How does co-administration of insulin and alcohol affect the body: consequences of concurrent use

With diabetes, patients are forced to follow a strict diet, excluding from their diet all sweet, fatty and spicy foods. In addition, many endocrinologists advise their patients to significantly limit the consumption of alcoholic beverages, and sometimes completely eliminate alcohol from their diet.

This is especially true for those patients whose treatment program included insulin therapy. According to most doctors, the combination of insulin with alcohol can lead to serious consequences and even cause a coma.

But it is important to emphasize that insulin and alcohol are incompatible only with excessive alcohol consumption, and a small amount of alcohol will not cause significant harm to the patient. But in order to avoid possible complications, it is necessary to know what alcoholic beverages and in what quantity it is allowed to use for diabetes.

Alcohol and insulin: what could be the consequences?

Mixing alcohol and insulin is extremely dangerous, as this can lead to a sharp drop in blood sugar and cause a severe hypoglycemic attack. Without emergency medical care, such a condition can cause hypoglycemic coma and even death of the patient.

To avoid such dangerous consequences, diabetics must strictly adhere to the recommended doses of alcohol, as well as adjust the dosage of insulin after taking alcohol. This is because alcohol has the ability to lower blood sugar, so the usual dose of insulin in this situation may be excessive.

However, one does not need to think that the hypoglycemic property of alcohol can allow the patient to replace insulin with it. Firstly, the effect of alcohol on the human body is very difficult to predict, which means it is impossible to say with accuracy how much the blood sugar level will drop.

And secondly, alcohol is a poison that poisons the body and negatively affects all internal organs, including the pancreas. But especially strong alcohol affects the cells of the patient’s liver and kidneys, which already so often suffer from diabetes.

In addition, alcohol helps increase blood pressure, which is especially dangerous for people with diseases of the cardiovascular system. But damage to the heart and blood vessels is the most common complication of diabetes and is observed in almost all diabetics.

It is especially dangerous to drink alcohol to patients suffering from vascular atherosclerosis, coronary heart disease, damage to the vessels of the eyes and lower extremities. Alcohol intake can significantly worsen the course of these diseases and accelerate their development.

Another reason why you should not take alcohol during treatment with insulin is its high calorie content. As you know, insulin injections can help to gain extra pounds, especially in patients with type 2 diabetes. Alcohol has a similar effect, the excessive use of which can lead to the development of obesity.

The fact is that any alcoholic drink contains a huge amount of calories, which, after assimilation, turn into fat. Moreover, these calories are completely empty, since in alcohol there are no nutrients that are beneficial for the body.

Caloric value of alcohol comparison with proteins, fats and carbohydrates:

  1. 1 gram of alcohol - 7 kcal,
  2. 1 gram of pure fat - 9 kcal,
  3. 1 gram of protein or carbohydrate - 4 kcal.

How to drink alcohol with diabetes

Modern doctors have developed for diabetics a special list of rules, observing that they can consume alcoholic beverages without fear for their condition. These rules are also suitable for those patients who are on insulin treatment.

But even following all the recommendations of the doctors, the patient cannot be completely sure that he will not feel bad while taking alcohol. Therefore, he always needs to have a glucometer or watch for diabetics, as well as a bracelet or card with information about his illness and a request to call an ambulance if he faints.

Alcohol use in diabetes is strictly prohibited if it is complicated by inflammation of the pancreas (pancreatitis) or severe neuropathy. Women, regardless of blood sugar, are not allowed to drink alcohol during pregnancy. Here are some examples:

  • A diabetes patient can drink no more than two recommended doses per day, and this should be done not in a row, but with interruptions,
  • A safe dose of alcohol for a diabetic is 30 grams. pure alcohol per day. These are 50 ml of vodka, 150 ml of dry wine, 350 ml of light beer,
  • During the week, the patient is allowed to drink alcohol no more than 2 times, for example, on Wednesday and Sunday,
  • After drinking alcohol, it is necessary to reduce the dosage of insulin to avoid hypoglycemia,
  • After drinking alcohol, in no case should you skip a meal. This will help keep the sugar level at a normal level and prevent it from falling,
  • In diabetes, it is strictly forbidden to drink alcohol on an empty stomach. It’s best to combine alcohol and food,

Diabetics are not recommended to drink sugary drinks, for example, various liquors and sweet or semi-sweet wines, as well as champagne. The most beneficial alcoholic drink for diabetes is dry wine,

Beer is one of the most harmful drinks for a diabetic, so its use should be reduced to a minimum. When choosing beer, you should give preference to light beers with a strength of not more than 5%,

Diabetics should be very careful about alcoholic beverages with a high strength, such as vodka, rum or brandy. They are allowed to be used only in rare cases and only in small quantities,

