Can diabetics drink alcohol or not.

It depends on the patient's own blood sugar control. For patients with poorly controlled diabetes, alcohol is not allowed for any reason.

This is because drinking alcohol can make diabetes control worse. But if a diabetic's blood sugar has been well controlled, he or she can drink alcohol in moderation within the doctor's limits.

People with diabetes who meet the following criteria can drink alcohol in moderation.

1, good blood sugar control.

2, non-obese.

3. No serious chronic diseases other than diabetes, such as coronary heart disease, liver disease, ulcer disease, etc.

4, There are no complications of diabetes, such as fundopathy, renal lesions, heart disease, etc..

5, Normal liver function.

Caution.

Alcohol consumption in diabetic patients should not be taken at the same time as enrolled hypoglycemic drugs.

When drinking alcohol, care should be taken to calculate its calories and include them in the total daily calorie count. Try to ensure a reasonable intake of various nutrients.

Sweetened alcohol should be avoided, drinking on an empty stomach, and drinking large amounts of alcohol without restraint. Also test your blood sugar before and after drinking to see how it changes before and after drinking.

Finally, I would like to advise diabetic patients, especially male friends, not to try to get addicted to alcohol for a while, regardless of their condition, drinking a lot of alcohol without moderation, causing harm to their bodies and regretting it for the rest of their lives.

Finally, I wish my friends good health and happiness!

Xiong Zhaogang, Xi'an Chest Hospital

Every diabetic has their own answer as to whether they can drink alcohol or not. In fact, there is no definite answer to the question of alcohol consumption by diabetics at this stage.

Diabetes mellitus is a chronic hyperglycemic state caused by a combination of genetic and acquired environmental factors. Alcohol consumption can lead to obesity, reduced hepatic glycogen synthesis, acute, chronic or recurrent pancreatitis, atherosclerosis and neuritis, which are risk factors for diabetes and its complications. In addition, long-term alcohol consumption can also lead to mineral chromium and zinc deficiency, alcohol can interfere with insulin secretion, resulting in a significant reduction in group insulin sensitivity, the incidence of glucose tolerance abnormality increased significantly.

However, alcohol has some inhibitory effects on oxidative stress and inflammatory responses, and its mechanism of action may be related to inhibition of growth hormone, inhibition of alcohol-induced lipolysis and metabolic regulation, and antioxidant effects of polyphenols. A study of the frequency and amount of alcohol consumption and its risk of coronary heart disease found that the frequency and amount of alcohol intake were inversely associated with the risk of coronary atherosclerotic heart disease, and that moderate alcohol consumption may help to reduce the incidence of coronary heart disease when compared with non-drinkers. And a study of the association between alcohol consumption and microvascular complications in diabetes found that heavy drinkers had a higher risk of diabetic nephropathy and severe retinopathy, and that lifelong abstainers and diabetic patients who had previously consumed alcohol had a higher risk of nephropathy and severe retinopathy, compared with those who consumed small amounts of alcohol.

Therefore, for diabetic patients, moderate drinking may have some benefits for diabetic patients, but long-term, large amounts of alcohol consumption is harmful to diabetes.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Recommended according to the Chinese Diabetes Dietary Guidelines (2017)

Eight core recommendations are included:

1. Eat and move in a balanced way, use medication wisely, control blood sugar, and achieve or maintain a healthy weight;

2. Staple foods are rationed, coarse and fine, with whole grains and mixed legumes accounting for 1/3 of the total;

3. Eat more vegetables, fruits in moderation, with a variety of types and colors;

4. Eat fish and poultry, eggs and livestock in moderation, and limit processed meat;

5. Milk and beans every day, snacks and meals reasonable choice;

6. Eat a light diet, drink plenty of water and limit alcohol consumption;

7. Timing, chewing and swallowing, paying attention to the order of meals;

8. Focus on self-management and receive regular individualized nutritional guidance.

This time, the guidelines are very instructive, prompting many sugar lovers to make some dietary mistakes in their daily lives. Sixth, it is not to say that alcohol is strictly prohibited, not a drop of alcohol, of course, if you can not drink to not drink, after all, alcohol is a class of carcinogens, leading to DNA damage. But the Chinese cultural tradition and this part of the so-called alcohol and tobacco culture, you do not drink others toast, people think you do not give face. Some sugar lovers willpower to drink principle is very strong, can directly refuse. If in the way of face can not be refused, but also can drink less drink less, limit the consumption of alcohol.

