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Drinking with Metformin
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<blockquote data-quote="dnfuss" data-source="post: 144348" data-attributes="member: 15487"><p>Alcohol, in and of itself, does not typically raise serum glucose, even in diabetics. It is generally prioritized in hepatic metabolism and therefore merely delays, but neither increases nor decreases, blood sugar changes resulting from dietary intake.</p><p></p><p>Of course, if the alcohol ingested involves a carbohydrate medium (e.g., beer, sweet wine, mixed drinks including sugar in the form of sugary sodas, fruit juices, or added sugar or syrup such as gin and tonic, screwdriver, cosmopolitan, rum and coke, margarita, pina colada, LI Iced Tea, etc.), blood sugar may rise dramatically in response thereto once the alcohol has been metabolized.</p><p></p><p>This is why when I choose to have a cocktail I will have a Martini or a Scotch and soda, which have essentially no residual sugar. One (or two) generally has no significant effect on my blood sugar.</p><p></p><p>But my blood sugar issues are very mild and controlled with just diet and metformin. Those with moderate-to-severe diabetes, especially Type 1s and those on insulin or sufonylureas, must be very vigilant when drinking alcohol (obviously a challenge) to avoid a potential episode of acute hypoglycemia (which could result in coma or even death).</p><p></p><p>Metformin doesn't per se involve such a risk of hypoglycemia, but the literature still generally warns against drinking alcohol when on metformin in an abundance of caution, as metformin has been associated with increased risk of lactic acidosis and alcohol reduces the capacity to metabolize lactic acid. This is <u>especially</u> important for those with impaired kidney function, which itself carries an increased risk of lactic acidosis.</p><p></p><p>So, bottom line, many of those on metformin can and do enjoy a drink, but please do so after considering carefully all of the above.</p></blockquote><p></p>
[QUOTE="dnfuss, post: 144348, member: 15487"] Alcohol, in and of itself, does not typically raise serum glucose, even in diabetics. It is generally prioritized in hepatic metabolism and therefore merely delays, but neither increases nor decreases, blood sugar changes resulting from dietary intake. Of course, if the alcohol ingested involves a carbohydrate medium (e.g., beer, sweet wine, mixed drinks including sugar in the form of sugary sodas, fruit juices, or added sugar or syrup such as gin and tonic, screwdriver, cosmopolitan, rum and coke, margarita, pina colada, LI Iced Tea, etc.), blood sugar may rise dramatically in response thereto once the alcohol has been metabolized. This is why when I choose to have a cocktail I will have a Martini or a Scotch and soda, which have essentially no residual sugar. One (or two) generally has no significant effect on my blood sugar. But my blood sugar issues are very mild and controlled with just diet and metformin. Those with moderate-to-severe diabetes, especially Type 1s and those on insulin or sufonylureas, must be very vigilant when drinking alcohol (obviously a challenge) to avoid a potential episode of acute hypoglycemia (which could result in coma or even death). Metformin doesn't per se involve such a risk of hypoglycemia, but the literature still generally warns against drinking alcohol when on metformin in an abundance of caution, as metformin has been associated with increased risk of lactic acidosis and alcohol reduces the capacity to metabolize lactic acid. This is [U]especially[/U] important for those with impaired kidney function, which itself carries an increased risk of lactic acidosis. So, bottom line, many of those on metformin can and do enjoy a drink, but please do so after considering carefully all of the above. [/QUOTE]
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Drinking with Metformin
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