In diabetes mellitus, it is necessary to abandon the use of most alcoholic cocktails, since many of them include sugar,

During self-preparation of the cocktail it is strictly forbidden to use sweet soda, fruit juices and other drinks with a high glucose content,

The intake of any alcohol is prohibited with strict diets for insulin-dependent diabetics aimed at weight loss. It’s important to always remember that alcohol is very high in calories and therefore can nullify all efforts to lose weight,

Doctors warn diabetics about the inadmissibility of drinking alcohol after intense exercise. The fact is that during sports, the patient actively burns excess sugar in the blood, because of which his level drops markedly. Drinking alcohol can further reduce the concentration of glucose in the body and cause a hypoglycemic attack,

For the same reason, you can’t drink alcohol after a strong emotional experience or a long break in food,

After drinking alcohol, you should carefully prepare for an injection of insulin. First, you need to measure blood sugar and if it is below normal levels, adjust the dosage of the drug,

Of course, each patient himself decides how much it is acceptable for him to combine insulin injections with alcohol. However, it must be recalled that regular consumption of alcoholic beverages can have the most detrimental effect even on a perfectly healthy person, not to mention a patient with diabetes.

Even if after a few glasses or glasses the patient with diabetes does not feel serious changes in health, this does not mean that alcohol is completely safe for him.

The negative impact of alcohol-containing drinks often does not appear immediately, but over time can lead to the failure of several organs at once - the pancreas, liver and kidneys.

The compatibility of alcohol and diabetes drugs will be covered in a video in this article.

How to combine insulin and alcohol

When drinking strong drinks in the body of a diabetic, such negative processes occur:

  • the risk of malfunctioning of vital organs and systems is growing,
  • uncontrolled drops in sugar levels appear
  • lactic acidosis occurs (an excess of secreted lactic acid),
  • there is a chance of ketoacidosis (a violation of carbohydrate metabolism).

The patient experiences symptoms of a disulfiram-like reaction: chest pain, redness of the skin, tachycardia, nausea, and vomiting are possible. If the patient drinks alcohol, the glucose level drops sharply, but insulin cannot be replaced with it. With atherosclerosis, vascular problems - alcohol is strictly prohibited.

With uncontrolled intake of alcohol, insulin therapy is a direct danger. If the patient has compensated diabetes, a small dose of alcohol is acceptable. When combining alcohol-containing drinks and insulin, the patient's condition is aggravated.

Alcohol increases the burden on organs (kidneys, liver, pancreas), blood pressure often rises, there is an increase in body weight, and the walls of blood vessels are destroyed.

The systematic intake of alcohol and insulin gives an impetus to the emergence of various pathologies:

  • arrhythmic disorders
  • ischemia,
  • phlebeurysm,
  • heart attack
  • mental disorder
  • fatal outcome from stopping the work of the kidneys or liver.

There are recommendations of experts on the use of alcohol-containing drinks for diabetes. But first you need to get a doctor's consultation to rule out complications. Basic rules for the use of alcohol-containing products:

  • recommended volume per day for vodka - 50ml, dry wine - 150ml, light beer - 350ml, 2 times a week,
  • alcohol raises sugar, so the amount of insulin should be adapted (to do this, control glucose values),
  • fasting is prohibited - only during or after meals,
  • Never drink sweet wines,
  • dark beer is excluded, only light (up to 5% alcohol),
  • rum and cognac are prohibited,
  • drinks with gas with a high content of carbohydrates are contraindicated for diabetics,
  • do not take alcohol or alcohol after exercise
  • alcoholic beverages should not be consumed in place of insulin.

The condition after drinking alcohol can be uncontrollable and can lead to death. To provide timely assistance to the patient, you need to have a portable device for determining sugar and a business card with data on the disease.


The consequences of the simultaneous use of alcohol and insulin lead to intoxication, which is expressed:

  • constant nausea and vomiting
  • disorientation
  • memory lapses
  • decreased visual acuity,
  • loss of strength, depression,
  • disorder of consciousness.

Strong drinks negatively affect carbohydrate metabolism and slow down the liver. Violations begin in response to jumps in glucose readings. With a sharp decrease in sugar, the patient experiences severe hunger, there is a risk of overeating and errors in calculating the dose of insulin.

One of the serious complications is the development of nocturnal hypoglycemia. After drinking alcohol, you can fall asleep firmly and skip time to control sugar levels.

Symptoms with intoxication and a drop in glucose indicators coincide, which makes it difficult to provide timely assistance.

Insulin and alcohol: can I use with high sugar

It is known that for all types of diseases, the use of alcoholic beverages is extremely undesirable, since this only prevents the body from overcoming the disease itself, and often alcohol is simply not compatible with many types of drugs. Especially this issue is worth exploring in the presence of diabetes. Diabetics are often interested, if you are on insulin, is it possible to drink alcohol with this medicine?

