Tuesday, December 5, 2023

How Does Wine Affect Blood Sugar

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Does Red Wine Affect Blood Sugar


red winecan lower blood sugarblood sugar

Some extra-dry wines such as an Italian pinot grigio and cabernet sauvignon are often called bone-dry. The residual sugar is less than 1 gram and less than three calories in a 5-ounce serving of an Italian pinot grigio.

can Type 2 diabetics drink wine? Some people with type 2 diabetes continue to drink alcohol, but you should be aware that any alcohol consumption may result in dangerously low blood sugar levels for up to 24 hours. Staying well-hydrated and only drinking alcohol on a full stomach are other ways to limit the effects drinking has on blood sugar levels.

Subsequently, question is, which wine is good for diabetes?

Red wine ‘benefits people with type 2 diabetes’ A glass of red wine a day can improve cardiac health and help manage cholesterol for patients with type 2 diabetes, according to findings in a 2-year study published in the journal Annals of Internal Medicine.

Is red wine good for diabetes type 1?

If you have Type 1 or Type 2 diabetes, you can drink wine, but you should be aware of the particulars of this alcohol and how it might affect your blood sugar. Most red wines have less than 5 grams of carbs per serving. However, one 3.5 oz serving of dessert wine clocks in at 14 grams of carbs.

Got Vinegarfor Blood Sugar Lowering

Ryan Bradley, ND, MPH October, 2013

As most regular readers know, I am committed to helping people with diabetes find safe, non-drug approaches to lowering their blood sugar. One promising and simple approach is the use of vinegar in food, or used as a supplement to diet, physical activity and stress management. But is it really as easy as taking vinegar, or using more vinegar in food? How is it that this simple, inexpensive substance can be used this way? Well, in order to answer this question, I reviewed the scientific literature and provide a summary below of our current understanding. I hope you are inspired to leave the sweets behind and go sour instead!

Bread and Vinegar

Although this study was not performed in people with diabetes, it supports a basic mechanism of action of vinegar, which may be helpful to people with diabetes, and clearly demonstrated the concept that vinegar could be helpful to lower blood sugar after meals rich in high glycemic index carbohydrates .

What do we know about the actions of vinegar in people with diabetes? Keep reading!

Sweet I mean Sour Dreams

Vinegar Gets Complex

A Fly in the Vinegar?

In a Pickle

If you get a chance, please send me some feedback on your personal experiments trying vinegar – I am interested to know your results. In the meantime, pucker up!

In health, Ryan Bradley, ND, MPH

Grams Of Carbohydrate In Common Alcoholic Beverages

Its not that people with diabetes cant drink at all, says Harris. Id certainly rather my patients have a glass of dry wine or low-carb beer than a soda.

And when it comes to guessing the carb-content in an alcoholic beverage, Harris says people too often make false assumptions.

Wine, for example, whether its red or white doesnt matter. Its not the color that impacts the carb-content, but the level of fermentation because fermentation turns the sugar into alcohol. So thats why the carbs in wine wont impact your blood sugar as much that same carbohydrate amount from a glass of actual grape juice.

Lets take a look at the carbohydrate content of common alcoholic beverages, according to the Calorie King.

Red wines, per 5 fl oz/147 ml glass

  • Merlot 3.7 grams

Spirits, per 1 fl oz/37 ml

Most spirits actually contain 0 grams of carbohydrates. Some flavored varieties, like Smirnoff Strawberry, still only contain fewer than 3 or 4 grams of carbohydrates, which is generally not a quantity youd actually want to cover with insulin.

Mixers: Remember, the only mixers that dont contain carbohydrates are club soda and diet soda. Most other mixers, including and sour mix, contain at least 20 to over 40 grams carbohydrates per 8 ounces.

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The Red Wine Hypothesis

My wife, who likes to keep informed of my sugar level, remarked one day that my blood glucose seemed to be a bit lower on the mornings after I had had a drink. I decided to add my wine drinking to my daily glucose record as a prospective data collection, to test the hypothesis that red wine was associated with reduced blood glucose. As we had not noticed this effect for other alcohol and I knew that it was possible that white wine or beer might increase glucose, I also recorded an âother alcoholâ variable. This also included the occasional glass of whisky.

My planned statistical analysis was by the two-sample t-test method, because I knew that my glucose measurements followed an approximately normal distribution. To examine the effects of alcohol other than red wine, I planned to carry out a multiple regression of glucose on red wine and other alcohol jointly, as I suspected that the effects of the two would be opposite, and also because I thought that other alcohol consumption would not be independent of red wine, as drinking would often happen on social occasions.

When I came to do the analysis, I had data from 12 December 2016 to 30 June 2017. Alcohol and glucose were recorded on 192 days, and on 99 of the days I had drunk red wine the previous day. This would usually be two or three glasses of wine. Other alcohol was recorded on 19 days .

Figure 3

Fasting blood glucose against wine consumption on the previous day, with box-and-whisker plots.

