
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Living with diabetes blog
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Dec. 9, 2011
Alcohol and diabetes: Drinking safely
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Patients often ask whether they can drink alcohol. Most people with diabetes are aware of how different foods affect their blood glucose, but aren't sure if alcohol and diabetes is safe. The American Diabetes Association recommends that you ask yourself three basic questions:
- Is your diabetes under control?
- Check with your healthcare provider. Do you have health problems that alcohol can make worse, such as diabetic nerve damage or high blood pressure?
- Do you know how alcohol can affect you and your diabetes?
Alcohol and your body
When you drink an alcoholic beverage, the alcohol moves quickly into the bloodstream without being metabolized in your stomach. Within five minutes of having a drink, there's enough alcohol in your bloodstream to measure. Alcohol is metabolized by the liver, and for the average person it takes approximately two hours to metabolize one drink. If you drink alcohol faster than your body metabolizes it, the excess alcohol moves through your bloodstream to other parts of your body, particularly your brain. If you've ever gotten a "buzz" when drinking alcohol, that's why.
If you're on insulin, or certain oral diabetes medications, such as a sulfonylurea (glipizide, glyburide) or meglitinide (Prandin) that stimulate the pancreas to produce more insulin, drinking alcohol can cause a dangerous low blood sugar because your liver has to work to remove the alcohol from your blood instead of its main job to regulate your blood sugar.
Safe drinking guidelines
- Consult your physician and follow his/her advice — alcohol can worsen diabetes complications.
- Monitor your blood sugar before, during, and after drinking alcohol. Remember to check before going to bed.
- Never drink alcohol on an empty stomach — food slows down the absorption of alcohol into the blood stream.
- Avoid binge drinking — The American Diabetes Association suggests men have no more than two drinks a day, and women one, the same guidelines as for those without diabetes.
- Be prepared — Always carry along glucose tablets or another source of sugar. Glucagon shots will not work in this case.
- Don't mix alcohol and exercise — physical activity and alcohol will increase your chances of getting a low blood sugar.
The symptoms of too much alcohol and low blood sugar can be very similar, i.e. sleepiness, dizziness, and disorientation. You don't want others to mistakenly confuse hypoglycemia for drunkenness. Alcohol and diabetes is another reminder that it's always a good idea to wear a diabetes medical I.D.
- Peggy
19 comments posted
March 17, 2013 11:39 p.m.
For those who have wifes who drink too much or are abusive please look into help centres and get some outside help, it will help you.
- John
February 24, 2013 8:12 a.m.
For those who have husbands who drink too much or are abusive please look into Al-Anon it will help you.
- Sheryl
February 14, 2013 7:26 a.m.
How do I find out how many carbohydrates are in alcoholic drinks? its diffcult controlling sugars on a pump when you dont know the carbs.
- Jo
January 30, 2013 5:57 a.m.
Nutritionist Great examples here, I’m looking at having my comments section re designed, although its clean and simple now I think it could be a little more personal.
- Nutritionist
May 15, 2012 1:26 a.m.
Life is short so get the hell out of the abusive relationships. Take a different life adventure, learn to depend on yourself and your better judgement. I have an alcohol problem too, looking up it causing diabetes. Saw your posts and had to agree with the others. Start getting ready for a life change and move on. Take care of yourself and dont let others drag you down. Im working on the similiar issues going on my own cause no support elsewhere. Best of Luck and make a good life for your self or at least try.
- Shreddi
May 2, 2012 10:05 p.m.
Sherri,I can only speak from my own personal exirepence at Mayo-Rochester. I am assuming you have had your care elsewhere, or from other providers.My exirepence with Mayo has been that they also send a patient to a number of specialists as appropriate. The difference is that they have all those specialists In-House'; and after they all have spent time with the patient and reviewed all the test results, those specialists, and your primary doctor, meet and talk through your case. Each specialist also has all the exirepence of their departments at their disposal, so that if a unique situation is in question, odds are they have more on-premises exirepence and resources available. At least that has been my exirepence. (The last figures I saw, Mayo has 3,700 staff physicians, 3,200 residents, fellows and students, and 49,000 administrative and allied health staff.) So, it's not one specialist here with their opinion, another one in another city with another opinion, etc.As an example, in this economy, there was a period when we lost our insurance at the discretion of the insurance company. I had to fallback to the VA healthcare system. I had a problem in one leg that progressively became worse and finally I collapsed one day. Over 14 months the VA sent me to doctor after doctor and the leg just became worse. Finally, I was able to gain new insurance and return to Mayo. In six hours, I saw three doctors, had the needed tests done, and they had a diagnosis. Today, four mo
- May
February 2, 2012 12:57 p.m.
what are you waiting for....get out of the marriage now simple to say...yes simple to do....no worth it...only if you have one life to live
- marty
November 9, 2011 10:46 a.m.
can we drink alcohol if your blood sugar is alwys more than 180 or 200 if yes what can we drink and in what waht quantity.
- Tejas
November 7, 2011 11:12 a.m.
You aren't alone in this. Ditto for my husband who is 62. I believe that there is nothing we can do except wait to call the police or ambulence. Do what you must to protect yourself, avoid saying no or disagreeing. Remove yourself until he flops. You must love him or you'd have left by now. Same for me. Say your prayers for him, you, and your marriage.
- Sally
November 6, 2011 1:35 a.m.
