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  1. How I feel
  2. Hypoglycemia
  3. Low blood sugars
  4. Overcoming FOH: Fear of Hypoglycemia
  5. Hypoglycemia |

Even regularly drinking just one or two glasses of wine a night can have a large impact on your motivation to exercise the next day. 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:. Here are a few guidelines to follow when drinking alcohol with diabetes:.

How I feel

Eat a meal with it, and take insulin for the carbohydrates in that meal. And of course, check your blood sugar often! Then, take notes on what happens so you have a reference for next time. The more alcohol you drink, the more you should check your blood sugar during the 10 to 12 hours after drinking. But if you drink two alcoholic beverages, the time it takes to process doubles to 3 hours. The more you drink, the more hours it takes for your body to deal with all of that alcohol. The risk of experiencing a severe low blood sugar after that much alcohol is too high to risk hoping you wake up feeling fine in the morning.


Instead, choose dry wines red or white , cocktails with sugar-free mixers diet soda or club soda , lighter beers. And avoid or be prepared to manage insulin around choices like dessert wines Moscato, Zinfandel, some rose, and some rieslings , alcoholic ciders, and cocktails mixed with tonic, sour mix, juice, and soda. For some people, one glass of wine at 9 p. And for others, nothing happens at all! Beer, for example, varies in its carb-count but those carbs are coming from a very starchy source—grain.

And that means more time spent with alcohol impacting your blood sugars, too. Generally, eating a meal with your drinks is critical, and ideally, that meal would contain a few carbohydrates, too. For high-carb meals, you will need insulin for a large majority of those carbs.

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The more complicated the meal hello lasagna or Chinese food, high in both fat and carbs , the more complicated dosing your insulin around that meal with alcohol onboard too will be. If you normally take your long-acting insulin dose every night at 10 p. Taking your long-acting insulin at 8 p.

The only way to safely rebalance your hydration, blood sugar, and ketone levels is an intravenous bag of saline, electrolytes and possibly glucose and insulin. Just get the help you need. We asked people with type 1 diabetes on Twitter how they personally manage diabetes and alcohol. Their experience and approach to alcohol is not medical advice for your own diabetes management. I stick to low-carb beer and I have smooth sailing…no highs, no lows. And I have several glasses every night. Would always rather be very high for one night than very low the next morning.

I finally made the best of it and treated the lows with Mai Tais! Depending on what time that is, and quantity of alcohol I consumed, I set my alarm for a few hours thereafter to check my blood sugar! I always have some chocolate and glucotabs with me just in case. Spirits lower my blood sugar in the hours after drinking. Beer sends me up, so I run an increased basal along with loads of blood sugar checks, especially 3 a.

I usually reduce my basal rate overnight. I tend to find I go high, and when I drink I have veggies near me. I would like to have crackers or chips, but my blood sugars go all over the place.

Low blood sugars

I try to keep it to one drink with veggies or fruit. Small drink here and there, but I played with fire in college and recognize the stupidity now. One drink is social enough for me! And I have a late-night kebab without a bolus to even it all out and wake up at 5. I like something like an Oh Henry bar or toast and peanut butter, something with sugar and fat. Malibu, for example, sends me high, but Jack Daniels and Vodka make me drop after just one drink. It depends on my blood sugar at the time.

They all know what to do, and they check on me in the morning. Basically my strategy is: drink with good friends, reduce my insulin, eat some food with the drinks. I also always carb-up before bed. Find what works for you and stick with it. Plus, alcohol has calories, which are often handled as fat calories by the body, increasing your risk of weight gain with regular alcohol intake.

And that weight gain also creates the risk for high blood pressure. Cutting back on alcohol can decrease systolic blood pressure the top number in a blood pressure reading by as much as two to four points usually reported as millimeters of mercury—denoted by the symbol mmHg and diastolic blood pressure the bottom number in a blood pressure reading by one to two mmHg. Additionally, if you are using blood sugar-lowering medications, there can be potential side effects: for example, your risk of hypoglycemia low blood sugar can be significantly higher if you drink alcohol.

