in moderation. “Try them either unsweetened or prepared with a sugar substitute,” Basbaum says. Your best bet is to stick to unsweetened coffee or tea, but if you have to add something, look for low-calorie sweeteners. Keep in mind that any milk, cream, or creamer you add to your drink must be counted as part of the carbohydrates in your diet. If you enjoy syrup flavors in coffee drinks, look for sugar-free variations.

Rather than adding sugar, tea can be flavored with lemon juice. But if you need some sugar, Zanini recommends going for Stevia instead of artificial sweeteners as a more natural option.

Research suggests that coffee and tea — green tea in particular — may lower type 2 diabetes risk. One study found that people who consumed at least 6 cups of green tea or 3 cups of coffee per day were 33 percent less likely to develop type 2 diabetes than people who consumed less than 1 cup of either beverage per week.

RELATED: Why Drinking Tea May Help Prevent and Manage Type 2 Diabetes

7. Don’t Drink Sports Drinks — Unless You’re an Endurance Athlete

Exercise is great for managing type 2 diabetes, but skip sports drinks, which are high in carbohydrates. One 8 oz serving of Powerade, for example, packs about 19 g of carbs, notes the USDA, and that’s not even the whole bottle.

Dietitians only recommend sports drinks for endurance athletes, who may exercise strenuously enough to need salt and nutrient replacement. “Sports drinks are usually not necessary unless someone has been very active for over an hour,” Zanini says.

Water is sufficient to keep you hydrated for moderate exercise. You can also plan on a healthy postworkout snack that provides you with some carbs and protein, such as an apple with a bit of peanut butter or a hard-boiled egg and an orange. These options will give you the protein and carbs you need to kick-start your exercise recovery without spiking your blood sugar.

8. Drink 100 Percent Fruit Juices — Occasionally and in Moderation

You can have the occasional 4 to 6 oz glass of 100 percent fruit juice as a treat, Basbaum says. Remember to count the carbs as part of your overall meal, and plan for the blood sugar spike the juice might cause.

For example, if you like to have breakfast with fresh-squeezed orange juice, which has 26 g carbs per cup, per the USDA, calculate its nutrient makeup along with your eggs and whole-grain toast for a complete picture of the meal.

RELATED: Is Juicing a Good Idea for People With Diabetes?

9. Drink Alcohol Sparingly and on Special Occasions

While previous research, such as a study published in May 2014 in Diabetes Care, found that moderate alcohol consumption may offer heart-protective effects for people with diabetes, more recent research published in September 2018 in The Lancet suggests that no amount of alcohol is safe.

If you choose to imbibe, do so in small quantities, especially because alcohol can cause blood sugar fluctuations, notes the American Diabetes Association (ADA). According to the ADA, moderate drinking is defined as up to one drink for women and two drinks for men per day. One drink equals 1½ oz of liquor, 12 oz of beer, or 5 oz of wine.

And because the benefits of alcohol are debated, for people with diabetes and the general public, if you don’t already drink alcohol, don’t start, the Centers for Disease Control and Prevention (CDC) advises.

RELATED: The Best and Worst Drinks for Type 2 Diabetes

10. Don’t Drink Energy Drinks, Which Contain Sugar and Caffeine

Energy drinks give you a temporary boost of energy that comes from sugar, caffeine, and other additives, but all of that can also cause heart rhythm disturbances, increase heart rate and blood pressure, and disrupt sleep, according to the National Center for Complementary and Integrative Health. Just one 8.4 oz serving of Red Bull energy drink contains more than 26 g of sugar and 75 mg of caffeine, notes the USDA, and even the sugar-free version has 75 mg of caffeine. For comparison, 8 oz of brewed coffee contains roughly 92 mg of caffeine.

Instead of relying on liquid energy to keep you going, fight fatigue in other ways. Some of the best ways to stay healthy and alert are to focus on getting quality sleep (Zanini says seven to nine hours per night is the sweet spot) and regular exercise (150 minutes of moderate-intensity exercise along with two full-body strength sessions per week at a minimum, per the CDC). If you do need a quick energy boost, stick to healthier beverage options like unsweetened coffee and tea.

Additional reporting by Lauren Bedosky.

Learn more about the relationship between diet soda and diabetes in Diabetes Daily’s article “The Truth About Diet Soda”!

Alcohol and diabetes | Managing your diabetes

Alcohol and diabetes can be a tricky subject. For some people, having a few drinks at home or in the pub is part of everyday life. And having diabetes shouldn’t get in the way of this unless this has been advised on medical grounds. 

But when you have diabetes, it’s a bit more complicated. You might want to know whether it’s safe to drink alcohol with diabetes, and how much is OK.

So yes, you can still drink, but you need to be aware of how it can affect your body and how to manage this. For example, drinking can make you more likely to have a hypo, because alcohol interferes with your blood sugar levels. It can affect your weight too, as there can be a lot of calories in alcoholic drinks.

We’ll give you all the facts here.

Does alcohol cause diabetes?

There are several risk factors for type 2 diabetes, these include your family history, age and ethnic background. We also know you’re more likely to develop it if you’re overweight. 

Excess alcohol intake is associated with an increased risk of type 2 diabetes, but the relationship between alcohol and risk of type 2 diabetes can be a little bit complicated and staying within government guidelines is the safest way to drink alcohol.

Alcohol can also contain a lot of calories, which can lead to putting on weight.

Take a look at our information about risk factors and find out your risk of developing type 2 diabetes.


Government guidelines on alcohol units

To help keep health risks from alcohol at a low level, it’s safest not to regularly drink more than 14 units a week. These guidelines are the same for men and women. The guidelines also recommend that if you choose to drink up to 14 units a week, spread this over at least three days.   

But what does this actually mean when you’re in the pub or having dinner with a glass of wine at home?

It means you shouldn’t drink more than six medium glasses of wine or six pints of lager a week. 

But the size of the glass and type of alcohol affects the number of units, so it’s best to check the guidelines at drinkaware.co.uk

Alcohol and hypos

If you use insulin or some other diabetes medications like sulphonylureas, you’re more likely to have a hypo. Drinking alcohol can then add to this, because alcohol reduces your body’s ability to recover when blood sugar levels are dropping. Usually, the liver stores extra glucose which is released back into the blood when needed, such as when blood sugar levels drop. But alcohol stands in the way of the liver’s ability to do this effectively. If you’re not sure whether your medication can cause hypos or if they’re affected by alcohol, it’s best to speak to your healthcare team. 

If you drink a lot or on an empty stomach, you’re even more likely to have a hypo. 

Your risk of having a hypo doesn’t go away after you stop drinking – it increases, and can last up to 24 hours.

It’s not uncommon for some people to mistake having a hypo for being drunk. So carry hypo treatments around with you and always wear some medical ID. You should also make sure that whoever you’re with knows you have diabetes, and knows how to help with a hypo if you need them to.

Alcohol and your weight

Depending on what you like to drink, there can be a lot of calories in alcohol. So if you’re trying to lose weight, you may want to drink less.

Alcohol and carbohydrates

If you’re carb counting, drinking can make it a lot more tricky. While a lot of alcoholic drinks contain carbs, you might not need to take your usual mealtime amount of insulin to cover them. That’s because you’re more likely to get hypos. 

It all depends on what you drink, how much you drink, and what else you’re doing while you’re drinking – like eating or dancing. So it’s best to talk to your healthcare team and get their advice.

The morning after you’ve been drinking

If you end up having one too many, drinking a pint of water before you go to bed will help keep you hydrated. If you’re lucky, it may also help prevent a hangover in the morning. If you do wake up with a hangover, it’ll still help to drink plenty of water.

And always have breakfast – it will help you manage your blood sugar. If you can’t face food or you’ve been sick, drink as many fluids as you can, including some sugary (non-diet) drinks if your blood sugar levels are low.  

If you’ve got a blood sugar meter at home, check your levels regularly the next day. The symptoms of having a hypo are similar to feelings of a hangover, so you need to know if you’re having one. No matter how awful you feel, you need to treat a hypo straight away. Don’t ignore it.

If you take insulin, you might need to change your dose depending on what your levels are. Talk to your healthcare team about what you should be doing.

Types of drinks

If you’re going to drink, it’s good to be aware of all the facts so you can choose the types of drinks best for you:

  • Avoid low-sugar beers and cider – sometimes called diabetic drinks. They might have less sugar, but there’s more alcohol in them. 
  • Avoid low-alcohol wines – these often have more sugar than normal ones. If you do choose these, just stick to a glass or two. Try to limit drinks with a lot of sugar, such as sweet sherries, sweet wines and liqueurs.

  • Have diet or sugar-free mixers with any spirits – if a friend gets one for you, make it clear what you need.
  • Some drinks like beers, ales and ciders contain carbs and will increase your blood sugar levels initially. Spirits, dry wines and Prosecco not so much, so these may be a better bet if you are concerned about the carbs in alcohol.

Other health risks

If you have diabetes, you should be aware of the other health risks around drinking. That way, you can help to avoid them by limiting how much you drink.

Here are a few things to watch out for:

  • A lot of heavy drinking can lead to raised blood pressure.
  • Alcohol can make neuropathy (nerve damage) worse.
  • It dehydrates your body and stops you sleeping properly.
  • It can also lead to certain cancers and heart disease.

Alcohol, fertility and pregnancy 

Alcohol intake can affect fertility in men and women, so if you are trying for a baby it is important to cut back. For pregnant women the safest is not to drink alcohol at all during pregnancy. In particular, drinking alcohol during the first three months of pregnancy may increase the risk of a miscarriage. Excessive alcohol intake during pregnancy is never a good idea, and the more alcohol you drink the greater the risk to your baby. These risks include stillbirth, premature birth and foetal alcohol syndrome.

Alcohol and your emotions

Some people find that alcohol helps them deal with stress or when they’re feeling low. It might make you feel more relaxed, but it’s not a healthy way of managing these feelings. 

Getting more active can really help if you’re stressed or feeling anxious. Starting a hobby with a friend, or doing something relaxing like having a long bath or reading a book can all help.

You can talk to your healthcare team about how you’re feeling, they’ll be able to give you more advice and support about what might help. Or you might prefer to talk to someone close to you, like a friend or family member. 

Remember, you can get in touch with our helpline. They are there to listen and will be able to give you more advice.

15 Best Alcohol Drinks and Cocktails for Diabetics

There are plenty of alcoholic drinks out there. Among the sea of drinks available, some are safe for diabetic consumption, while some are not.

Diabetes and alcohol can be difficult match as diabetic patients have to consider their blood sugar levels before drinking alcohol. Alcohol can lower blood sugar levels way below the normal margins and lead to hypoglycemia.

Moderate and limited alcohol consumption with prior restrictions can assist in the management of one’s diabetic health. Moreover, you must consider drinking as a sparring activity and, advisably, not regularly.