Alcohol itself is a high-calorie drink, a gram of fat 9 calories, a gram of carbohydrates to drink protein are 4 calories, alcohol up to 7 calories, a large number of drinking can lead to the occurrence of obesity. Moreover, in the food calorie conversion table does not record the food that is exchanged with alcohol. Therefore, drinking large amounts of alcohol will undoubtedly cause you to exceed the food calorie limit. In addition, drinking alcohol raises blood glucose levels, depleting the body's insulin and making it more difficult to control blood sugar. Consuming large amounts of alcohol over a long period of time can also cause diseases such as fatty liver.

Alcohol disrupts normal eating and drinking life and in principle promotes prohibition.

Alcohol consumption predisposes to hypoglycemia, and the metabolism of ethanol in the body reduces the amount of sugar from the gluconeogenesis pathway and also inhibits glucagon release;

Normal dietary intake is often reduced when alcohol is consumed, alcohol is absorbed quickly, and blood glucose levels cannot be maintained for a longer period of time;

Alcohol consumption also increases insulin secretion after the sugar load, making hypoglycemia more likely to occur in diabetic patients treated with insulin and hypoglycemic agents.

The danger of alcohol consumption is not only the direct effect of alcohol itself, but mainly affects the whole dietary life. When you drink alcohol, you have to eat the next food, often some pickled and fried food, high-calorie food, it will lead to excessive intake of salt and fat. Drinking makes the appetite become surprisingly good and it is easy to overeat, resulting in calorie overload.

We prohibit alcohol consumption by diabetics in principle, but not absolutely.

Blood sugar control is good; maintain a standard weight; do not need to carry out drug therapy; no complications, drink once in a while, do not exceed 15 grams of alcohol, almost make a beer, or a glass of red wine, or a small glass of white wine, with the same meal drink more water and eat vegetables.

Some diabetics can't control themselves when they drink, and they can't move without getting high, in which case they can't drink even if their health conditions allow it.

Those who can't control their blood sugar, don't drink at all.

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Whether or not a diabetic can drink alcohol depends on the patient's own blood sugar control. If the diabetes condition is not well controlled patients, it is recommended not to drink alcohol. If the diabetes condition is not well controlled, drinking alcohol will make the condition worse and bring harm to the patient's body. If the diabetes condition is well controlled, listen to the doctor's advice, within a certain range of drinking alcohol in moderation is possible. Patients with diabetes who meet the following conditions can drink a moderate amount of alcohol.

1, better controlled patients.

2, obese people.

3, Patients with no serious chronic diseases such as coronary heart disease, ulcer disease or liver disease other than diabetes.

4, Patients with diabetic complications such as kidney disease, heart disease and fundopathy.

5, patients with normal function.

It is important to note that even diabetics with good blood sugar control should be aware of the following when drinking alcohol. First, when drinking alcohol, do not take it at the same time as glucose-lowering drugs. Secondly, when drinking alcohol, you should control the intake of alcohol and keep the calories within a certain range, because alcohol contains high calories, and diabetic patients who drink too much wine will easily lead to an increase in blood sugar. You should not drink more than 100 ml of wine and 300 ml of beer per day, and try not to drink white wine or sweet wine, or drink on an empty stomach. You also need to test your blood sugar after drinking, and observe the change of blood sugar value before and after drinking, if the blood sugar value rises higher, you can't drink anymore.

In fact, drinking alcohol can cause some damage to the body, and both healthy people and those with diabetes should try to drink as little alcohol as possible.

Instructor: Yingze Zhang, Deputy Chief Physician, Department of Endocrinology, Baoding First Hospital of Traditional Chinese Medicine, Baoding, China.

He specializes in the treatment of diabetes mellitus and its complications, thyroid disorders and other endocrine metabolic disorders, and miscellaneous diseases in Chinese medicine through the combination of Chinese and Western medicine.