My husband won't stop drinking. He becomes even meaner and more verbally abusive when he does drink. He calls me the "enemy." He always drinks before he goes to bed. He says it helps him sleep better. He can down a whole fifth in less than a day. He has type two diabetes. He drinks both beer, at least three to six a day and hard liquor. He tries to tell me that his doctor says it is ok. He says that alcohol does not have carbs! He is overweight and doesn't exercise and is 60 years old. I am at my wits end and don't know what to do.
- Diane
October 28, 2011 9:28 p.m.
My concern is that I drink daily and have for about ten years. Recently I have felt some leg pains and wondered if these pains are symptoms of diabetic neuropathy...have had Type 1 diabetes for twenty years.
- Garth
September 28, 2011 5:08 p.m.
to Robert who posted 9/9/11: Thanks!! I looked @ my blood test results and could see I'm boarderline diabetic!! and just happen to read your post. this answers a whole lot of questions for me,( like the mystery bruses) I too an a Christian and I should not have this as a problem! I too think I have effected my family, and I hate it, my boys are grown, but I still influence my loving husband, who tries to do all he can to help( resistant as I am) But oddly enough, Robert, You helped, I felt like I was reading my own post. My change comes now while it can still be changed, you too can still turn it around. it may be a slow turn, but my faith in the ability of healing that God has given our human bodies, tells me you too can do it! Thank you for your Honesty, and being Brave enough to tell the Truth!( p.s. My late father's name is Robert ( cancer/1994) thank you Robert, apply your faith.
- Cherry
September 9, 2011 11:12 p.m.
I am an alcoholic and I have type 2 diabetes. It is a struggle to live. I have to balance my sugar and my 'booze" level. I see the detrimental effects. The bruising, the sickness, ect. I do go sober for weeks at a time but I always return to the alcohol. I know I will die because of this but it is impossible for me to live without it. I have also passed it on to my children. My wife drinks every day, my oldest boy loves oxycontin 30's nasally and my youngest loves rum. He has been arrested twice for DWI and the courts sentences odn't faze him. He continues on. I am at fault. I started this sh*t and passed it on to my family. i pray daily for a solution but have rec'd no answer or guidance. The only way out is death, my death. As a christian I cannot commit suicide but I am awaiting the major body shutdown that is coming and will finish me. Pray people. Maybe it is too late for me...but not for you. Pray to your higher power. It is the only way out. PS, I had a major heart attack in March, this year and I now have a permanent arrythmia. The cost? a pacemaker, 10 different meds for my heart, my family. You get the idea. Good luck.
- Robert
September 15, 2010 8:44 a.m.
I am 23 years of age. I am not a diabetic, just doing some research on what the effects of too much drinking can do. I can say that I drink a lot for a girl, I can understand why people drink. Anne, maybe your sister has no where to go and just relax. Drinking helps take your mind off of everything. Maybe something you can do is offer to help her out with her kids so she can have alone time. Then start asking her to exercise together. She needs to do something to lower her stress level. The more I drink, I find myself at any time I get stressed I want more and more. No one wants to be an alcoholic, but sometimes its better then being in the "real world". Maybe if you step up and be her "rock"...then you can be the cause of her not drinking anymore. :)
- Bell
March 11, 2010 9:32 p.m.
My older sister is my rock! She is a teacher and is brilliant. She has been on a pump for about 8 years and is an alcoholic. A highly functioning alcoholic. She ia amazing, taking care of everyone, has two beautiful successful daughters, one is a teacher too another is going to graduate nursing school. There is a giant pink elephant in the room everywhere my sister is and it's her alcoholism. She has two types of beer in the fridge, one is low carb and one is regular. Who does that? An alcoholic. My mom was an alcoholic and fell and broke her ankle. She went into a hospital in Annapolis and they gave her an overdose of medicine and she was in a coma for months and now has a brain injury. Good news is that she is 81 years old and able to go out to lunch etc and be with my Dad and we are blessed for that, but my sister had to bring beer to my moms house to help her, (my sister) deal with the stress of being there. And believe me the stress was unbelievable thinking that my mom would not recover, but who brings beer to a recovering alcoholics house? An alcoholic. I fell down the stairs in my country farm house and was taklen to shock trauma and when I was able to come home my sister drove beer to my house and then went back to shock traum to pick me up and take me to my house, concussion and all. Who does that? An alcoholic. Any one reading this is probably thinking what the heck am I going on about, but my sister is ill and I have no idea how to help her. Can someone write me?
- Anne
January 19, 2010 7:29 a.m.
I got a brother , he is diabetic, but he drinks alot of alcohol... my mom dont know what to do.. the last time that he drink was when we took him to the hospital.... he almost died, but the worsth thing is that he still drinkin , the doctor said that he could died cause he dosenty follow the treatment and he drinks alot od alcohol... and his sister and i dont know what to.... please help me out
- Senaida
January 16, 2010 11:10 a.m.
How do you cure an alcoholic with diabetes type 2. He does take his blood brick but it comes back just slightly higher so he doesn't beleive he's harming himself. The weight gain is definite but he saids he's getting older. More media coverage about drinking and diabetes needs to be out there.
- joan
January 10, 2010 11:58 p.m.
I couldn't agree more with the poster above. I cannot believe this article didn't mention the caloric intake of your average alcoholic beverage.
- Dr Brett Hill
January 7, 2010 7:06 a.m.
Alcohol is also high in calories which may cause weight gain, increasing the risk of further insulin resistance. People with Type 1 diabetes who put on a lot of weight may develop Type 2 diabetes symptoms/insulin resistance. People with Type 2 diabetes who put on more weight increase the risk of cardiovascular disease.
- DiabetesCollege.co.uk
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19 comments posted