You must be aware of the types of alcohol and drinks that you can and cannot drink. Here is a list of alcohols and drinks that you must avoid if you are a diabetic:

  1. Alcoholic drinks and cocktails like – Pina colada, margaritas, and daiquiris must be avoided in Diabetes. These drinks are sugary and have more calories per serving. Just one serving of these sugary alcohols is enough to affect your health.
  1. Wines are said to be on the safe list of alcohol when it comes to diabetic patients. However, some dessert wines are an exception. As the name suggests, these wines have added sugars that make them unfit for diabetic consumption. Port, Sherry wines, and Vermouths are common dessert wines. Sherry is also considered to be the sweetest among wines. Added sugar means added calories as well as added health risks.
  1. Other common drinks like cognac, whiskey, and brandy also fall under high sugar alcohols. Therefore, they are not quite the best ones for people suffering from diabetes.
  1. Varieties of cream liqueur such as – Kahlua, Irish cream, Malibu, etc., must also be avoided for reduced harm to your sugar levels.
  1. Fruity cocktails and drinks are also ones to avoid if you have diabetes, as they have added sugar and flavors that can increase the overall calories and carbs.
  1. Other very sugary alcohols include – schnapps, triple sec, Everclear, etc.

You must be careful about your alcohol choices and consider their compositions to make sure you do not overdo anything harmful to you.

Which alcohol has the most sugar?

Alcopops are ready-made soft drinks that contain alcohol. These are amongst the highest containing sugary alcohols and can be very unhealthy for the body. Some common ones include – Breezer, malt beverages, Smirnoff Ice, Bacardi, etc.

Liqueurs are among the top sugary alcohols. This is because they are added with sugars after distillation. Some liqueurs have around 46grams of sugar in every 100ml.

Cocktails are often sugary mixtures that can vary in composition and affect blood sugar health.

Any alcohol with added sugar can be harmful to your diabetic body and must be cut off or had in very low amounts occasionally.

It is important to drink responsibly, and this responsibility increases with the diagnosis of diabetes.

Is Vodka good for diabetics?

Any good quality vodka is just water and ethanol. It has no added sugar and is among the purest alcohols out there. Hence, it is said to be safe for diabetics. But there are some considerations that one has to make before taking Vodka as a diabetes-safe drink. It is a mixed case.

Vodka is clear alcohol and has no calories or sugars. It has around 40% alcohol. This makes it a fit alcoholic drink for people with diabetes.

Vodka is among the top on the list of safe alcohol for diabetics. It is, however, important to drink Vodka with caution as it is pure alcohol, and too much of it can have a blood sugar lowering effect.

If you consume too much Vodka, your body’s blood sugar can significantly fall overnight and lead to hypoglycemia. Concentrated alcohol tends to have such effects.

On the other hand, Vodka mixed with other sugary drinks or with added flavors can be dangerous. This can raise your blood sugar levels as the additives have sugar.

As a diabetic-safe alcohol choice, Vodka must always be paired with food so that there isn’t a rapid reduction in blood sugar levels.

Two shots of Vodka in a day are the limited amount you must keep in mind and follow strictly. Moreover, it must be avoided as a drink for late nights.

Too much Vodka also makes you crave more sugary food and may increase your calories. It is also observed that too much Vodka can hamper weight loss.

Hence, the quantities that you consume must be safe and looked after.

There are risks as well as benefits of consuming Vodka. It all comes down to keeping a check on your blood sugar levels and ensuring that you follow the daily limits to stay away from any dangerous effects.

15 best alcohol drinks and Cocktails for diabetics

There are many safe options out there. It is to be kept in mind that alcohol consumption can only be beneficial and risk-free when done in moderation, especially by diabetic patients.

Here is a list of safe alcoholic drinks and cocktails that you can consume:

1. Beer

Beer is one of the first go-to choices for many. Light beers are low in sugar and also keep the lower calories low.

Light beer varieties are healthier and better than regular beers. Twelve ounces of a good light beer can be a refreshing as well as a healthy option.

2. Red wine

When taken in moderate and restricted amounts, wine can be great as it has antioxidants and keeps the heart-healthy. Red wines are lower in sugars as well. Common choices include – pinot noir, merlot, Malbec, St. Laurent, etc.

3. White wines

These tend to be classified as higher in sugar compared to red wines. But when taken in limited quantities, white wines can be great too.

A 5ounce serving is recommended as well as safe for keeping blood sugar levels out of risk.

4. Vodka

As we mentioned earlier, two shots of Vodka in a day are harmless and can be great for diabetic control. It is clear and has no added sugars.

It must be had in the concentrated form and not mixed in sugary or flavored drinks.

5. Rum

Rum is a type of distilled spirit, which contains zero carbohydrates. This can be had without much mixing with other sugary drinks for diabetes management.

6. Gin

Gin is another type of distilled spirit known for its low-calorie and no-carb properties. It is hard liquor that does not affect your diabetic health when done in low and controlled amounts.

7. Skinny margarita

We mentioned earlier that diabetics must avoid having margaritas as they are a more sugary option.

But on the other hand, skinny margaritas are a mix of various safe and refreshing ingredients that do not spike your blood sugar levels.

Skinny margaritas not only make a tasty cocktail but also fit into diabetic diets.

8. Sparkling wine

This is another low-sugar and low-calorie alcohol choice. This is deemed safe as a 4-ounce serving of sparkling wine has only 78 calories and 1 gram of carbohydrate.

It can also be mixed with some sparkling water to increase the quantity of the drink without adding any extra calories or sugars. As a diabetic, you can opt for this alcohol over other sugary ones.

9. Martinis

Martinis are a popular cocktail choice. They are light for diabetics because they have no sugar as well as no carbohydrates. It is hence a harmless choice when taken in regulated amounts.

This cocktail does not contain sugary ingredients but mostly all distilled alcohols. The taste is also refreshing.

Stick to one serving and pair it with some healthy snacks to keep the diabetic blood sugar levels low and under control.

10. Vodka soda

A mix of club soda and Vodka is also a good alcohol choice that is harmless for diabetic individuals. Using seltzers or club sodas keeps the drink at no carbs and no calories.

11. Mojito

This is a cocktail favorite of many for its versatility and refreshing flavor. You can make your mojitos healthier by cutting off the sugar and switching it with seltzer.

12. Bloody Mary

Fresh tomato and bloody herb Mary is also a viable option for diabetics. Make sure to keep the mix low in sodium to ensure total safety. You can enjoy a glass of this with more added fresh veggies.

13. Scotch

Scotch is another distilled spirit that can be a safe choice for diabetic patients. It can be harmless when taken within the rightly recommended limits.

Stick to low-sugar and flavorless options.

14. Diet/zero coke long island tea

Making your long island tea with a healthy low sugar recipe and sticking to the recommended quantities of this cocktail is also a great option.

15. Rye

This is an uncommon option but a safe one. Rye is one of the distilled spirits, meaning it has no carbohydrates. You can safely have moderate drinks without worrying about your diabetic levels.

References

  1. https://www.acpjournals.org/doi/abs/10.7326/0003-4819-140-6-200403160-00011
  2. https://link.springer.com/article/10.1007/s00125-005-1768-5
  3. https://onlinelibrary.wiley.com/doi/full/10.1002/dmrr.492
  4. https://care.diabetesjournals.org/content/32/11/2123.short
  5. https://www.bmj.com/content/310/6979/555.short
  6. https://jech.bmj.com/content/56/7/542.short
  7. https://www.sciencedirect.com/science/article/abs/pii/S1043661807000345
  8. https://care.diabetesjournals.org/content/23/1/18.short
  9. https://academic.oup.com/aje/article-abstract/128/3/549/80242
  10. https://www.scielosp.org/article/rpsp/2012.v32n2/151-155/en/

 

Dr Sharon Baisil MD is an international award-winning doctor, known for creating innovative technologies for the prevention and treatment of Diabetes. He developed the android app called Beat Diabetes, which is presently the most downloaded diabetes app in India. It was chosen as ‘Diabetes-App of the Year’ globally by Healthline.  Dr Sharon has helped over 100,000 individuals with Diabetes from 140 countries, during the past 4 years, to control their sugar levels. You can read all the best-selling Diabetes eBooks by Dr Sharon Baisil MD , by clicking here Latest posts by Dr Sharon Baisil MD (see all)

11 Best Alcoholic Drinks for Diabetics Type 1 or Type 2

Looking into the 11 best alcoholic drinks for diabetics type 1 or type 2 will hopefully put to rest the popular misconception that one with diabetes cannot consume alcohol. In fact, if you are diabetic, the guidelines for your alcohol consumption does not vary much from someone who is not. Typically one drink for women and two for men. It’s more a matter of WHAT you are drinking, and here you will have a better insight into figuring out what alcoholic drinks are safe for diabetics. Now, this doesn’t particularly mean you can drink as much as you want whenever you want. Hell, I can’t even do that (well, I could… but that would wreak havoc on my health) and I do not have diabetes. I do, however, know an alcoholic who is, and while she undeniably should be a bit more careful as to the amount of alcohol she consumes on such a regular basis, she certainly disproves the idea that diabetics can’t have any fun when it comes to enjoying an adult beverage here and there. Again, it’s all a matter of knowing what are the best alcoholic drinks for diabetics.

Let’s talk a little about some more specific guidelines one with diabetes must follow should they decide to drink. First and foremost, everyone is different. While it is indeed safe for most diabetics to “drink responsibly,” that is certainly not the case for every diabetic. Whether or not you have your disease under control, you’re going to want to consult with your doctor about if any amount of alcohol use is safe for YOU. And while there certainly are risks to alcohol consumption for everyone (not just diabetics), believe it or not, your doctor may even bring up the fact that moderate drinking can have its benefits, as well. Certain alcohols can reduce the risk of heart disease, strokes, kidney stones, Alzheimer’s and Parkinson’s Disease along with some other surprising perks, and—get this!—are you sitting down for this one? Some studies are now showing that some alcohols may even reduce the risk of developing [type 2] diabetes by as much as 30%. Crazy, huh? And no, this doesn’t mean that you can simply drink your diabetes away… Seriously, don’t do that! ‘Cause on the flip side of that fun fact is the more prevalent one that too much drinking can actually cause diabetes [type 2].

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Remember, alcohol can be risky! Again, not just for diabetics, but I’m willing to bet if you are reading this particular article, chances are, you either have type 1 or type 2 diabetes. It can either cause your blood sugar levels to rise or drop; which can be detrimental to a person with diabetes. That is why it is important to know how alcohol can affect your blood sugar levels with hypoglycemia being low blood sugar and hyperglycemia being high—both of which very common conditions of diabetics.

