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| Diabetic |
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I am a diabetic. Can I consume wine?
Yes, you can consume wine, but preferably with a carbohydrate food/a meal. The consumption of wine without a meal can cause your blood sugar level to fall unexpectedly (hypoglycaemia), in particular, if you are an insulin- or medication-dependent diabetic. For example, normally when your blood sugar level starts to drop your liver begins changing stored carbohydrate into glucose, which is then released into the blood stream to stop or slow the drop. When you consume an alcoholic beverage such as wine, however, the liver breaks down the alcohol so it can be removed from the body in preference to changing the carbohydrate. The liver will not begin releasing glucose until all of the alcohol is broken down.
Indeed, when you consume more than a light to moderate amount of alcohol, the alcohol in wine can react with many of the prescribed diabetic medications, and worsen the side effects of diabetes, such as increasing your blood pressure.
Therefore, you should also only consume wine below the National Health and Medical Research Council (NH&MRC) recommendations, for example, a maximum of two 10 g standard drinks per day for men and one 10 g standard drink per day for women. One 10 g standard drink is approximately 100 mL of wine.
Recent research also suggests that the regular and light to moderate consumption of wine by a diabetic with a meal, may also reduce your overall risk of cardiovascular disease. This is related to the positive effect of alcohol on your body´s metabolism of glucose and insulin, and on your plasma concentration of high density lipoprotein (HDL), which increases the removal of cholesterol from your body. Conversely, the heavy consumption of alcohol will worsen the effects of diabetes, such as significantly increasing your fasting plasma concentration of fats, such as triglyceride.
If so, which kind(s) of wine
Wine contains sugar. Low sugar or "dry" varieties of wine are recommended for diabetics. These include still and sparkling styles, and also dry sherry, but not a sweet or medium dry/sweet sherry and not a sweet dessert wine. High sugar liqueurs and fortified wines are also not recommended for diabetics.
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