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Diabetes and Alcohol

Alcohol is processed in the body very similarly to the way fat is processed, and alcohol provides almost as many calories. Therefore, drinking alcohol in people with diabetes can cause your blood sugar to rise. If you choose to drink alcohol, only drink it occasionally and when your diabetes and blood sugar level are well-controlled. If you are following a calorie-controlled meal plan, one drink of alcohol should be counted as two fat exchanges.

It is a good idea to check with your doctor if you are overweight or have high blood pressure or high triglyceride levels before drinking alcohol. If you are in doubt about whether drinking alcohol is safe for you, check with your doctor.

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Effects of Alcohol on Diabetes

Here are some other ways that alcohol can affect diabetes:

  • While moderate amounts of alcohol can cause blood sugar to rise, excess alcohol can actually decrease your blood sugar level -- sometimes causing it to drop into dangerous levels.
  • Beer and sweet wine contain carbohydrates and may raise blood sugar.
  • Alcohol stimulates your appetite, which can cause you to overeat and may affect your blood sugar control.
  • Alcohol can interfere with the positive effects of oral diabetes medicines or insulin.
  • Alcohol may increase triglyceride levels.
  • Alcohol may increase blood pressure.
  • Alcohol can cause flushing, nausea, increased heart rate, and slurred speech.

Diabetes and Alcohol Consumption Dos and Don'ts

People with diabetes should follow these alcohol consumption guidelines:

  • Do not drink more than two drinks of alcohol in a one-day period. (Example: one alcoholic drink = 5-ounce glass of wine, 1 1/2-ounce "shot" of liquor or 12-ounce beer).
  • Drink alcohol only with food.
  • Drink slowly.
  • Avoid "sugary" mixed drinks, sweet wines, or cordials.
  • Mix liquor with water or diet soft drinks.

WebMD Medical Reference

Reviewed by Brunilda Nazario, MD on October 27, 2011

Is This Normal? Get the Facts Fast!

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If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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