Moving on! After making sure Doc gives you the “okay” to have a drink, you’re gonna wanna make sure you’re not drinking on an empty stomach—ESPECIALLY if you take some form of medication for your diabetes; which chances are, you do. Another thing to remember is that you want to keep yourself hydrated. But something you could easily forget? Have something on your person (uh, that’d be you… duh) indicating you’re diabetic. A badge. An I.D. Hell, make a T-shirt (coming from a former bartender, I would totally recommend and would have appreciated the T-shirt idea)! ANYTHING to let others around you or serving you know not to mistake what may look like someone who is a bit tipsed (do people say that, or just me? Well, you get it, right? “Tipsy”) for someone who is actually suffering from hypo or hyperglycemic episode. Depending on HOW tipsy you appear (and, of course, the professionalism of the bartender), you may be flagged; which is definitely a plus, but still not gonna help you if everyone around you is completely oblivious to what is actually wrong.

Another thing I cannot stress enough is to chickity-CHECK yo’self before you wreck yo’self. Chickity-check yo’self before you wreck yo’self… Did I really just say that? Yes, I did. And as corny as it sounds (and looks now that I’ve typed it… twice) I couldn’t think of a better way to get this part in your head. No, Ice Cube was not referring to checking your blood glucose levels (although, wouldn’t it be silly if he were?), but I am! You’re going to want to check it before you even start to drink to ensure that your blood sugar is at a safe level. You’re gonna wanna check continuously while you drink, before you go to bed, in the middle of the night (if you can), and really up to 24 hours AFTER your drink(s), as alcohol has a tendency to affect everyone’s blood glucose even the day after having a drink or two.

Now, before I jump into the alcoholic drinks for diabetics list, I’ve gotta share Jay’s article on the 12 Best Alcoholic Mixed Drinks for Diabetics. While she gives some great ideas on drinks for diabetics, I’ll be focusing a bit more on the best liquor for diabetics. So, what alcohol can you drink if you have diabetes? Well, you’re about to find out! Just ONE more thing I have to share with you before we get started (I promise it will be quick!).

How did I rank the 11 best alcoholic drinks for diabetics type 1 or type 2? I sourced most of the nutrition facts from MyFitnessPal and Livestrong, and just a few from Shape Magazine. Ranking the actual liquors was a little easier said than done. Ever notice how there are no nutrition labels on liquor bottles? Well, there’s not; which made me have to get a little creative with my ranking. While the sources I used were about the best I could find, they gave very vague numbers–more approximates, and not quite exact based on different brands and whatnot. So, I decided to rank the list more on the popularity of the actual drink itself. Let’s face it; some liquors are just more popularly ordered than others. Not to mention, the versatility of the liquor. Since calories and carbs add up the more ingredients are used in a drink, I thought best to take that into consideration. The best liquor for diabetics are going to be ones that are tasty all on their own or mixed with just one other acceptable ingredient for diabetics.

See! Told ya that wouldn’t take long. And now, the 11 best alcoholic drinks for diabetics type 1 or type 2.

11. Dry Martini

Here is one of the very few low sugar cocktails to order at a bar. While you may think of a martini as being a sweet even somewhat fruity adult beverage, I’ll share with you a little secret I learned in bartending school: A TRUE martini consists of gin as its main ingredient. Nowadays, one often thinks of vodka when it comes to martinis, and there is an array of different flavored martinis out there, but here I am talking about your old-fashioned dry martini with gin and preferably extra dry vermouth. Martini & Rossi is among the most popular brands of vermouth and in a dry martini, there is less than the 1 oz serving size in the beverage. The drink itself should be around 120 calories with only . 2 grams of carbs even with the gin.

Pixabay/Public Domain

And now, let’s see the top ten best alcoholic drinks for diabetics type 1 or type 2, shall we?

Your Guide to Alcoholic Beverages with Prediabetes

If you have been diagnosed with prediabetes, it’s important to watch your food and beverage intake carefully. When it comes to alcohol, it’s best to avoid drinking whenever you can. But if you do choose to drink, then you might be wondering which drinks are worst and which ones are best.

Here’s your guide to alcoholic beverages with prediabetes, so you can better understand how to choose the healthiest drink options.

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Risk of Diabetes

Why it’s smart to limit or avoid alcohol completely


If you have prediabetes, then it’s a good idea to cut back on your alcohol consumption and save your alcoholic beverages for special occasions only.

You see, drinking alcohol makes you more likely to have issues with blood sugar regulation and increases your risk of getting prediabetes. Being a heavy drinker makes you even more likely to develop prediabetes and set yourself up for getting diabetes in the future.[1-3]

Experts recommend that you stay away from alcohol if you have prediabetes – or to at least limit your intake. Alcohol can interfere with insulin function and disrupt healthy blood sugar regulation, leading to harmful swings in blood sugar that can be very risky. Alcohol can also contribute to weight gain, which is one of the risk factors for diabetes.[4-7]

Alcoholic beverages: the best and worst options


Not drinking alcohol at all really is best, but we know that many people like to have a drink or two on special occasions as a treat. So if you are going to choose to drink an alcoholic beverage, which options are the least problematic?

To make healthy choices, you’ll need to pay attention to calories, carbs, and sugars in your beverages.

The problem is that nutrition info for alcoholic beverages can be very, very hard to find. It’s usually not on the label, so you have to go out of your way if you want to read nutrition facts. Because of this, many of us end up consuming more calories, sugars, and carbs than we realize in the form of alcohol.

On average, adults in the U.S. consume about 100 calories per day from alcoholic beverages, but many consume more like 300 calories from alcohol each day.[8] And most people don’t compensate for this by cutting down on other foods and drinks, they just consume the alcohol in addition to their normal daily diets.

To give you a rough idea, 12 oz. of 5% beer has about 150 calories, 5 oz. of 12% wine has about 120 calories, and 7 oz. of a rum and cola has about 155 calories total.[9] But the nutrition content of drinks can vary a lot depending on the specific type, flavor, brand, and ingredients used.

Here’s a guide to common alcoholic drinks and how to choose the healthiest options:

 

1. Beer

If you choose the right kind, beer can be an appropriate choice to drink in moderation.

Because sugar is consumed in the fermentation process, beer usually contains negligible amounts of sugar.

The trick is to choose light beers, which have lower calories and carbohydrates. Light beers have about 103 calories on average, whereas craft beers can be much higher – up to 350 calories.[10]

Here are some common beer choices to show you how the calorie and carb content can vary widely between different varieties:

  • Bud Light – 103 calories and 5 g carbs,[11]
  • Heineken – 142 calories and 11 g of carbs.[12]
  • Budweiser (regular) – 146 calories and 11 g of carbs.[13]
  • Coors Banquet – 147 calories and 12 g of carbs.[14]
  • Stella Artois Lager – 141 calories and 11 g of carbs.[15]
  • Pyramid Brewing Outburst IPA – 260 calories and 21 g of carbohydrates.[16]
  • Modelo Especial Chelada – 290 calories and 35 g of carbs. [17]

Stick to light beers, and be careful of craft beers like IPAs or darker beers that are higher in carbohydrates and calories. These should be completely avoided if at all possible.

2.

Wine

Most wine is relatively low in carbohydrates and sugar, making it an acceptable choice if you have prediabetes. It’s also pretty low in calories, with around 120-130 calories per 5 oz. glass. Like beer, the type and brand of wine you choose will determine the calorie, carb, and sugar content. Dessert wines are higher in calories than other wines, for example, with around 160 calories per glass.[10]

Here’s a breakdown of the nutrition content of common types of wine:

  • Light wine – 2 g of carbohydrates and 2 g of sugar.[18]
  • Red table wine – 5 g of carbs and only 1 g of sugar.[19]
  • White table wine – 5 g of carbs and 2 g of sugar.[20]
  • Dessert wine – 168 calories, 14 g of carbs, and 8 g of sugar.[21]

3. Liquor

Straight alcohol still contains calories, but it won’t give you any carbs or sugar. That makes liquor a smart choice if you are trying to limit your carbohydrate and sugar intake for your prediabetes.

Distilled alcohol like gin, vodka, whiskey, and rum contain around 97-116 calories per serving (which is 1.5 oz.).[10]

The problem occurs when you start to mix your liquors with unhealthy mixer ingredients – which dramatically change the nutrition content of your beverage.

 

4. Mixed drinks

While liquor itself isn’t high in sugar or carbs, mixed drinks can be very harmful – depending on what ingredients are used.

If you are mixing your alcohol with syrups, juices, and sodas, this can quickly put you at risk for sugar overload and dramatic spikes in blood glucose levels. A vodka and cola, for example, will be much less healthy than vodka mixed with unsweetened seltzer and lime.

Here are examples of some high-calorie mixed drinks that contain a lot of added sugars:

  • Mai tai – 306 calories, 31g of carbohydrates, 24 g of sugar. [10,22]
  • Pina colada – 526 calories, 44 g of carbs, and 40 g of sugar.[10, 23]
  • White Russian – 568 calories, 25 g of carbs, and 22 g of sugar.[10,24]

If you want a cocktail, mixers like seltzer water and fresh citrus juice are healthy alternatives. Mixed drinks made with ingredients like these can still be fairly low in calories, carbs, and sugar.

5. Hard seltzers

Over the past few years, hard seltzers have quickly gained in popularity. If you choose to have an alcoholic beverage, hard seltzers are not a bad option. They usually have a relatively low alcohol content and are fairly low in calories, carbs, and sugar compared to other types of alcohol.

One popular brand called White Claw contains 2 g of carbs, 2 g of sugar, and 100 calories per 12 oz. can.[25]

The final word


While no alcohol is usually the best choice, not everyone wants to go completely cold turkey with alcohol. If you must have an alcoholic drink, some choices are much better than others to help prevent blood sugar spikes and keep yourself healthy in the long run.

Some alcoholic beverages (like fruity mixed drinks) are quite high in sugar, carbs, and calories. Your safest choices will be those that stay away from high-carb and high-sugar ingredients.

Stick to dry and light wines, light beers, spirits mixed with sparkling water or fresh citrus, or hard seltzers. Stay away from high-calorie heavy beers, dessert wines, and fruity and sugary mixed drinks or cocktails.

No Cost Health Kit to Lower Your

Risk of Diabetes

And be sure to watch your serving sizes and only drink in moderation. Moderate consumption means no more than one drink per day for women and two drinks per day for men, and a serving size of alcohol means 12 oz. of beer, 5 oz. of wine, or 1.5 oz. of distilled spirits.

Want to learn more about drinking alcohol with prediabetes? Click here.