And, although data are conflicting, if you have type 2 diabetes and have more than moderate alcohol use, you might be at more risk of developing diabetes-associated eye disease. When elevated, triglycerides can cause an inflammation of your pancreas, a very painful condition called pancreatitis which, over time, can actually destroy the pancreas.

Triglycerides might also contribute to heart disease, potentially more so in women than men.

Overcoming FOH: Fear of Hypoglycemia

Alcohol intake can lead to heart muscle disease cardiomyopathy , irregular heartbeat arrhythmia and stroke. And heavy alcohol use can leave the heart too weak to pump efficiently, a condition called congestive heart failure. So how much alcohol is safe? Moderate drinking can be defined as: 12 ounces of beer, five to six ounces of wine or 1.

And if you drink, you should also make sure that you eat to reduce the risk of hypoglycemia low blood sugar. This is particularly troublesome for those on insulin, as the liver is not able to produce and release enough glycogen the sugar your body stores in both your liver and muscle cells to keep blood glucose levels from going too low under the influence of the insulin. This liver impairment can last for several hours after drinking. To counteract this effect, stick to non-sugary drinks and eat plenty of foods with protein, fats and complex carbohydrates, which your body can convert and absorb as glucose.

If you plan on indulging later in the day, start your day with a small meal that includes whole grains and low-fat or fat-free dairy and protein. Eat a small, lower-calorie meal before you head off to a soiree. Socialize and settle into the festivities before eating This means choosing the smallest plate available, asking for a small piece or slice, or even asking someone to share a plate or a dish that fudge brownie, for example. Another approach to help yourself is to take one bite of an item and then toss the remainder away, wrapped in your napkin.

These approaches allow you to decrease portion size while tasting the food and being able to fully participate socially. Make better choices. This means reaching for the vegetable tray or fruit tray at buffets rather than the baked goods. Grab a bottle of water, or if you must choose punches or juices, try filling your glass with ice first; this will dilute and decrease your drink portion size of drink.

Sparkling water can be another festive way to dilute a carbohydrate-rich drink. And watch out for hidden salt sodium that can worsen blood pressure.

Hypoglycemia |

Unfortunately, many prepackaged foods use sodium for its preservative effects. So foods such as broths used as bases for gravy, sauces or soups can be high in sodium. Keep these food choices to a minimum. Ask if stuffing has been prepared with salt--and if so, have a taste instead of eating a full portion. Offer to bring a dish or two or more. You then have control over a food choice, or several choices, that you fully know the contents of. As joyous a time as the holidays can be, they can also be very stressful.

High expectations for a perfect party, family tensions, even depression can play a major role in creating a not-so-perfect time of year. Some people avoid celebrating the holidays altogether for this reason. Stress can play a major role in interfering with any disease self-management. To reduce your stress, make expectations reasonable. Set a limit on your social event commitments to one or two per week. Suggest to friends that you meet after the holidays when schedules are more flexible.

Or limit your gathering to just appetizers or desserts rather than a sit-down meal. Agree to meet for breakfast or coffee rather than dinner to limit calorie temptations. Limit gifts to specific dollar amounts and have a family lottery to see who gives to whom. Take care of yourself. Make sure to get as much sleep as possible, slip some exercise into your busy schedule and make good meal choices. Following these tips will increase your enjoyment of this special time of the year. According to research from the Calorie Control Council, the average American will consume more than 4, calories from the traditional holiday dinner with turkey and all the trimmings.

Although the holiday season may seem like one endless eating and drinking marathon, a little bit of diligence can go a long way in helping you avoid overconsumption. Here are some common holiday food items and drinks along with their calorie counts to assist you with making educated choices. Neither having a low nor a high blood sugar are good for the body, especially when it swings too drastically from low to high or vice versa.

You may initially feel the thrill of rapidly going up and down the tracks, but if that were to continue, you will feel sick. The symptoms vary from person to person, but some of the common ones include sweating, a racing heart, nervousness, shaking, dizziness, nausea, headache, hunger, blurry vision and confusion. Many patients with diabetes who get these symptoms often know what a low blood sugar feels like and they know to eat something.