{"id":3131,"date":"2023-07-31T01:53:21","date_gmt":"2023-07-30T14:53:21","guid":{"rendered":"https:\/\/lifeprogram.org.au\/2023\/07\/31\/alcoholanddiabetes\/"},"modified":"2024-02-15T10:00:23","modified_gmt":"2024-02-14T23:00:23","slug":"alcoholanddiabetes","status":"publish","type":"post","link":"https:\/\/lifeprogram.org.au\/health-hub\/alcoholanddiabetes\/","title":{"rendered":"Alcohol and diabetes: understanding the risks and effects"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">Alcohol and diabetes have a complex relationship.&nbsp; However, if you\u2019re living with diabetes or pre-diabetes excessive alcohol consumption is <\/span><i><span style=\"font-weight: 400;\">not<\/span><\/i><span style=\"font-weight: 400;\"> a good idea.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">In this article, we\u2019ll look at how alcohol and diabetes interact, and we\u2019ll give tips about how you can have a drink more safely.&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><b>What is diabetes?<\/b><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Diabetes is a condition where the body is unable to keep blood glucose levels within a healthy range. This is because the body can\u2019t create enough insulin (the hormone that helps to regulate blood glucose), can\u2019t use the insulin that it does make, or both.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">As a result, serious long-term health issues can occur, such as heart disease and kidney damage.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">There are three main types of diabetes, <\/span><a href=\"https:\/\/www.diabetesaustralia.com.au\/about-diabetes\/type-1-diabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">type 1<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.diabetesaustralia.com.au\/about-diabetes\/type-2-diabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">type 2<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.diabetesaustralia.com.au\/about-diabetes\/gestational-diabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">gestational diabetes<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The prevalence of diabetes is a cause for concern\u2014Diabetes Australia has referred to it as \u2018the biggest challenge confronting Australia\u2019s health system\u2019. Almost 1.5 million Australians are living with one of the types of diabetes, and one person is diagnosed with the condition every five minutes.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Not only is excessive alcohol consumption a risk factor for type 2 diabetes, but it contributes to the development of other causal factors such as insulin resistance, high blood pressure and extra weight, particularly around the waist. <\/span><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/best-ways-to-reduce-cholesterol\/\"><span style=\"font-weight: 400;\">It can also increase total cholesterol, LDL (\u2018bad\u2019 cholesterol) and triglycerides (a type of fat in your blood).<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The effect of excessive alcohol on blood glucose management can be dangerous to people who are living with diabetes and pre-diabetes.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><b>Pre-diabetes: what it is, risk factors and warning signs<\/b><\/h2>\n\n\n\n<p><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/what-is-pre-diabetes\/\"><span style=\"font-weight: 400;\">Pre-diabetes is a condition<\/span><\/a><span style=\"font-weight: 400;\"> where a person\u2019s blood glucose levels are higher than normal but not high enough to be diagnosed as type 2 diabetes.&nbsp; Pre-diabetes is a risk factor for type 2 diabetes.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">However, the good news is that sustainable healthy habits can help to prevent or delay the onset of type 2 diabetes.<\/span><\/p>\n\n\n\n<p><b><\/b><span style=\"font-weight: 400;\">The exact cause of pre-diabetes is unknown, but its risk factors are similar to those for type 2 diabetes. They can be split into two groups, modifiable (they can be changed) and non-modifiable (can\u2019t be changed).<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Modifiable risk factors include your weight, your diet and the amount of exercise you do. The non-modifiables are things such as your age, ethnicity and your family medical history. A more detailed list of the risk factors can be found <\/span><a href=\"https:\/\/www.diabetesaustralia.com.au\/about-diabetes\/pre-diabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Pre-diabetes often has no warning signs or symptoms. However, hyperglycaemia (high blood glucose), which leads to pre-diabetes, does. They include:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">increased thirst and frequent urination<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">unplanned weight loss<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">blurry vision<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">infections.<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">If you experience any of the above, you should see your doctor.<\/span><\/p>\n\n\n\n<p><b>Alcohol and pre-diabetes interaction<\/b><b><br><\/b><span style=\"font-weight: 400;\">Alcohol impacts blood glucose levels in a way that partially at least, seems to differ according to biological sex. In men, it can raise the risk of impaired glucose regulation, whereas in women low to moderate alcohol consumption (which equals one standard drink per day) can reduce the risk. A standard drink is one that contains 10 grams of pure alcohol. Examples are:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">a small glass of full-strength beer (285 ml)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">a 100 ml glass of wine<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">30 ml of spirits.<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">However, <\/span><span style=\"font-weight: 400;\">excessive<\/span><span style=\"font-weight: 400;\"> drinking in either biological sex can affect blood glucose balance.