  1. Cullmann M, Hilding A, Östenson CG. Alcohol consumption and risk of pre-diabetes and type 2 diabetes development in a Swedish population. Diabet Med. 2012;29(4):441-52.
  2. Suebsamran P, Choenchoopon H, Rojanasaksothorn S, Loiha S, Chamnan P. Association between Alcohol Consumption and Pre-Diabetes among 383,442 Thai Population Aged 15 Years and Older in Ubon Ratchathani: Analytical Cross-Sectional Study. J Med Assoc Thai. 2016;99 Suppl 1:S35-42.
  3. Zhang S, Liu Y, Wang G, et al. The Relationship between Alcohol Consumption and Incidence of Glycometabolic Abnormality in Middle-Aged and Elderly Chinese Men. Int J Endocrinol. 2016;2016:1983702.
  4. Harvard School of Public Health. Alcohol: Balancing Risks and Benefits. https://www.hsph.harvard.edu/nutritionsource/healthy-drinks/drinks-to-consume-in-moderation/alcohol-full-story/.
  5. University of California, San Francisco. Alcohol and Diabetes… Know the Risks. https://diabetes.ucsf.edu/sites/diabetes.ucsf.edu/files/PEDS%20Alcohol%20and%20Diabetes.pdf.
  6. Johns Hopkins Medicine. Mixing Alcohol with Your Diabetes. https://www.hopkinsmedicine.org/gim/core_resources/patient%20handouts/handouts_may_2012/mixing%20alcohol%20with%20your%20diabetes.pdf.
  7. University of California, San Francisco. Diabetes & Alcohol. https://dtc.ucsf.edu/living-with-diabetes/diet-and-nutrition/diabetes-alcohol/.
  8. Nielson SJ, Kit BK, Fakhouri T, Ogden CL.  Calories Consumed From Alcoholic Beverages by U.S. Adults, 2007–2010. Centers for Disease Control and Prevention NCHS Data Brief. 2012;110.
  9. Dietary Guidelines 2015-2020. Appendix 9. Alcohol. Office of Disease Prevention and Health Promotion. https://health.gov/our-work/food-nutrition/2015-2020-dietary-guidelines/guidelines/appendix-9/.
  10. Medline Plus. Calorie count – Alcoholic beverages. National Library of Medicine. Reviewed April 23 2018. https://medlineplus. gov/ency/patientinstructions/000886.htm.
  11. FoodData Central. Alcoholic beverage, beer, light, BUD LIGHT. United States Department of Agriculture. April 1 2019. https://fdc.nal.usda.gov/fdc-app.html#/food-details/169572/nutrients.
  12. FoodData Central. Premium Large Beer. United States Department of Agriculture. April 1 2019. https://fdc.nal.usda.gov/fdc-app.html#/food-details/583996/nutrients.
  13. FoodData Central. Alcoholic beverage, beer, regular, BUDWEISER. April 1 2019. https://fdc.nal.usda.gov/fdc-app.html#/food-details/168747/nutrients.
  14. Nutrition Information. Coors. https://www.coors.com/Ingredients.
  15. Stella Artois Lager. Stella Artois. https://www.stellaartois.com/en_us/beers/stella-artois-lager.html.
  16. FAQ. Modelo USA. https://www.modelousa.com/en-US/faq.
  17. Nutritional Information. Pyramid Brewing. October 10 2019. https://www.pyramidbrew.com/assets/pdf/pyramid_brewing_co_nutritional_info_20191021.pdf.
  18. FoodData Central. Wine, light. October 30 2020. FoodData Central. Wine, table, red. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104473/nutrients/.
  19. FoodData Central. Wine, table, white. October 30 2020. FoodData Central. Wine, table, red. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104474/nutrients.
  20. FoodData Central. Wine, table, red. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104473/nutrients/.
  21. FoodData Central. Wine, dessert, sweet. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104477/nutrients.
  22. FoodData Central. Mai tai. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104459/nutrients.
  23. FoodData Central. Pina Colada. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104443/nutrients.
  24. FoodData Central. White russian. October 30 2020. https://fdc.nal.usda.gov/fdc-app.html#/food-details/1104454/nutrients.
  25. FAQ. White Claw. https://www.whiteclaw.com/faq/.

Alcohol and Diabetes | ADA

The Benefits 

You’ve probably heard that alcohol is good for your heart. But that’s an oversimplification. Take a look at the numbers and you’ll find that only moderate drinkers have less cardiovascular disease. Those on the opposite ends of the spectrum—people that drink heavily and those that don’t—have a greater risk.

But what exactly is moderate drinking? It’s one drink a day for women and up to two per day for men. However, that “drink” is a lot smaller than some people think: just five ounces of wine, a 12-ounce beer, or one and a half ounces of 80-proof spirits.

A daily cocktail or two may improve blood sugar (blood glucose) management and insulin sensitivity. If you have one or more drinks a day, you may find that your A1C is lower than during times you weren’t drinking. But if you don’t drink regularly, this doesn’t mean you should start. After all, other aspects of moderate drinkers’ lives may be behind the link.

Too much drinking, on the other hand (more than three drinks daily), can lead to higher blood sugar and A1C.

The Risks

Despite the potential health perks of drinking alcohol, there are some cautions as well. The biggest concern is hypoglycemia (low blood sugar). When drinking alcohol is combined with the medications most often used to treat diabetes—particularly insulin and sulfonylureas, low blood sugar can result. While a glass of wine with dinner probably isn’t a big deal, a mojito on an empty stomach at happy hour is.

Blame it on your liver. This organ stabilizes glucose levels by storing carbohydrates and releasing them into the bloodstream between meals and overnight. It’s also the body’s detoxification center, breaking down toxins like alcohol so the kidneys can easily flush them away.

Trouble is, it’s not great at multitasking. Your liver will choose to metabolize the alcohol over maintaining your blood sugar, which can lead to hypoglycemia. The liver often makes this choice when you drink without eating food—so consider snacking while you sip. 

Because many of the symptoms of hypoglycemia—such as slurred speech, drowsiness, confusion, or difficulty walking—are also symptoms of being drunk, it can be difficult to tell the two apart. And if you often have hypoglycemia unawareness, a condition in which you don’t recognize you’re going low, drinking becomes especially dicey. Timing may also be an issue, as hypoglycemia can strike hours after your last drink, especially if you’ve been exercising. 

Carbohydrate (and Calorie) Confusion

There’s another reason drinking can be challenging. Unlike protein, fat, or carbohydrate, alcohol doesn’t require insulin to provide energy to the body. Yet, many people assume that alcoholic drinks are loaded with carbs, not realizing that wine and spirits are practically carbohydrate free—with only a trace of carbohydrate in spirits and roughly four grams of carbs in a five-ounce glass of wine. The exception is sweet dessert wines, which pack 14 grams of carb in a tiny three-and-a-half-ounce glass.

High-carb drinks may sound like the smart option when you’re at risk for hypoglycemia, but it’s a bit more complicated than that.

Liquid sugars are quickly absorbed by the body, so those carbs won’t be much help in preventing or treating a low that may occur hours after you drink. Food, on the other hand, is digested gradually, so it provides better protection against lows.

With all the focus on carbs, it’s easy to forget that alcohol also has calories. Given that drinking can make you lose track of what you’re eating, calories (and pounds) can add up quickly. Being tipsy has another downside, making it easy to mix up your medications or to forget to take them entirely. 

Remember, drink sizes vary. That can make it especially difficult to get a grip on how many carbs and calories you’re consuming.

The Take-Away

Drinking is individualized and there’s no universal rule for how to do it safely when you live with diabetes. Talk to your doctor about your drinking habits and they can provide you with tips and tricks for how drink in a way that works for you.

What You Need to Know About Type 1 Diabetes and Alcohol JDRF –

To put your first question to rest, the answer is yes. You can drink alcohol with type 1 diabetes! Of course, like anyone with or without type 1, it’s still important to monitor how much you have to drink. The recommended daily intake — for everyone, whether they have type 1 diabetes or not — is no more than two drinks per day if you are a man or one drink per day if you are a woman.   

Having diabetes means that in addition to consuming responsibly, you will also need to understand the effect of alcohol on blood sugar and keep an eye on it while drinking. 

How Does Alcohol Affect Your Blood Sugar?  

Moderate amounts of alcohol may cause blood sugar to rise, excess alcohol can actually decrease your blood sugar level – which can be dangerous for people with T1D. People with T1D should only drink while eating food.  

Beer and sweet wine contain carbohydrates and may raise blood sugar. People may overeat when drinking alcohol which also can increase your BG. Always wear a medical alert piece of jewelry that says you have diabetes. And in an emergency glucagon may not work so tell people to call 911 (your liver is busy filtering alcohol so the glucagon may not work).

Talk to your doctor about drinking with type 1 diabetes and ask if they would recommend any changes to your routine. Also discuss any medications you are taking and how that might impact the effects of alcohol. 

Tips for Drinking Safely with Type 1 Diabetes 

Now that you are aware of the interaction between blood sugar and alcohol, you’re ready to make a game plan. Whether it be a birthday party, a football night or something else, these tips will help you be prepared for any occasion where you may consume alcohol:  

Know the signs of low and high blood sugar: Let your friends know about how alcohol impacts your body when you have type 1 diabetes, and go over the signs of hypo- and hyperglycemia. Make sure they can spot the signs of low blood sugar and know to call 911 immediately if you have trouble eating or become unresponsive. If you use a continuous glucose monitor (CGM), consider sharing your data so that your friends can help track your levels. 

Don’t forget to eat: Always drink alcohol on a full stomach or eat while you are drinking. Before bed, have a snack high in protein and fat. You may want to set an alarm for a few hours after you go to sleep to check your blood sugar in the middle of the night. 

Adjust your insulin dosing as needed: Discuss with your doctor or endocrinologist about how different types of alcohol affect your blood sugar and consider making changes to your insulin dosing before, during and after drinking alcohol. 

Plan ahead for cardio: If you anticipate that you’ll be dancing, running around or anything else that may raise your heart rate, you might want to prepare for a drop in blood sugar. Plan ahead by decreasing your basal insulin (long-acting) dose if you wear a pump, or eating extra carbohydrates. 

Switch it up: You may want to alternate between alcohol and water or another non-alcoholic beverage, it will keep you hydrated and is an overall good tip whether you have T1D or not. 

When Choosing Your Drink, Be Mindful of Carb Counts 

In general, alcohol drops blood sugar, but sugars already present in your drinks can increase it. That’s why it’s important to pay attention to the carbohydrate count in your drinks. Knowing the effect of alcohol on blood sugar, people often stick to drinks that have a lower alcohol sugar content in order to avoid a high. Use these estimated carb counts of popular drinks to help guide you — but always check the label of your drink or use a carb counting app.

90,000 Alcohol in diabetes mellitus | Can alcohol be used for diabetes

Diet formulation and counting of bread units is the basis for the treatment of many diseases, which include type 1 or type 2 diabetes mellitus. Frequent deviations from the prepared diet or a return to nutrition, which the patient adhered to before the detection of the disease, can worsen the severity of the pathological process and lead to the development of irreversible consequences. Products containing ethyl alcohol have a negative effect even on a healthy body.Therefore, people with any type of diagnosed disease should be careful about drinking alcohol.

