[Diabetes-talk] looking for info on diabetes and alcohol

catdancing catdancing at sbcglobal.net
Thu May 28 14:13:53 UTC 2009 

I hope this helps Paul and Paula

Debbie

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Alcohol Consumption and Type 2 Diabetes
  1.. Madelyn L. Wheeler, MS, RD, CD, FADA, CDE, Coordinator1,
  2.. Marion J Franz, MS, RD, CDE, nutrition and health consultant2 and
  3.. Janice C. Froehlich, PhD3
+Author Affiliations

  1.. 1Research Dietetics at the Diabetes Prevention & Control Center of 
Indiana University School of Medicine.
  2.. 2Minneapolis, Minn.
  3.. 3Indiana University School of Medicine, contributed to this article.

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Question: "What advice can we give to patients with diabetes regarding 
alcohol consumption? Modest amounts of wine appear to be healthful for the 
heart. Evidence suggests that moderate alcohol improves insulin sensitivity. 
The American Diabetes Association's position seems to be `If you don't drink 
don't start, but if you drink don't stop.' What is an expert's opinion?"

Answer: A number of epidemiological studies have found an association 
between light to moderate alcohol amounts and decreased risk of type 2 
diabetes, coronary heart disease, and stroke in persons without diabetes.

The greatest benefit of alcohol appears to fall within study quintiles that 
include people drinking 15-30 g/day of alcohol, which can be considered 
"light to moderate drinking." One drink of alcohol is commonly defined as 12 
oz of beer, 5 oz of wine, or 1.5 oz of distilled spirits (hard liquor), each 
the equivalent of about 15 g of alcohol.

Studies suggest a "J" or "U" shaped curve: a small amount of alcohol per day 
is better than either no alcohol or a large amount of alcohol. The type of 
alcoholic drink doesn't seem to matter. Studies also report an increase in 
insulin sensitivity from moderate amounts of alcohol. Finally, studies 
indicate that light to moderate amounts of alcohol do not raise blood 
pressure, whereas chronic excessive amounts (greater than 30-60 g/day) do.

In people with diabetes, moderate alcohol consumption does not acutely 
affect glycemic control, and epidemiological studies indicate that moderate 
alcohol consumption for people with diabetes is associated with:

  1.. A decrease in coronary heart disease (it may be one of the few ways to 
increase HDL cholesterol),

  2.. A decreased risk for CHD, and

  3.. A reduced risk of mortality.

Sounds like a wonderful therapy so far!

However, no cause-and-effect relationship has yet been established between 
alcohol drinking and diabetes. Without clinical evidence from adequately 
powered randomized controlled trials, it's hard to justify advising in favor 
of alcohol consumption.

While the data on alcohol and cardiovascular disease are still correlative, 
the toxic effects of alcohol are well established.

With regard to people with diabetes who have not previously been drinking 
alcohol routinely, there is evidence to suggest that they should not be 
encouraged to start. This is because alcoholism is, in part, genetically 
determined. Certain individuals have genes that predispose them toward 
alcoholism and currently there is no way to identify who these individuals 
may be. For example, sons of alcoholics are approximately 3 to 5 times more 
likely to become alcoholic than are sons of nonalcoholics; sons of 
alcoholics, adopted by nonalcoholic families in early life, are still 3 
times more likely to become alcoholic than are similarly adopted sons of 
nonalcoholics. Hence, encouraging or condoning drinking in these individuals 
could contribute to the development of alcohol abuse and alcoholism.

Some people should not drink at all:

  1.. Women who are pregnant or who are trying to become pregnant,

  2.. Recovering alcoholics,

  3.. People who plan to drive or engage in other activities that require 
attention or skill,

  4.. People taking certain medications (e.g., antihistamines, 
anticonvulsants, antidepressants), and

  5.. People with certain medical conditions (e.g., pancreatitis, advanced 
neuropathy, severe hypertriglyceridemia, alcohol abuse). Note though that 
there is no evidence to suggest that light-to-moderate amounts of alcohol 
have a detrimental effect on triglycerides, even in individuals with 
hypertriglyceridemia.



In summary, if a patient has diabetes and is not already drinking alcohol 
routinely, he or she shouldn't start. If a patient has diabetes and drinks a 
moderate amount of alcohol daily, he/she shouldn't escalate intake because 
high chronic alcohol intake (3 or more drinks per day) can cause 
deterioration in long- and short-term glucose metabolism. Heavy alcohol 
drinkers are strongly advised to reduce consumption.

The current American Diabetes Association position concerning alcohol is: If 
individuals choose to drink alcohol (the type doesn't make a difference), 
daily intake should be limited to one drink for adult women and two drinks 
for adult men; to reduce risk of hypoglycemia, alcohol should be consumed 
with food.

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Footnotes
  a.. Do you have a clinical question? Send your query to 
docnews at diabetes.org

  b.. American Diabetes Association, Inc.
Previous Section

References
  1.. American Diabetes Association: Nutrition Principles and 
Recommendations in Diabetes (position statement). Diabetes Care 27(Suppl. 
1):S36 -S46, 2004.
  2.. Franz MJ, et al: Evidence-based nutrition principles and 
recommendations for the treatment and prevention of diabetes and related 
complications (Technical Review). Diabetes Care 25: 148-198, 2002.
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----- Original Message ----- 
From: "Paul & Paula Jordan" <paujor at fuse.net>
To: "'Diabetes Talk for the Blind'" <diabetes-talk at nfbnet.org>
Sent: Thursday, May 28, 2009 7:51 AM
Subject: [Diabetes-talk] looking for info on diabetes and alcohol


> Last Monday, I went over to a friend's place for the afternoon, and the
> evening meal.  During the course of the time, I had two cans of beer, and
> didn't think anymore about it.
>
> Later that night, I ran my usual evening glucose test, and found I had a
> reading of 61, and, I did feel like it to.
>
> Is the moral of the story that any drink is a bad idea, or where can I go 
> to
> get info on this subject.
>
> I have been an officer in the fraternal order of eagles, but I haven't 
> been
> active since my diagnosis, because I'm not sure about having a few drinks
> with the members.  I don't abuse alcohol, but I don't know how to deal 
> with
> it now.  Please advise.
>
> I apologize to all on the list for being so lengthy in this question
>
>
>
> Paul
>
> _______________________________________________
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