Figure 4Figure 5

Effects Of Alcohol Consumption In The Fed State

Why Does Alcohol Lower Blood Sugar

In people with either type 1 or type 2 diabetes, single episodes of alcohol consumption generally do not lead to clinically significant changes in blood sugar levels. In fact, some studies have indicated that isolated episodes of drinking with a meal may have a beneficial effect by slightly lowering blood sugar levels that tend to rise too high in diabetics . This potentially beneficial effect was observed in both men and women, regardless of age. The alcohol amounts administered in those studies were usually between 0.5 g/kg and 1 g/kg, leading to blood alcohol levels between approximately 0.03 and 0.1 percent . Those doses are equivalent to approximately 2.5 to 5 standard drinks. Interestingly, studies of acute alcohol exposure in nondiabetic people have yielded quite variable results, noting decreases, increases, or no changes in glucose levels.

  • Blood sugar levels in the fasting state

  • Hemoglobin A1c , a blood component that reflects blood sugar control over the past 2 to 3 months

  • C-peptide, a molecule that is produced together with insulin .

Based on those biochemical markers, the researchers found the following results:

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Why Does Alcohol Make Blood Sugar Levels Drop

Alcohol makes your blood sugar levels drop by inhibiting the livers ability to release glucose. Alcohol also creates an initial sugar spike that makes your body process sugar at a higher rate, causing the spike in sugar to be quickly metabolized below what is normal. When these two factors are combined, it makes your blood sugar levels drop after the initial spike in sugar.

Beneficial Compounds In Wine

January 2011′). In fact, the affinity is similar to the type 2 diabetes drug rosiglitazone, according to A. Zoechling, lead author for the Food and Function study. That raises the possibility that red wine might someday be used in diabetes prevention and treatment, but more research is needed. Red wines contain a much higher level of ligands than white wines. Though the amount can vary among red wines, many reds contain 1 g per liter of these polyphenols, according to “Wine Spectator” magazine. White wines, on the other hand, have less than .1 g per liter.

  • In fact, the affinity is similar to the type 2 diabetes drug rosiglitazone, according to A. Zoechling, lead author for the Food and Function study.
  • Though the amount can vary among red wines, many reds contain 1 g per liter of these polyphenols, according to “Wine Spectator” magazine.

Read Also: Low Calory Wine

How Much Alcohol Do Drinks Usually Contain

If you have diabetes and are wondering how much alcohol you should drink, it is worth reading the following list to see how much alcohol is contained in each type of drink.

One unit :

  • 1/2 pint of standard strength beer, lager or cider
  • 1 pub shot/optic/measure of sherry or vermouth
  • 1 pub shot/optic/measure of spirit , eg gin, vodka or whisky.

The Effect Of Evening Alcohol Consumption On Next

Ketone and Blood Glucose Levels After Drinking Wine and Unboxing
  • Benjamin C. Turner, MRCP,
  • Emma Jenkins, BSC,
  • David Kerr, MD, FRCP,
  • Robert S. Sherwin, MD and
  • David A. Cavan, MD, FRCP
  • 1Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital, Bournemouth, U.K.
  • 2Yale University School of Medicine, New Haven, Connecticut

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    Alcohol Can Make It Harder To Manage Your Weight

    • This is because alcohol can have a lot of calories.

    For most people, this doesnt mean you cant drink alcohol. But talk to your healthcare team. They can help you work out whats right for you. This is especially important if you take medicines that can cause low blood glucose like insulin or sulphonylureas like glicazide or glipizide.

    Alcohol And Risk Of Low Blood Sugar

    If you are managing your diabetes with diet and exercise alone, drinking alcohol can stil increase your risk of low blood sugars. And if you take insulin or types of diabetes pills that stimulate insulin production, drinking alcohol can lead to even more serious low blood sugar reactions.

    Normally, the liver releases glucose to maintain blood sugar levels. But when you drink alcohol, the liver is busy breaking the alcohol down, so it does a poor job of releasing glucose into the bloodstream. This can lead to a drop in blood sugar levels if you are drinking alcohol on an empty stomach.

    Each alcoholic beverage takes about 1-1 ½ hours to finish processing in the liver. For that entire time, the risk of low blood sugar exists. So, if you have 2 drinks, you double that time to 2 to 3 hours that you are at risk for low blood sugar. The more alcohol consumed, the bigger the risk for serious low blood sugar.

    The solution? Never drink alcohol on an empty stomach. ALWAYS consume alcohol with a meal or snack that contains carbohydrates. Never skip meals or substitute alcohol for a meal.

    Follow these safety tips too:

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    Heavy Alcohol Use And Diabetes

    As stated above, glucose is used as an energy source for your muscle and liver cells. If you consume a lot of alcohol and you become hypoglycemic you can wipe out your energy storage in just a few hours. Excessive alcohol consumption can reduce the overall effectiveness of insulin. This results in high blood sugar levels. Many people who have been diagnosed with alcoholic liver disease also have either glucose intolerance or diabetes.