Can alcohol be used for type 1 diabetes?

In type 1 diabetes, the effect of ethanol on the human body is combined with the effect of insulin, which is systematically injected. This combination can lead to a rapid decrease in plasma glucose levels and, as a result, the development of hypoglycemia. Therefore, patients with this type of disease can only consume alcoholic beverages after determining the concentration of glucose in the blood.If the numbers are within the normal range, then you can drink alcohol in acceptable quantities (a detailed list and dosages will be given below), if they are lowered, then you should refuse to drink. It is strictly forbidden to drink alcohol on an empty stomach, as this will contribute to a rapid decrease in sugar levels.

Can alcohol be used for type 2 diabetes?

Alcohol consumption by people with this type of diabetes is allowed only in minimal quantities, no more than once a week.

Patients who use metformin as a hypoglycemic therapy are strictly prohibited from using ethanol, since the reaction of these two substances can lead to the development of a complication – lactic acidosis.

What kind of alcohol can you treat with diabetes?

It is important to avoid alcoholic beverages that contain large amounts of sugar. These include a variety of liqueurs, liqueurs, cocktails and sweet wines. On the other hand, vodka can sometimes help stabilize blood glucose levels, but in some situations it provokes a sharp drop in glucose levels.

How does alcohol affect diabetes mellitus?

When drinking alcoholic beverages in patients with diabetes mellitus, the following processes occur in the body:

  • carbohydrates that enter the body with a drink are absorbed much more slowly, which poses a danger for people with the first type of disease. Increased insulin levels can starve cells and make you feel worse. In a state of light intoxication, you can easily miss the signs of hypoglycemia;
  • Some alcoholic beverages are high in calories and do not contain useful nutritional components that are involved in carbohydrate metabolism;
  • Consumption of alcoholic beverages, as a rule, significantly increases appetite, so a person can eat a large amount of food, thereby bringing his body to a state of hyperglycemia.
  • ethanol, which is the main component of alcohol, contributes to the disruption of the peripheral NS.

All patients with a history of diabetes mellitus should periodically use pharmacological drugs aimed at maintaining the elasticity of blood vessels and reducing the risk of complications associated with their damage. These pathological conditions are an absolute contraindication to drinking alcohol.

How much alcohol can you drink with diabetes?

Days to reduce the risk of the impact of the standard on the body of a person suffering from diabetes mellitus, the maximum allowable amount of alcohol must be taken into account:

  1. Spirits: 0.1 l for men, 0.05 l for women.
  2. Dry wine: 0.2 l – for men 0.15 l – for women.
  3. Beer: 0.3 L for men, 0.15 L for women.

The dosage indicated above is suitable for drinking no more than once a week, if the person’s condition has not worsened recently.

Prohibited alcoholic beverages include liqueurs, sweet and fortified wines, liqueurs, sweet alcoholic cocktails. All people with diabetes should understand that alcohol consumption in their case should be rare and strictly dosed.

How to reduce the harm of alcoholic beverages?

To prevent the negative effect of ethanol on the body, the following rules must be observed:

  1. Do not consume alcoholic beverages on an empty stomach or substitute them for a full meal, as this can further increase your appetite. It is best to have a little snack in advance and eat enough food while drinking to prevent hypoglycemia.
  2. To reduce the energy value of wine, it is best to dilute it with pure non-carbonated water.
  3. To prevent an excessively rapid rise in glucose levels, it is necessary to avoid the drinks with a high sugar content, which are indicated above.
  4. After drinking alcohol, you must completely abandon physical activity.
  5. No need to mix different types of alcohol.
  6. It is necessary to control the amount of consumed and eaten calories, carbohydrates.This will help you then effectively adjust the blood glucose value using tablets or insulin injection.

Patients with a history of diabetes mellitus sometimes find it difficult to withstand the restriction in their favorite food or alcoholic beverages. However, it is important to remember that this disease requires strict nutritional guidelines to prevent dangerous complications from developing.

90,000 is it possible to drink alcohol with type 1 and 2 diabetes

Until recently, when a person was diagnosed with diabetes, doctors strongly recommended that he give up all bad habits.It was believed that drinking alcohol with diabetes is unacceptable, since it can aggravate the course of the disease. However, today doctors have ceased to be categorical about this, and they believe that a diabetic can drink a small amount of alcohol without harm to health. But it should be remembered that before relaxing with a glass of alcohol, a person with a history of type 1 or type 2 diabetes should definitely consult with their doctor so that he selects the safest drink and adjusts the dose depending on the treatment regimen.

The effect of alcohol on the human body with diabetes

People who have been diagnosed have a hard time getting used to lifestyle changes. It is especially difficult to give up the diet and habitual use of alcoholic beverages on holidays. It is for this reason that every patient with this disease should know why alcohol is dangerous in diabetes mellitus, and how to minimize the threat to health :

  1. After drinking intoxicating drinks, a person experiences an increase in appetite , so he consumes a lot of carbohydrates, which provokes the occurrence of hyperglycemia, an increase in sugar levels.
  2. A person with a history of this disease, when intoxicated, is able to miss the appearance of signs of hypoglycemia , a drop in sugar concentration, because most often takes the sensations that have arisen for an ordinary hangover.
  3. Glucose produced by the liver begins to enter the blood more slowly, which leads to serious risks – the load on the organ increases, and it cannot quickly release glycogen and replenish its reserves when a person’s sugar concentration drops unexpectedly .
  4. Alcohol in diabetes slows down the absorption of carbohydrates . This is very dangerous for patients with a history of type 1 disease and injecting insulin. When they drink alcohol, excess of this hormone is formed, leading to cell starvation and worsening overall well-being.
  5. Alcoholic drinks are enough high-calorie and they do not contain substances without which normal metabolism is impossible, therefore, their use in large quantities leads to excessive deposition of lipids in the blood, as a result of which obesity develops, which carries an increased danger for a diabetic.

To avoid these consequences, experts advise a person with diabetes who does not want to completely stop drinking alcohol to drink only certain types of alcoholic beverages. It is recommended to do this exclusively on a full stomach and in small quantities, as well as constantly monitor the sugar level. Compliance with these rules will help to minimize the harmful effects of ethyl alcohol on the body and prevent the aggravation of the course of the disease.

Main types of diabetes mellitus and common symptoms

The disease develops as a result of the appearance of immunity disorders, is caused by viruses that can damage beta cells, or arises as a result of pathological processes in the pancreas, malnutrition, hormonal disorders.It can also be hereditary in nature. Specialists distinguish 2 types of diabetes mellitus :

  1. Insulin Dependent . This type of “sweet” disease is incurable (people with a history of such a diagnosis must inject themselves with insulin all their lives) and is characterized by rapid development. This type of autoimmune disease is diagnosed most often at a young age and is classified as hereditary. Alcohol in type 1 diabetes is allowed only weak – the introduction of insulin in combination with ethyl alcohol leads to a sharp decrease in glucose levels, which can provoke a hypoglycemic coma.
  2. Non-insulin dependent . With this form of the disease, which occurs in 90% of all clinical cases, insulin is produced normally, but is poorly absorbed by cells. A feature of this form of the disease is the obese weight of a person and a tendency to obesity. This has a direct impact on the choice of alcohol – if type 2 diabetes is diagnosed, alcohol is allowed only without additives and with a minimum sugar content. It is best to pay attention to drinks with a high strength.However, it should not be abused.

Both types of the disease have a number of common symptoms, which include malfunctions of the nervous and cardiovascular systems, weakening of the immune system, frequent inflammation of the urinary and genital organs, skin pathologies, degenerative processes in the joints. If a patient with diabetes has a sharp change in blood sugar levels, he develops signs of severe intoxication – the patient loses coordination of movements, becomes inhibited, weakens.

Admissibility of alcoholic beverages in diabetes mellitus and peculiarities of their choice

As for whether it is possible to drink alcohol with diabetes mellitus, doctors have a double opinion.One group of specialists is categorically opposed to a patient with a history of an autoimmune disease drinking intoxicating drinks. They base their opinion not only on the ability of alcohol to have a negative effect on the body of a diabetic, but also on by the following factors :

  • a drunk person develops confusion, as a result of which he may make an inadequate decision about untimely medication;
  • alcoholic beverages negatively affect the cardiovascular system, and also provoke surges in blood pressure.

The second group of doctors believes that it is permissible to drink alcohol in case of a “sweet” illness, but they make an amendment: it is possible to drink alcohol in diabetes only in small doses. In addition, the hot drink must have appropriate characteristics. That is why it is permissible for people with a “sweet” illness to consume alcohol only after consulting a specialist who will select the best option for an alcoholic drink in accordance with the diet recommended to the patient and advise the safest dose.

Characteristics of alcoholic beverages to look out for for someone with a history of autoimmune disease :

  1. No additives that add flavor to the drink and at the same time increase its calorie content.
  2. Small, not exceeding 5%, sugar content.

Alcohol with diabetes mellitus should be drunk only of high quality. It is categorically unacceptable to use fortified, sweet and dessert wines, liqueurs, liqueurs, champagne, cocktails.These drinks are high in sugar and calories, which can contribute to obesity. It is recommended to opt for spirits, rum, vodka, cognac, dry red wines or unfiltered beer. But it is permissible to use them in small quantities and not more often 1-2 times a week .

How beer affects diabetics

Brewer’s yeast is rich in microelements and vitamins, and also effectively stimulates the liver, therefore its use is recommended for people with a history of “sweet” disease, as a means to improve overall health.A large number of them are found in unfiltered beer, so this drink is considered useful for diabetics, of course, if the sick person does not abuse it and use it only outside exacerbations. Preference should be given to an unfiltered foamy drink. Its permissible dose is no more than 300 ml. This amount of beer does not provoke an increase in blood sugar concentration, however, drinking it more than twice a week is strongly discouraged.

How vodka works

High-quality products with a strength of 40 ° contain ethyl alcohol and purified drinking water.High-quality vodka is recognized as an acceptable drink for diabetics, since it allows you to quickly stabilize the patient’s condition when his sugar level rises. However, with frequent, more than 1-2 times a week, the use of a strong drink, patients with this autoimmune disease develop a delayed decrease in glycemia. In addition, with an insulin-independent form, vodka should be drunk with caution due to its high calorie content and the ability to increase appetite, and if insulin-dependent diabetes is diagnosed, strong alcohol can sharply reduce glucose levels, as a result of which hypoglycemia may develop.

Can I drink wine

Natural grape drink is allowed for people with a history of sugar disease. The best option is dry red wine, prepared and infused with dark grapes, the thick skin of which contains the polyphenols necessary for the treatment of diabetes mellitus. It is able to effectively lower sugar when consumed in an amount not exceeding 150 ml.