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Alcohol and diabetes: risks and complications<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">If a person with diabetes\u2014especially if they take medication for it\u2014decides to drink alcohol, they need to manage their consumption carefully, not least because doing so can cause low blood glucose (hypoglycaemia). The reason this occurs is that the body preferentially metabolises alcohol over blood glucose. Some of the symptoms of hypoglycaemia, such as confusion and drowsiness, can be mistaken for drunkenness and left untreated. That can result in seizures, unconsciousness and death.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Alcohol also increases the risk of serious diabetes-related health problems, including:<\/span><\/p>\n\n\n\n<p><b>Diabetic ketoacidosis<\/b><span style=\"font-weight: 400;\">\u2014where the body breaks down increasing amounts of fat to use as a source of energy. This releases acidic substances called ketones, which build up in the blood and can cause thirst, headache, tiredness and death.<\/span><\/p>\n\n\n\n<p><b>Cardiovascular disease<\/b><span style=\"font-weight: 400;\">\u2014alcohol use raises blood pressure, increasing the risk of cardiovascular disease, which is the main cause of death in people with type 2 diabetes.<\/span><\/p>\n\n\n\n<p><b>Retinopathy<\/b><span style=\"font-weight: 400;\">\u2014retinopathy, which is caused by damage to the blood vessels that supply the retina, is the main cause of blindness in people with diabetes.<\/span><\/p>\n\n\n\n<p><b>Alterations to lipid metabolism<\/b><span style=\"font-weight: 400;\">\u2014l<\/span><span style=\"font-weight: 400;\">ipid metabolism refers to the processes that create and transform lipids (fats) in the body. Alcohol can cause a potentially fatal condition called alcoholic fatty liver disease, where fats build up dangerously in the liver.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><b>Tips for moderating alcohol consumption to maintain stable blood glucose levels<\/b><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Most people with diabetes can usually safely enjoy a small amount of alcohol. However, the level of risk that alcohol poses is unique to the individual. It\u2019s safest to have yours assessed by your doctor<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Here\u2019s a list of things to remember if you do choose to consume alcohol:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">drink alcohol with food\u2014drinking on an empty stomach can raise the risk of hypoglycaemia<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">monitor your blood glucose levels regularly while you\u2019re drinking<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">drink slowly<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">avoid binge drinking or drinking for a prolonged period of time<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">avoid sweet wines or cordials and sugary soft drinks as mixers (the diet versions of soft drinks can be used as mixers).<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><b>Here are some FAQs about alcohol use and diabetes:<\/b><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What are the guidelines for alcohol use in Australia?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">In 2020, the National Health and Medical Research Council (NHMRC) recommended that, to reduce health risks from drinking alcohol, healthy men and women should drink no more than ten standard drinks a week and no more than four standard drinks on any one day.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Can I drink alcohol if I have diabetes?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Most people with diabetes can have a small amount of alcohol.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What type of alcoholic drink is best for people with diabetes?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">The best would be low-calorie and\/or low-carb alcoholic drinks such as light beer and spirits like whisky and vodka.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Does alcohol raise or lower blood glucose?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Moderate amounts of alcohol may cause blood glucose levels to rise, while excessive amounts will cause them to fall.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How does alcohol interact with diabetes medications?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Some diabetes medication lowers blood glucose levels. Combining that with alcohol can lead to hypoglycemia.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How does alcohol affect the liver\u2019s ability to regulate blood glucose?<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">When you drink alcohol, your liver has to work to remove it from your blood instead of working to regulate your blood glucose. For this reason, you should never drink alcohol when your blood glucose is already low.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Tips for moderating alcohol consumption to maintain stable blood glucose levels<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">If you decide to drink alcohol, here are some tips for moderating your consumption to help maintain stable blood glucose levels:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Drink alcohol with a meal\/do not drink on an empty stomach.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Drink plenty of water.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Mix alcohol with water or low-sugar \u2018diet\u2019 mixers but don\u2019t mix alcohol with sugary drinks.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Sip drinks slowly.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Avoid drinks that contain a lot of sugar, such as sweet sherries, sweet wines and liqueurs.<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><b>Conclusion<\/b><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">If you\u2019re living with pre-diabetes or diabetes, managing your alcohol consumption is vital.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Making healthy lifestyle choices can help you prevent or delay the onset of type 2 diabetes.<\/span><\/p>\n\n\n\n<p><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> is a free healthy lifestyle program that helps you <\/span><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/diabetes-australia-recipes\/\"><span style=\"font-weight: 400;\">improve your eating habits<\/span><\/a><span style=\"font-weight: 400;\">, increase your physical activity and manage stress. You can choose from a group course or our telephone health coaching service.