    Individuals who have been diagnosed with diabetes have to be very careful when it comes to drinking alcohol. Always consult with your physician about the risk alcohol can have on your body and with your medications. Some medications are not compatible with alcohol consumption. People with diabetes should be sure to pay attention to any potential warning of hypoglycemia.

    For diabetics, the American Diabetes Association has guidelines regarding how much alcohol they should drink and recommendations on when to drink to avoid complications. Some of these recommendations include:

    • No more than one drink per day for women
    • Diabetics should not drink when their blood sugar levels are low or when they have an empty stomach
    • Certain types of alcoholic beverages may be more detrimental for people with diabetes, including heavy craft beers due to the number of carbs and sugar that are in alcohol.

    Wines Fortified Wines And Champagnes

    Alcohol &  Diabetes: How does it affect your blood sugar?

    Red wine generally receives good press thanks to the certain chemical properties it contains.

    As youd expect, dry wines and champagnes will have a lower carbohydrate level than sweeter wines and champagnes.

    A dry wine can have as low as 1-2g of carbohydrate in a modest sized glass whereas a particularly sweet wine could have over 10g of carbs.

    A medium sweetness wine is likely to have 5 to 10g of carbs per standard glass.

    Fortified wines such as sherry and port tend to be sweeter than table wine. A glass of port could contain as much as 20g of carbs.

    To keep carbohydrate content down, look for dry varieties.

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    Talk To The People Drinking With You About Your Diabetes

    Dont drink alone! Carry diabetes identification when you go out drinking and make sure you have friends who know about the risks of drinking with diabetes. Emphasize the fact that a hypo might look like you are drunk. Show them the hypoglycemia handout on this page before going out so that they know how to help you.

    What To Drink And Not To Drink

    Aside from strict moderation, for people with type 2 diabetes the key to drinking safely is to choose alcoholic beverages that are low in sugar and carbs. Some, such as dry wines, champagne, and distilled alcohol, are naturally lower in sugar than other offerings as long as they’re imbibed straight up or with a sugar-free mixer. Beer, although also low in sugar, tends to be higher in carbs. Dessert wines such as port live up to their names by being relatively sweet.

    Comparing Carbs and Sugar in Alcoholic Beverages
    0g 0g

    Its wise to steer clear of spiked cider and hard lemonade, which are both high in carbs and added sugars. Opt instead, for a spiked or hard seltzer or club soda or plain seltzer water with a squeeze of lime.

    The same logic holds true for mixed drinks made with juice, added sugar, and syrups.

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    It Wears On Your Entire Body

    Regular drinking is not only going to make your blood sugars more difficult to control, its going to wear on your liver and your kidneys, both of which are already under greater stress if your blood sugars are higher than ideal.

    If you already have diagnosed retinopathy in your eyes, regular drinking can worsen the health of the nerves and blood vessels in your eyes.

    The long-term effects of regular alcohol consumption are well documented, but for people with diabetes, anything wears on us more noticeably because our body is already experiencing higher levels of inflammation along with blood vessel and nerve damage due to non-diabetic blood sugar levels.

    The American Diabetes Association recommends that people living with diabetes follow the general guidelines for alcohol consumption:

    • Men: No more than 2 drinks per day on average
    • Women: No more than 1 drink per day on average

    Be Good To Your Heart And Waistline

    Alcohol and Diabetes

    Alcohol is high in calories and low in nutrients. Thats why alcohol is often called empty calories. When your liver breaks down alcohol, it turns the alcohol into fat. That means drinking alcohol can make you gain weight. At 7 calories per gram, alcohol is nearly as calorie-dense as fat . Thats where that beer belly comes from! Alcohol use can also lead to elevated blood fats, or triglycerides, which raises your heart disease risk.

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    Will I Have A Hypo Whilst Drunk

    The symptoms of drunkenness can be very similar to a hypo, which can lead to very dangerous confusion.

    Furthermore, if you have been drinking heavily, there may be a risk of hypos for up to 16 hours after you have stopped drinking.

    Monitoring blood glucose levels closely is an essential part of managing your diabetes in this situation.

    Can I Drink Alcohol If I Have Type 2 Diabetes

    Moderate alcohol consumption is believed to have health benefits for some people, such as raising good cholesterol levels and lowering the risk of cardiovascular disease, but does that evidence hold up for patients with type 2 diabetes?

    Research shows moderate drinking and diabetes often can safely mix. In fact, some studies show moderate drinking can have positive health effects on people with type 2 diabetes. Red wine is especially beneficial.

    The important word here is “moderate”: Excessive alcohol drinking can increase the risk of conditions such as heart disease and metabolic syndrome. What’s more, drinking too much can be a cause of type 2 diabetes by leading to weight gain and insulin resistance.

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    Drink Tomato Juice Instead Of Sugary Fruit Juice

    If you enjoy drinking juice or youre 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 of carbs per cup, so youll need to factor that in.

    As always, its 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.

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