But, despite this property, it is strongly discouraged to use wine as a substitute for medicine.Dry red wine can be beneficial for diabetes only as an auxiliary food product. As for rosé and dry white wines, they do not contain polyphenols and therefore are not able to reduce sugar. However, patients can consume small amounts of these drinks, since they are safe for health.

Absolute contraindications for drinking alcohol

One of the causes of type 2 “sweet” disease is chronic alcoholism, in which there is a loss of working capacity by the pancreas and the development of alcoholic diabetes and pancreatitis.Patients with a history of such a set of pathologies should not consume even minimal doses of alcohol, since alcohol will provoke in them the activation of the primary disease and, as a result, aggravate the course of the pathological process. Also, the absolute contraindications that categorically do not allow the use of alcohol, include :

  • patient’s age up to 21 years;
  • any metabolic disorders;
  • periods of pregnancy and lactation;
  • concomitant cirrhosis, hepatitis, chronic pancreatitis;
  • ketonuria, the presence of ketone bodies in the urine, indicating that the glucose level has dropped to critical values.

The development of late hypoglycemia is especially dangerous. In the presence of such a condition, one should also completely abandon the use of alcohol, because it is very difficult to stop an attack that arose several hours after the patient drank.

is it possible to drink vodka, beer, wine

A well-known saying says that drinking is harmful. However, doctors often claim that drinking wine in small amounts is good for your health. The dosage of “healthy” booze in different sources varies from 1 tablespoon to 1 cup.

Even for a healthy person, medicine cannot come to a consensus whether alcohol is harmful or beneficial. What can we say about diabetics. The question of the possibility of drinking alcohol with a diagnosis of type 1 or 2 diabetes remains open.

So is it possible to drink alcohol with diabetes? Will alcohol harm a person with impaired metabolism? This and other restrictions in the diet of a diabetic are discussed in our article.


Elevated blood sugar complicates the life of a diabetic, imposes restrictions.It is sometimes easier to afford to drink alcohol than to experience prolonged depression, irritation, and discontent. As the well-known proverb says – “everyone will die someday, both sick and healthy.”

A person with diabetes can sometimes “miss” a glass of dry wine, a glass of light beer or a shot of vodka. They will not worsen his condition catastrophically, if drunk in small quantities and after meals. What kind of alcohol can a diabetic patient have?

How alcohol affects blood sugar

The influence of vodka, wine and beer is ambiguous.Alcoholic beverages have two opposite effects. Ethanol initially raises blood sugar because it is a source of “fast” carbohydrates. After a while, ethanol lowers sugar as it begins to block the production of glucose in liver cells. The sugar-lowering effect appears after a long time, after a few hours.

The level of sugar reduction (hypoklycemia) is determined by the dose of ethanol consumed. The higher the alcohol concentration, the more the blood sugar decreases.Vodka reduces sugar 4 times more than beer and wine.

Alcoholic hypoklycemia is characterized by delay. Her symptoms may occur later than usual (at night, the next morning). It is necessary to control the sugar level and track its decrease the next day after drinking.

Symptoms of hypoklycemia:

With severe hypoklycemia, a person’s sensitivity to pain decreases, coordination of movements is impaired. First aid is to give the patient a rapidly digestible carbohydrate (candy, sugar, glucose solution).

Can I drink with type 1 diabetes

Diabetes is a chronic disease associated with the indigestibility of sugar. In type 1 diabetes, insulin is not synthesized at all. To remove sugar from the blood, hormone injections (injections or pills) are needed.

Type 1 diabetes requires the calculation of the amount of carbohydrates (bread units) in the menu. The amount of XE is used to determine the dose of insulin injection. Given the prolonged hypoklycemic effect of ethanol, while drinking, it is necessary to reduce the dose of insulin or cancel the injection altogether.

Important: systematic alcohol consumption reduces the effectiveness of insulin injections.

Can I drink with type 2 diabetes

Diabetes mellitus type 2 differs from type 1 in that sugar is partially absorbed. Type 2 diabetes is often associated with obesity. His treatment is accompanied by a mandatory diet.

In the menu of a sick person, the amount of carbohydrates is limited in order to control the level of high blood sugar.Calorie restriction is also on his menu. Therefore, in type 2 diabetes, drinking is possible in small doses.

Note: 1 g of ethanol gives 7 kcal, which is almost twice the caloric content of carbohydrates

It is important for diabetics to know that regular drinking increases blood sugar, since the standard complicates the work of the liver and pancreas. The consequences of “frequent” alcohol – the development of diabetes and deterioration of the general condition.


With diabetes mellitus is it possible to drink vodka

The United States Diabetes Association does not prohibit alcohol consumption for diabetes. But he recommends limiting the amount of alcohol. The Diabetes Association also recommends:

  • Do not drink alcoholic beverages on an empty stomach.
  • Do not drink alcohol when sugar levels are low.
  • Do not drink quickly.
  • Accompany the drink with a sufficient amount of water.

The choice of alcoholic beverage should take into account the ethanol content and the amount of digestible sugars in its composition.Usually diabetics are allowed a small amount of dry wine, vodka or light beer.

You can drink vodka after meals. Before drinking, you need to eat a starchy product (potatoes), it will slow down the absorption of ethanol into the blood and reduce the likelihood of both high sugar and hypoclycaemia.

Along with vodka, you should eat a small amount of a rapidly digestible carbohydrate – a candy, a slice of bread. Because large amounts of ethanol in fortified drink can cause hypoklycemia.

Can a diabetic drink wine

Wine is considered the healthiest alcoholic beverage. It contains not only ethanol, but also natural vitamins, minerals, enzymes. Perhaps only natural freshly pressed grape juice can be healthier than wine.

In addition, wine contains polyphenols – plant antioxidants that lower blood sugar.

Diabetics are allowed unsweetened wine, not fortified, with a slight degree. Fortified wine increases sugar, and therefore is undesirable in diabetes.

Can I have beer

Beer is notable for its small “degree” and calorie content. Since diabetics are limited to high-calorie and carbohydrate foods on the menu, it is better to prefer light beer to dark one. Light beer has fewer calories and easily digestible carbohydrates.


Contraindications to alcohol

Alcohol for diabetics is contraindicated in a number of concomitant diagnoses. They can accompany diabetes or appear against its background:

  • hepatitis;
  • 90,025 pancreatitis;

  • liver failure;
  • renal failure;
  • high or high cholesterol relative to the norm;
  • against the background of therapy with drugs with a sugar-reducing effect;
  • for hypoklycemia;
  • for diabetic neuropathy – damage to nerve fibers;
  • with tachycardia (rapid, increased heart rate).


Consequences

The main consequence of drinking for a diabetic may be hypoklycemia. Its danger lies in remote dates. Sugar may drop the day after drinking.

Another effect of alcohol consumption is associated with increased appetite after alcohol. If you follow the lead and “eat” uncontrollably, then instead of hypoklycemia, a jump in blood sugar is possible. Thus, the answer to the question “does vodka increase sugar?”

What else is important to know about the effects of alcohol on diabetics?

After alcoholic beverages, the body responds inadequately to drugs. It can be difficult for a diabetic patient to recover from a state of hypeclycemia if alcohol is the cause.


Important to know

Alcohol affects the absorption of drugs. It is not compatible with some medications. For example, in the treatment with sulfonylureas after drinking alcohol, blood flow to the head and neck is possible, followed by suffocation.

Note: according to WHO research, 80% of people with diabetes live in countries with low and middle living standards. These statistics make you wonder about the causes of the disease.


Conclusion

Drinking for a diabetic is fraught with unexpected consequences. Depending on the dose and type of alcohol, the amount of accompanying food, both hypoklycemia and an increase in blood sugar are possible. Therefore, you need to drink a little, accompanying the drink with sugar measurements and having a dose of insulin and an ampoule of glucose with you.Better yet, give up any alcoholic beverages altogether.

90,000 Can I drink alcohol with type 1 and 2 diabetes

A person suffering from diabetes really needs to change their addictions. It is necessary to take into account the peculiarities of the disease. Many dishes that are to his taste, many alcoholic beverages are contraindicated for him.

Alcohol for diabetes

Alcohol that does not contain sugar, hazardous components, is not capable of harming a diabetic, causing an increase in blood glucose.This condition must be avoided. Despite this, even small amounts of alcohol can harm the health of a diabetic.

Why are alcoholic beverages so dangerous?

What processes occur when ethyl alcohol enters the circulatory system? With the blood flow, ethanol enters, where it is first oxidized with the help of enzymes, after which it decomposes. Alcohol consumed in large quantities can inhibit the formation of glycogen by the liver.This can lead the patient to hypoglycemia. Surprisingly, the more alcohol the patient has taken, the more the delayed glucose deficiency will be.

An attack of lack of blood sugar can come unexpectedly. The fatal end is inevitable, since no one will have time to help the patient.

For diabetics, drinking alcohol is very dangerous after exercising on an empty stomach. During this period, the body loses glycogen. Sugary alcoholic beverages are also banned for diabetics: cocktails, liqueurs, dessert wines, and even some types of beer.They provoke an increase in blood glucose. Ethanol increases the effectiveness of the drugs that the patient is taking by several times.

Drinking alcohol increases the feeling of hunger. The consumption of alcoholic beverages in large quantities is the cause of the disturbance in the diet, and can also cause undesirable consequences.

Regular alcohol intake is dangerous for everyone: men, women, adolescents. A portion of alcohol that a man can afford is completely unacceptable for girls and women.Experts recommend them to reduce the portion of alcohol. It is allowed to drink no more than half a glass of dry wine or a bottle of light beer per day. However, first you need to find out your sugar level. It is important to understand how the type of drink taken affects this indicator. For spirits – stricter restrictions. A woman is allowed to drink no more than 25 grams. strong drinks.

Type 1 diabetes and its features

People with type 1 diabetes must adhere to the doctor’s recommendations .They need to take insulin throughout their lives. In type 1 diabetes, alcohol should be completely excluded from the patient’s diet, since it contains a lot of carbohydrates. This type of disease is a dangerous ailment that cannot be cured today. To adjust the sugar level, the patient with diabetes is given insulin using injections.

Patients should regularly follow a special diet that is low in carbohydrates. Insulin-dependent patients can expect to drink a glass of dry wine once a week, and no more. The admissible norm of spirits can be no more than 70 gr. vodka or cognac with low-calorie dishes. Allowed to drink or half a liter of beer, but only light. You can not drink alcohol on an empty stomach, but only have a snack – on a full stomach. Women should, in relation to men, halve the dosage.

This means that alcohol can be taken with this ailment, but observing some rules :

  • Drink alcohol after meals, which will allow you not to break the diet;
  • Alcohol helps to lower glucose levels, increase the effectiveness of insulin, so the dose is halved.If you take it at the usual rate of insulin, hypoglycemic coma is possible. This must always be remembered;
  • It is necessary to take measurements regularly, before going to bed: find out how much sugar is in the blood. Introduce insulin injections when it rises or falls;
  • The patient should first eat foods containing carbohydrates with a low glycemic index to protect the body from surges in sugar.

