The Chinese New Year is approaching, in the face of a table full of delicious food, friends and family to raise a glass to celebrate, diabetic patients often have this question: with diabetes can still drink?
A. Drinking a lot of alcohol is harmful to diabetic patients
(1) Long-term heavy drinking will disrupt the normal diet (too full or hungry) and medication of diabetics, leading to blood sugar fluctuations and loss of control. Alcohol can inhibit the liver’s glycogen isogenesis and glycogenolysis reactions, directly damaging the pancreas and causing severe damage to the original damaged pancreatic function, as well as inhibiting the breakdown and excretion of hypoglycemic drugs.
(2) Long-term heavy drinking makes patients’ blood lipids (mainly triacylglycerol and low-density lipoprotein) rise, accelerating the synthesis and accumulation of fat in the liver, leading to fatty liver and even cirrhosis. Alcohol consumption can further increase blood uric acid, which can easily induce or aggravate gout.
(3) Excessive alcohol consumption by diabetic patients can cause alcoholic ketoacidosis, which is even life-threatening in serious cases.
This shows that diabetic patients drink a lot of harm, never indulge in booze.
Second, which diabetic patients should absolutely avoid alcohol
One of the following conditions should be prohibited.
(1) poor blood sugar control.
(2) Frequent hypoglycemia in the near future.
(3) have serious acute and chronic complications of diabetes.
(4) With fatty liver or abnormal liver function.
(5) Hyperlipidemia.
(6) Hyperuricemia.
Third, which diabetic patients are allowed to drink a small amount of alcohol
Diabetic patients who can stop drinking alcohol is of course the best, but there is a certain degree of difficulty in life, in addition, moderate drinking can play the role of blood circulation, relaxation and circulation, to improve the vascular disease of diabetic patients is beneficial, therefore, diabetic patients are not absolutely can not drink alcohol, but to meet the following conditions.
(1) Smooth blood glucose control, fasting blood glucose below 7,8 mmol/L.
(2) No serious complications of diabetes.
(3) No combination of other serious diseases (such as heart disease, hypertension, pancreatitis, etc.).
(4) Normal liver function.
(5) Non-obese.
IV. Precautions for drinking alcohol for diabetic patients
Unlike ordinary people, diabetic patients have some special requirements for drinking alcohol.
(1) It should be strictly limited. Each drink is limited to 1 alcohol unit (containing 380 kJ of calories), which is approximately equivalent to 400 ml of beer (containing 4% alcohol), or 150 ml of wine (containing about 10% alcohol), or 50 ml of 30-degree white wine. Alcohol should not be consumed more than twice a week.
(2) You should not drink alcohol on an empty stomach. Diabetic patients who inject insulin or take glucose-lowering drugs at night must eat staple food before drinking, and refrain from drinking large amounts of alcohol on an empty stomach at dinner to avoid severe hypoglycemia at night.
(3) Try to choose alcohol with low alcohol content, such as wine, beer, etc. Highly potent white wine should be prohibited.
(4) The calories of alcohol should be deducted from the calories of carbohydrates, such as drinking one alcoholic unit of beer (about one hear) should be reduced by 25 grams (half a tael) of staple food to avoid underfeeding and overfeeding.
(5) Blood glucose should be monitored before and after drinking alcohol, and once the condition changes, alcohol consumption should be interrupted immediately and the treatment plan should be adjusted.
In short, diabetic patients drink more harm than good, and sometimes cause unexpected accidents, in order to their own health and longevity, alcohol is better not to drink.