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Our experienced health professionals will help you make changes to your lifestyle so that you can reduce your risk of type 2 diabetes and cardiovascular disease.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Since 2007, over 75,000 Victorians have learnt more about living a healthy life with the <\/span><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> program. It is the largest prevention program of its kind in Australia.<\/span><\/p>\n\n\n\n<p><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> is funded by the Victorian government and managed by Diabetes Victoria.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">You can take a quick online health test and check your eligibility for the program&nbsp;<\/span><a href=\"https:\/\/lifeprogram.org.au\/#health-check\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n\n\n\n<p><a class=\"button teal\" href=\"#health-check\">Take the health check<\/a><\/p>\n\n\n\n<p><b>Sources<\/b><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthline.com\/nutrition\/best-alcohol-for-diabetics\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">10 of the Best Alcoholic Beverages for People with Diabetes &#8211; Healthline<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthline.com\/health\/type-2-diabetes\/facts-diabetes-alcohol\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">7 Facts about Diabetes and Alcohol Use &#8211; Healthline<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.beatdiabetesapp.in\/15-best-alcohol-drinks-and-cocktails-for-diabetics\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">15 Best Alcohol Drinks and Cocktails for Diabetics \u2013 Beat Diabetes<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthdirect.gov.au\/diabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Diabetes &#8211; healthline<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.webmd.com\/diabetes\/guide\/drinking-alcohol\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Diabetes and Alcohol &#8211; Effects of Alcohol on Diabetes &#8211; WebMD<\/span><\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21916972\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Alcohol consumption and risk of pre-diabetes and type 2 diabetes development in a Swedish population &#8211; Diabetic medicine : a journal of the British Diabetic Association<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6761899\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Consequences of Alcohol Use in Diabetics &#8211; PMC &#8211; National Center for Biotechnology Information<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.diabetes.org.uk\/guide-to-diabetes\/emotions\/stress#:~:text=Stress%20alone%20doesn%27t%20cause,amount%20of%20insulin%20they%20make\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Stress and diabetes &#8211; Diabetes UK<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthdirect.gov.au\/top-7-tips-for-safe-drinking\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Top 7 Tips for Safe Drinking &#8211; Healthdirect<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/type-2-diabetes-and-alcohol\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Type 2 diabetes and alcohol &#8211; Medical News Today<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.nichd.nih.gov\/health\/topics\/diabetes\/conditioninfo\/treatments\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">What are the treatments for diabetes? &#8211; Eunice Kennedy Shriver National Institute of Child Health and Human Development<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/health.clevelandclinic.org\/what-to-eat-if-youve-been-diagnosed-with-prediabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">What To Eat If You&#8217;ve Been Diagnosed With Prediabetes &#8211; Cleveland Clinic<\/span><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.lark.com\/resources\/your-guide-to-alcoholic-beverages-with-prediabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Your Guide to Alcoholic Beverages with Prediabetes &#8211; Lark<\/span><\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Reviewers<\/h3>\n\n\n\n<p><a href=\"https:\/\/lifeprogram.org.au\/kristie-cocotis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kristie Cocotis<\/a>, Head of Prevention and Health Promotion<\/p>\n\n\n\n<p><a href=\"https:\/\/www.linkedin.com\/in\/sarah-dub%C3%A9-57861660\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sarah&nbsp;Dub\u00e9<\/a>, Strategy and Engagement Lead<\/p>\n\n\n\n<p><a href=\"https:\/\/au.linkedin.com\/in\/ria-cheripuram\" target=\"_blank\" rel=\"noreferrer noopener\">Ria Cheripuram<\/a>, Digital Communications Officer<\/p>\n\n\n\n<p><a href=\"https:\/\/au.linkedin.com\/in\/tegankohlman\" target=\"_blank\" rel=\"noreferrer noopener\">Tegan Kohlman<\/a>, Communications and Social Marketing Officer<\/p>\n\n\n\n<p><a href=\"https:\/\/lifeprogram.org.au\/ryan-marinelli\/\">Ryan Marinelli<\/a>, Program facilitator and Health Coach<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alcohol and diabetes have a complex relationship.&nbsp; However, if you\u2019re living with diabetes or pre-diabetes excessive alcohol consumption is not a good idea. In this article, we\u2019ll look at how alcohol and diabetes interact, and we\u2019ll give tips about how you can have a drink more safely.&nbsp; What is diabetes? Diabetes is a condition where the body is unable to&#8230;<\/p>\n","protected":false},"author":9,"featured_media":3132,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-3131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article"],"acf":[],"_links":{"self":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/comments?post=3131"}],"version-history":[{"count":7,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3131\/revisions"}],"predecessor-version":[{"id":3614,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3131\/revisions\/3614"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/media\/3132"}],"wp:attachment":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/media?parent=3131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/categories?post=3131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/tags?post=3131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}