For people suffering from this disease, it is more correct to completely abandon alcohol , since it is not easy to calculate the dose of insulin required to cover the amount of carbohydrates found in alcohol.

Type 2 diabetes

Insulin, although it is produced in the proper amount, is not absorbed by the cells for some reason.

Ways to support the body in a state of compensation:

  • Monitor glucose levels constantly;
  • Taking pills to help lower sugar;
  • Monitor body weight, achieving weight loss in case of obesity, excess weight;
  • Proper nutrition, implying a limited amount of salt, carbohydrates, fat.

Ethanol is often the cause of this disease, therefore alcohol intake in type 2 diabetes is not desirable Ethanol toxins disrupt metabolism, interfere with the production of insulin, and negatively affect the pancreas. Despite this, most people believe that alcohol can be tolerated in type 2 diabetes and that a small dose of alcohol is not harmful to health. You need to know that this assumption is erroneous, since alcohol is a deadly product.It provokes a sharp drop in sugar levels.

A person with type 2 of the disease is sometimes allowed to drink a little alcohol. But he must strictly follow some recommendations. Otherwise, negative consequences are inevitable. For example, women are recommended dry wines.

Recommendations :

  • Drink alcohol on an empty stomach;
  • Drink alcohol containing sugar;
  • Reduce the dosage of drugs while taking alcohol to prevent the development of hypoglycemia;
  • Do not consume alcoholic beverages if carbohydrate metabolism is impaired in any quantity.

Potential consequences

A dangerous moment, which cannot be foreseen in advance, is a sudden drop in the level of glucose in the blood of a person after taking alcohol. Even in a dream, this state can occur. And the person does not notice symptoms , which resemble the usual state of intoxication:

  • Weakness, drowsiness;
  • Dizziness,
  • Tachycardia;
  • Nausea;
  • speech disorders;
  • Confusion of thoughts;
  • Sweating,
  • Migraine.

These symptoms, similar to intoxication, can be misinterpreted by passers-by, acquaintances. A sick person will not be helped in a timely manner. As a result, it can aggravate condition . A person with a severe degree of hypoglycemia is capable of falling into even coma . This can provoke the development of pathologies that have arisen in the work of the heart and brain.

Is it possible to drink alcohol with diabetes

People with diabetes should adhere to a healthy lifestyle and follow a certain diet.However, many are wondering if alcohol can be consumed with diabetes.

Holidays are not complete without alcohol, and a person suffering from diabetes does not know how to behave at the table.

Many people are interested in whether it is possible to drink alcohol in diabetes mellitus (type 2 or type 1). This article will describe the basic rules regarding the consumption of alcohol by diabetics.

The effects of alcohol on diabetics

Do alcohol and diabetes go together? Getting into the body of a diabetic, alcohol has a specific effect.The drink contributes to the disruption of glucose production in the liver tissues. It decreases and the effect of insulin increases.

When alcohol is consumed, it is rapidly absorbed into the bloodstream. The drink is processed by the liver, so if a person takes insulin or medications in pills to stimulate insulin production, then drinking alcohol can cause a sharp drop in blood sugar levels, as liver function is impaired. Alcohol in diabetes mellitus can provoke hypoglycemia.Also, great harm is done to the state of the cardiovascular system. Death can occur.

There is a mixed opinion about whether alcohol and diabetes go together.

The overwhelming majority of doctors are firmly convinced that:

  • When drinking alcoholic beverages, there is a significant decrease in blood sugar levels, which can provoke the development of hypoglycemia.
  • A drunk patient may fall asleep and not notice the first symptoms of hypoglycemia.
  • Alcohol provokes confusion, which causes hasty decisions, including when taking medications.
  • If a person with diabetes has problems with the kidneys and liver, then the use of such drinks can exacerbate the diseases of these organs.
  • Alcohol has a destructive effect on the heart and blood vessels.
  • Alcohol can increase appetite, which can cause excessive food intake and, as a result, an increase in blood sugar.
  • Alcohol increases blood pressure.

The second opinion is that with diabetes mellitus, you can drink alcohol, only in very moderation.

There are a number of basic rules to avoid harmful effects on the body.

A person with diabetes is advised:

  • not to drink alcohol on an empty stomach;
  • Drink only strong drinks or dry red wine;
  • Keep blood sugar under control.

This opinion is shared by patients who do not follow the strict prescriptions of the doctor and do not want to change the usual lifestyle that they led before they were diagnosed with diabetes mellitus.

The main types of diabetes mellitus

Diabetes is provoked by abnormalities at the genetic level, and can also be caused by a viral infection of the body or be the result of a malfunction of the immune system.

Often, the disease is the result of malnutrition, hormonal disorders, pancreatic pathology, as well as treatment with certain drugs.

Specialists distinguish the following types of diabetes mellitus:

  • non-insulin dependent;
  • insulin dependent.

Non-insulin dependent diabetes (type 2)

How is non-insulin dependent diabetes (type 2) manifested? It is characterized by slow development. This condition is accompanied by the presence of itching in the genital area. With this pathology, skin manifestations of a fungal or bacterial nature develop.

Insulin-dependent form of diabetes (type 1)

It is inherent in young patients and is characterized by rapid development.This type of disease provokes a constant feeling of thirst. A diabetic has a sharp decrease in weight, an increase in the volume of urine excreted, and muscle weakness appears. If the patient is not treated properly, they may develop ketoacidosis with lack of appetite, nausea and vomiting.

General symptoms

For both types of the disease such complications are inherent as:

  • heart disorders;
  • vascular atherosclerosis;
  • Tendency to inflammatory processes in the genitourinary system;
  • damage to the nervous system;
  • various skin pathologies;
  • obesity of the liver;
  • weakening of the immune system;
  • joint degeneration;
  • Teeth fragility.

Often, a sharp change in blood sugar is inherent in symptoms that are similar to intoxication. The patient begins to stagger, becomes drowsy, weak and disoriented. Persons suffering from diabetes mellitus are advised to have a doctor’s opinion with them with a precise indication of the existing pathology.

Precautions

Alcohol with diabetes mellitus provokes a decrease in the production of glucose in the liver, which is dangerous for sick people who drink alcohol on an empty stomach or after sports training.

If a diabetic drinks alcohol too often, he has a jump in blood pressure, the threshold for the development of hypoglycemia rises, numbness of the extremities and signs of neuropathy appear.

This reaction to alcohol is not uncommon. If you take alcohol in a limited amount and constantly monitor your insulin levels, then the likelihood of side effects is minimized.

If a diabetic prefers strong drinks, then it is recommended to take no more than 75 ml per day.Although it is better to replace strong alcohol with dry red wine, which should be consumed no more than 200 g per day.

If a person has diabetes, can alcohol be taken daily? Limiting the amount does not mean that you can drink alcohol every day. The minimum intake will be optimal, no more than twice a week.

Basic rules for drinking alcohol in the presence of diabetes mellitus

What should a diabetic who drinks alcohol know? Can any alcohol be consumed with diabetes? There are several types of alcoholic beverages that are strictly prohibited to drink in the presence of a disease.

This list includes:

  • liquor;
  • champagne; 90 026 90 025 beer;
  • sweet dessert wine;
  • Soda containing a low concentration of alcohol.

In addition, you should not drink alcohol:

  • on an empty stomach;
  • more than once a week;
  • in parallel with a temperature lowering agent;
  • during or after sports.

It is not recommended to eat salty or fatty foods on drinks.

The golden rule should be constant blood sugar control. Check it before drinking alcohol. If it is lowered, then do not drink. If there is such a need, then you should take a drug that increases sugar levels.

If alcohol was drunk in a larger amount than expected, then you should check the sugar value before bedtime. Usually in this case it is downgraded. Doctors advise to eat something to raise it.

Many people are interested in whether alcohol in diabetes can be mixed with other drinks.In this case, it is recommended to select a low-calorie combination. Avoiding sweetened drinks, juices and syrups is recommended.

In case of doubt about your further well-being, inform the person who will be nearby about a possible reaction from the body. In this case, you will be able to provide timely assistance. It is very important.

Can I drink vodka?

Can a diabetic drink vodka? To answer this question, you should pay attention to the composition of the drink.It contains alcohol diluted with water. It does not contain any impurities and additives. However, we are talking about the ideal vodka recipe, which not all manufacturers adhere to. Modern products contain various chemical impurities that have a negative effect on the human body.

Vodka helps to lower glucose levels, which can provoke hypoglycemia. The drink, in combination with insulin preparations, interferes with the production of the required amount of cleansing hormones that help the liver in assimilating alcohol.

But in some cases, vodka helps to stabilize the state of the diabetic. You can drink vodka for patients with type 2 diabetes. Alcohol in this case is able to optimize the condition if the sugar index becomes higher than the permissible norm. At the same time, it is recommended to consume no more than 100 g of the drink per day, snacking on vodka with medium-calorie food.

The drink promotes the activation of digestion and the breakdown of sugar, but at the same time disrupts metabolic processes in the body.In this case, it would be better to consult with your doctor.

Drinking wine

Many scientists believe that drinking dry red wine is not capable of harming the body. However, for a diabetic, drinking alcohol is always fraught with complications.

Dry red wine contains substances useful for the body – polyphenols. They are able to control blood glucose levels. When taking this alcohol, a diabetic should pay attention to the percentage of sugar in the drink.The most optimal indicator is no more than 5%. Therefore, doctors recommend dry red wine, although they note that it should not be abused either.

Is it possible to drink alcohol with diabetes mellitus in unlimited quantities? At one time, it is recommended to consume no more than 200 g, and for a daily intake, 30-50 g will be sufficient.

Drinking beer

Many people, especially men, prefer beer to alcoholic beverages. It is considered a high-calorie food that contains a large amount of carbohydrates.Therefore, it is not recommended for people with diabetes.

Beer is also alcohol. With type 2 diabetes in the amount of one glass, it is unlikely to be harmful. But in insulin-dependent patients, the drink can trigger an onset of glycemia. Therefore, alcohol in type 1 diabetes and insulin is a dangerous combination. Coma is often provoked, which can be fatal.

Many diabetics mistakenly believe that beer is not harmful to their health.This opinion is based on the positive effects of yeast. This product is often used prophylactically. When a diabetic uses brewer’s yeast, a healthy metabolism is restored, liver function and hematopoiesis are optimized. But this effect is caused by the use of yeast, not beer.