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People often hear that someone has diabetes, they do not allow him to drink alcohol or coffee, thinking that this is for the sake of his health. In fact, on the contrary, appropriate alcohol consumption is not only harmless to diabetics, but also has a certain therapeutic effect. Drinking alcohol in moderation is good for people with diabetes: small and moderate amounts of alcohol can reduce the risk of developing diabetes. Non-drinkers and heavy drinkers have a higher risk of developing diabetes than light and moderate drinkers. In addition, men who drink heavily may be at lower risk of developing diabetes if they reduce the amount of alcohol they drink.

A study has reported that moderate alcohol consumption reduces the risk of developing type 2 diabetes. This study concluded that the possible mechanism by which moderate alcohol consumption reduces the risk of developing type 2 diabetes is:

1. Alcohol inhibits the breakdown of glycogen. Liver glucose output is reduced by 12% when moderate amounts of alcohol are consumed.

2. Moderate alcohol intake raises HDL cholesterol levels, while higher amounts will lead to weight gain, elevated triglycerides and blood pressure.

3. It is now recognized that type 2 diabetes is a chronic low-grade inflammatory disease, and alcohol has some anti-inflammatory effects.

4. The relationship between insulin levels and alcohol intake shows a "U" curve, suggesting that moderate amounts of alcohol can enhance insulin sensitivity.

But how much alcohol is just right, and what is a moderate alcohol intake? Nutritionists point out that you should not drink more than 30g of alcohol per day, and different wines contain different concentrations of alcohol. The following are the maximum drinking limits for some common types of wine: no more than 700ml of beer per day; no more than 60ml (1.1 taels) of erguotou per day; no more than 350ml (7 taels) of yellow wine per day; and no more than 350 ml (6 taels).

I'm happy to answer the questions you posed.

When friends and family get together, it is inevitable to have a few drinks, and when the mood is good, you may even drink more. However, if diabetics drink alcohol, it may cause adverse effects on the body, so theoretically, it is not recommended that diabetics drink alcohol.

Why don't you let diabetics drink alcohol? There are two reasons:

(1) Drinking alcohol can damage the liver of diabetics, with especially serious consequences for those who inject insulin;

② Drinking alcohol in patients taking oral hypoglycemic drugs will affect the effectiveness of the drug to some extent and cause blood sugar fluctuations.

Of course, diabetic patients are not absolutely can not drink alcohol, if the patient's blood sugar control is very good, you can drink a small amount of alcohol. And the amount of each drink, as well as the number of drinks per week, need to be strictly controlled, can not be greedy drink too much. But these 3 kinds of patients, or to control the mouth, do not drink.

(1) The patient's blood glucose fluctuates greatly and is poorly controlled, and hypoglycemia often occurs;

(ii) The patient also has diabetic ketosis, ketoacidosis, or other complications;

(iii) The patient suffers from diabetes mellitus in addition to hypertension, hyperlipidemia, and hyperuricemia. [62]

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The following are generally considered not to be alcoholic beverages:(i) poor glycemic control; (ii) more serious chronic complications; (iii) dyslipidemia; (iv) hyperuricemia; (v) type 1 diabetes mellitus; (vi) recent frequent hypoglycemia; (vii) diabetic ketoacidosis; and (viii) accompanied by fatty liver or hepatic function impairment.

The main ingredient in alcoholic products is ethanol (alcohol). Ethanol is mainly absorbed in the upper gastrointestinal tract, such as the stomach and small intestine, and is almost entirely metabolized by the liver, producing carbon dioxide, water and heat. No new nutrients are produced during the metabolism process, so it has no nutritional value and is called "empty heat" in nutritional science and is not considered a nutrient.

The results of studies on the effects of ethanol on diabetes have been inconsistent.

Ethanol contains a lot of energy, every 1 gram of ethanol can produce 7 kcal of energy, because the basic principle of diabetes dietary treatment is to control energy, so drinking alcohol can easily cause excessive energy intake.

