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TAKING COMMAND OF DIABETES: ALCOHOL AND SMOKING
Alcohol
Can people with diabetes drink alcohol? Yes, providing they stick to the rules. Alcohol blocks the release of glucose from the liver and can produce hypoglycemia in people with and without diabetes. It takes smaller amounts of alcohol to produce this effect if you have diabetes requiring insulin than if you do not. Therefore, you must not have too much to drink at any one time. How much is too much? More than two pints of beer, or three US beers, or two short drinks. Always eat something if you have an alcoholic drink, such as some peanuts or nuts and raisins (these are available in most bars) or potato chips if there is nothing else, although they are too greasy to form a regular part of your diet.
Remember that alcohol is a calorie source and must be counted as part of your diet. You must not count it as a carbohydrate exchange but just as part of the total calories. Remember too that low-carbohydrate beers and lagers have a higher alcohol content than ordinary beers. Do not be tempted to binge. Intersperse your alcoholic drinks with low-calorie soft drinks if you want to keep up with your friends. Getting drunk may seem like fun at the time but you may make yourself crushingly hypoglycemic and no one will notice, least of all you!
Smoking
People with diabetes do not smoke. All the reasons for not smoking that apply to non-diabetics are equally valid for diabetics. Some are more so. People with diabetes are at greater risk of developing arteriosclerosis or hardening of the arteries than non-diabetics and smoking is a very good way of furring up your arteries. In practical terms this can mean having a heart attack or getting such bad gangrene in your legs that they have to be amputated.
Yes, but that is a long-term problem. I’m interested in now! Fine. Smoking can make you ill now. Just smoking one cigarette can halve the rate at which insulin is absorbed. This is because the nicotine from the cigarette constricts blood vessels throughout your body. A diabetic smoker may have very irregular insulin absorption and very poor blood glucose control. Smokers need more insulin than non-smokers to control their diabetes.
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