Available contraindications

There are certain conditions of the body in which alcohol and diabetes are in no way compatible:

  • Increased tendency to hypoglycemia.
  • Presence of gout.
  • Reduced kidney function in combination with pathology such as diabetic nephropathy.
  • Increased triglyceride levels when drinking alcohol, which causes a malfunction in fat metabolism.
  • Excessive alcohol consumption in chronic pancreatitis can trigger the onset of type 2 diabetes.
  • The presence of hepatitis or cirrhosis in a diabetic, which is quite common.
  • Metformin intake. This drug is usually prescribed for type 2 disease.The combination of alcohol with this medicine provokes the development of lactic acidosis.
  • Presence of diabetic neuropathy. Ethyl alcohol provokes peripheral nerve damage.

Meals should be taken three to five times evenly and should include different types of foods.

A particular danger is the development of late hypoglycemia, when a pathological picture occurs several hours after drinking alcohol. It is very difficult to stop such an attack due to a sharp decrease in glycogen in the liver.Moreover, this condition can manifest itself after episodic drinking on an empty stomach.

Dose limitation

If a person has diabetes, drinking alcohol should be limited.

The recommended dose of alcohol in the presence of diabetes mellitus:

  • beer – 355 ml;
  • wine – 148 ml;
  • spirits (gin, whiskey, port, rum, etc.) – 50 ml.

Conclusion

Alcohol and diabetes, according to many doctors, do not go together.Drinking alcohol can cause a sharp drop in blood sugar. Doctors strongly recommend refraining from alcohol intake. But if it is not always possible to follow this rule, then you should adhere to clear recommendations regarding the rules for drinking beverages by persons suffering from impaired glucose production.

Can I drink cognac and other alcohol with diabetes

Most Russians try alcohol in their teens, which is not so good, but today for residents of the CIS countries regular consumption of alcohol is the norm.It is one thing when the body is healthy, but acute chronic diseases are another. In this article we will figure out whether it is possible to drink cognac or brandy with diabetes mellitus, and what the consequences may be.

What is diabetes mellitus

Before thinking about whether it is worth using cognac, vodka, beer and other alcohol for diabetes mellitus, you need to understand that this disease has two stages of development – the first and second type.

Type II diabetes mellitus slows down the metabolism of carbohydrates and fats in the body, which minimizes the metabolic process.Accordingly, toxins and toxins stop leaving the body, accumulating in the body. This can lead to intoxication, and then to interruptions in the work of vital organs. Due to the disease, other diseases proceed in a more complex form. Medical experts note that in type 2 diabetes, alcohol in small doses does not provoke illness. However, you need to understand what “a little bit” is.

What Every Diabetic Should Know About Drinking

1. Alcohol reduces blood sugar in a gradual manner.In this case, the effect of insulin is significantly enhanced, and the drug is better absorbed. The liver, upon splitting the ingress of cognac or vodka, ceases to secrete glucose, which can cause an attack of hypoglycemia, which, with the assistance of alcohol, is very dangerous.

2. Alcohol tends to provoke appetite in large volumes, which is absolutely useless in diabetes.

3. All spirits are very high in calories, which cannot but affect the patient’s body.

In essence, cognac and diabetes are incompatible, but taking alcohol in small doses will not worsen the patient’s condition.

Strong drinks should not be used as a substitute for insulin due to the different mode of action on blood sugar levels. By itself, cognac will not do anything good for diabetes mellitus, if you do not follow a special diet. In the case of consuming foods rich in carbohydrates, compatibility with alcohol can lead to very negative consequences.

In what doses can alcohol be consumed with diabetes mellitus

First you need to pay attention to which drink you prefer – if we are talking about cognac, then this is the first type of alcohol, which is complemented by vodka, brandy and whiskey.These are the strongest drinks that can be taken in amounts of up to sixty grams for men, and up to forty-five for women, without damage to health.

The next type of alcohol is low alcohol drinks: cocktails, beer and wine. Of course, you can drink most of all beer, since this is the weakest alcohol. For a man, the permissible dose is 0 300-400 grams, for a woman – 250. At the same time, it is very important not to forget by increasing the dose of the intoxicated drink. Wine, although it has a beneficial effect on the body, try not to drink more than a hundred grams.

How to use cognac correctly for diabetes

Try to visit a doctor, find out what cognac is. The doctor will explain whether it is possible to drink cognac with diabetes – sometimes there are cases when alcohol is contraindicated due to the individual characteristics of the organism. If a medic allows a small amount of the noble drink, follow the recommendations that will help you stay as healthy as possible without feeling the damage from alcohol.

1. Cognac does not contain carbohydrates, and exceeding the dose can lead to sad consequences.Therefore, you should have on hand a snack that has a high content of these substances. Potato dishes, pasta and bakery products and rice are the optimal solution.

2. It is better not to eat confectionery products, but they may be required, depending on the situation, because keep some fruit juice and sweets on hand. This way, if a seizure begins, you can avoid a bad situation.

3. Keep a meter with you to monitor your blood glucose levels.After the feast, after two to three hours, use the device in order to prevent a possible attack of hypoglycemia.

4. Under no circumstances should you drink cognac like other alcoholic beverages without strangers. There should always be people near you who will provide assistance in case of need. It will be great if at least one person remains sober. A momentary salvation can extend your life.

When is alcohol prohibited

Whatever the pleasure of cognac, beer, or wine, there is always a great risk.If the doctor has allowed, strictly adhere to the permissible dose, without going beyond what is permitted. However, there are some contraindications that prohibit the use of alcohol:

  • Pancreatitis;
  • Neuropathy, regular attacks of hypoglycemia.
  • The use of Siofor in the second type of diabetes;
  • Presence of atherosclerosis, gout;
  • Medical history and alcohol dependence;
  • Any diseases of the cardiovascular system;
  • Presence of hepatitis virus;
  • Cirrhosis of the liver;
  • The presence of a “diabetic foot”;

If men with diabetes can still think about different drinks, then it would be right for a woman to forget about alcohol, especially if she wants to have a baby.As statistics show, the female sex is more uncontrollable than the male when taking high-grade drinks.

Combining medicines with alcohol

If the doctor allowed the patients to take a little cognac, then the question of taking medications should not be forgotten. A qualified physician should calculate the dose of the drug for a day after drinking alcohol – the dose of medication must be reduced. It is impossible to completely get rid of Insulin “Metformin” or “Siofor”, but taking it in usual doses will increase the possibility of an attack of hypoglycemia several times.Insulin, even many doctors recommend to reduce by half.

A, if the injection is made, forget about the cognac for 12 hours. Despite the massive consumption, vodka, whiskey, brandy, gin, rum and cognac do not saturate the body with benefits, therefore, giving up such harmful pleasures will make the life cycle calmer and safer. Every glass you drink can be fatal.

90,000 Beer for type 1 and 2 diabetes ⋆ Homemade alcohol recipes

The history of beer goes back hundreds of years.During this period, the nutritious drink not only did not lose its popularity, but gained an even larger number of fans. It is brewed in almost all countries of the world, and it is quite difficult to count all its varieties. Thanks to beer, some peoples have developed real beer traditions, which laid the foundation for beer festivals and carnivals.

It is no secret that beer is, in a sense, a healthy drink, as it has properties that have a positive effect on the human body, in particular, contributes to its rejuvenation.Unfortunately, people who have high blood sugar levels must monitor the amount of beer consumed, following the advice of doctors. And they recommend drinking no more than 300 ml of beer for those who are not yet sick with diabetes, but blood tests show an increase in blood sugar. In this amount of beer, the carbohydrates contained in it will not be able to increase blood sugar, since their effect is compensated by the alcohol in the beer.

For those who are already sick with diabetes, it is best to forget about beer and alcoholic beverages, because when beer and insulin are combined, an attack of hypoglycemia may occur (blood sugar drops sharply), which in itself is quite dangerous, as it can lead to death person.

But yeast has a positive effect on the human body and especially those with diabetes mellitus. Doctors even prescribe brewer’s yeast to prevent and treat many diabetics. They consist of 52% protein, contain fatty acids, valuable vitamins and just essential trace elements. Thanks to this composition, metabolic processes are normalized, and at the same time, the condition of the liver, hematopoiesis improves. Yeast contributes to the correction of proper nutrition, which is so important for patients with diabetes mellitus, who are required to observe dietary restrictions.

Brewer’s yeast has become popular as a prevention and treatment of diabetes mellitus not only in our country, but also in many European countries. They are actively used in almost all medical institutions.

We recommend that you study, in our opinion, the important rules for drinking beer with type 1 and type 2 diabetes.

Drinking beer with type 1 diabetes

  1. There is a categorical prohibition on the consumption of beer and alcoholic beverages, which must be strictly observed.In particular, such drinks should not be consumed with decompensation of the disease, with inconsistent glucose levels, immediately after the appointment of new therapeutic drugs, with any manifestations of an exacerbation of the disease.
  2. The consumption of any alcoholic beverage should not exceed twice a week.
  3. Do not consume more than 300 ml of beer at a time, in other words, the dose of alcohol should be less than the equivalent of 20 g of alcohol.
  4. After visiting the bathhouse or playing sports, alcohol is prohibited.
  5. When choosing a beer, preference should be given to light varieties, as they are low in calories.
  6. Before drinking beer, it is advisable to eat food in which there is a sufficient amount of fiber and complex carbohydrates. Drinking beer on an empty stomach is highly undesirable.
  7. With a great desire to enjoy a glass of beer, it is recommended to control the level of glucose in the blood, carefully calculate the dose of insulin, not exceeding the required amount.
  8. After drinking beer, reduce the usual dose of insulin.
  9. The diet should be adjusted taking into account the carbohydrates that are contained in beer, take into account their amount with other meals on this day.
  10. Make sure you have the ability to quickly seek medical attention if needed. Warn loved ones about your intentions to drink beer.

Drinking beer with type 2 diabetes

  1. Allowed only if the disease is stable, which is provided by antihyperglycemic drugs prescribed by an endocrinologist.
  2. The amount of beer consumed should be no more than twice a week with a portion of 300 ml.
  3. The amount of carbohydrates in beer must be taken into account in the total amount taken during the day. If necessary, their number is reduced with other meals.
  4. The calorie content of alcohol should be taken into account, especially for those who are obese.
  5. Under no circumstances should you go beyond the permitted volume and the recommended frequency of drinking beer.

Alcohol in type 2 diabetes may not immediately show its negative impact, unlike the first type.But the consequences, which may appear a little later, are irreversible and extremely destructive for the human body as a whole, and especially for the pancreas.

It should be noted that non-alcoholic beer is not as dangerous for diabetics as its alcoholic counterparts. It is best to opt for special diabetic beers.

Non-alcoholic Diabetic Beers – Benefits

  • There are no restrictions on the amount and frequency of use, since it does not contain alcohol;
  • Only carbohydrates are counted in order to adjust the insulin dose and menu for the rest of the day;
  • Non-alcoholic beer cannot lower glycemic levels, so there is no need to calculate and adjust the amount of insulin;
  • Such beer does not harm either the pancreas or the body as a whole.

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