It has been found that ethanol can induce hypoglycemia in patients treated with sulfonylureas or insulin, and it is always harmful to the cardiovascular system and the liver, so diabetic patients should limit their alcohol consumption.

The Chinese Guidelines for the Prevention and Control of Type 2 Diabetes Mellitus 2010 states that people with diabetes should not drink more than one or two standard servings of alcohol a day (a standard serving is 285 ml of beer, 375 ml of draft beer, 100 ml of red wine or 30 ml of white wine, which contains about 10 grams of alcohol).

In addition, when equal amount of alcohol (ethanol) intake, dry red, dry beer and other alcohol with lower sugar content is more preferable; drinking on an empty stomach should be avoided to prevent hypoglycemia; don't undermine diabetes dietary control because of drinking alcohol; drinkers should closely monitor their blood glucose, and once found that the condition of the poorly controlled or even worsened, the consumption of alcohol should be immediately interrupted, and adjusted to the treatment.

People with diabetes should try not to drink alcohol as it may cause blood sugar to rise and blood sugar to fall.

First of all, let's talk about why it leads to lower blood sugar. We know that alcohol has to be metabolized by the liver and blood sugar in the body depends on the liver to release hepatic glycogen, so if you drink too much alcohol, your liver will be too busy metabolizing the alcohol to worry about maintaining your blood sugar, so it can lead to hypoglycemia.

Some people say, diabetic patients with high blood sugar, drinking alcohol can lower blood sugar is not just right? In fact, it is the wrong understanding, because diabetic patients through eating in taking medication to control blood sugar, if then drink alcohol to cause blood sugar drop, it may lead to life-threatening, and drinking alcohol to cause hypoglycemia is at the expense of damage to liver cells, in the long run will make their own blood sugar regulation mechanism problems.

Drinking alcohol most commonly causes hypoglycemia, but it can also raise blood sugar. This is because alcohol is brewed from grain and is a high calorie drink. If it is not metabolized in time, it will inevitably lead to a buildup of energy and a possible rise in blood sugar.

Additionally alcohol itself is hugely damaging to pancreatic function, and diabetics who already have problems with pancreatic function are surely compounded by the damage done by alcohol.

Alcohol may also interact with some hypoglycemic medications to produce greater side effects, such as with toluene sulfobutylurea which may cause nausea, vomiting headaches and other serious discomfort.

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It is best to quit drinking alcohol, alcohol is usually brewed from fermented grain crops, the starch content of which is not low, and alcohol also belongs to liquid drinks, so digestion and absorption for the stomach and intestines is effortless, the starch is converted into glucose quickly, in a short time can make blood sugar soaring. Therefore, for diabetic friends, especially in the stage of blood sugar adjustment is not stable, the impact of drinking alcohol is very big. In addition, alcohol belongs to high-energy drinks, 1g of alcohol calories have 3.5 calories, a large glass of beer under the belly has been intake of about 300 calories. For diabetic friends to low-fat low-calorie diet, but also very out of tune.

Alcohol is not only higher in energy, it also has a great impact on the liver. If alcohol enters the human body, the liver will certainly give priority to processing alcohol, put the previous accumulation of fat in it are first put aside, processing alcohol need to consume a lot of processing fat carrier substances, these substances once frequent, the liver is no way to hoard under the fat have metabolized, if for a long time this way, the liver accumulation of fat will be more and more, it is very easy to induce a fatty liver, which is why drinking alcohol is very easy to This is why it is easy to drink alcohol and get a beer belly. In addition, alcohol will also damage protein, liver cells, the protein carriers can not escape its clutches, it is easy to disintegrate liver health, for diabetic people, it is easier to induce diabetic nephropathy. So be sure to pay attention, the best is to quit drinking, if you can't quit people, you must be a small amount. One day can not exceed the amount of 25g of alcohol.

Can, although it is not medicine but some effects than the drug is good, mastery degree, I got in 92 years of type two to now any medicine do not use, to ensure that a bottle of cattle two or four two staple food can be, for the time being and prove that because of this kind of you eat any medicine it is not a cure for the disease but to carry out the chemistry can be divided into the disease is not cured down to the other organs hurt, so the benefits of L alcohol greatly Bailey.