For people with diabetes, not only can not drink alcoholic beverages, but also need to follow a strict diet. Diabetics are already prone to obesity due to poor protein breakdown, and alcohol will only aggravate the situation.

The combination of alcohol and drugs

It has already been repeatedly proved that it is the use of alcohol in the reaction with insulin preparations that causes negative consequences

It has already been repeatedly proved that it is the use of alcohol in the reaction with insulin preparations that causes such negative consequences as:

  • Negative glycemic reactions, with large doses,
  • Lactic acidosis and ketoacidosis,
  • Complex disulfimira-like reactions of the body.

Important! Many people mistakenly believe that since alcohol significantly reduces the presence of sugar in the blood, they can partially or completely replace insulin intake. It is this belief that makes many make the wrong decisions, which only worsen the condition and may require urgent help from possible complications.

If the result of diabetes is the development of atherosclerosis, damage to the vessels of the eye retina or other problems of the vascular system, then you should forget about drinking alcohol.

Diabetes guidelines for diabetes

Sometimes, even in small doses, alcohol is strictly forbidden to diabetics

It is worth noting that alcoholic beverages are dangerous only in large quantities or with their frequent use. But if you comply with the measure and do not abuse it, then there will be no negative reactions, provided that at the moment there are no acute complications associated with diabetes.

Important! Sometimes, even in small doses, alcohol is strictly forbidden to diabetics. This applies to cases in the presence of pancreatitis, neuropathy, as well as to pregnant or lactating women.

Since drinking alcohol is associated with a number of our traditions and sometimes it is not possible to avoid drinking it, doctors have specially developed a program for patients with diabetes mellitus, which controls the use of drinks with regular intake of insulin. Compliance with this program will significantly reduce the risk of possible negative reactions. The rules of this program include:

  • Within one day, a safe dose can be considered 50 grams of vodka or cognac, 150 g of wine or champagne, 300-350 g of beer with a strength of not more than 4-5%. Such doses can be taken no more than twice a week with an interval of one day.
  • It is important to observe the correct diet and insulin dose, it is advisable to reduce the day of alcohol. You must periodically check your sugar level.
  • The use of alcohol for diabetics is allowed only during or after meals. It is strictly forbidden to drink even low-alcohol drinks on an empty stomach.
  • Beer lovers are advised to drink only light types of drink.

Important! It is strictly forbidden to use carbonated sweet water, even if it is used to make cocktails mixed with alcohol.

  • It is highly advisable to limit your drinks to low calorie readings. A large amount of carbohydrates will cause high sugar levels.

It is forbidden to drink alcohol after physical exertion, nervous tension or emotional outbursts.

  • It is forbidden to drink alcohol after physical exertion, nervous tension or emotional outbursts.
  • Never use alcohol to lower your blood sugar.

Important! For your own safety, everyone with diabetes should have a mini tester with them to help them determine their blood sugar.

It is also advisable to have a card or any other indicator with you, which, in case of loss of consciousness or feeling unwell, will help passersby or doctors to quickly determine the cause of the ailment.

In such cases, medical care should be provided immediately.

The patient is not recommended to drink alcohol with sugar, such as champagne, liquors, sweet wine or alcoholic cocktails. It is strongly recommended that you check the calorie content of alcohol before drinking, the amount of protein, fat and carbohydrates.

Dangerous combinations of alcohol and drugs

Alcohol and aspirin many times worsens well-being, contributes to the development or exacerbation of stomach ulcers

Patients with diabetes mellitus, especially at the active stage of treatment, often use a complex of other drugs. If insulin itself and normally responds to small doses of alcohol, then other drugs from the complex treatment can cause very unpleasant symptoms. Dangerous combinations such as:

  • Alcohol and aspirin many times worsens health, contributes to the development or exacerbation of stomach ulcers.
  • Alcohol with drugs such as caffeine, Coldrex, Coldact, or Teofedrine can cause hypertensive seizures.
  • Alcohol with diuretics causes a decrease in blood pressure and can cause nausea, dizziness, and vomiting.
  • The use of paracetamol with drinks has an effect on the liver, resulting in nausea and vomiting.
  • In combination with sports simulators and antipsychotics, it can lead to severe intoxication, which can only be removed with the participation of an emergency ambulance.

There are cases when the combination of insulin with a large amount of alcohol introduced the patient into a deep state of coma, in rare cases the situation can be fatal.

Insulin and Alcohol: Consequences of Co-Use

Diabetes mellitus - one of the serious diseases involving the use of drugs. Treatment of pathology is carried out in compliance with a certain diet that excludes many products. Most often, diabetes is accompanied by an increase in body weight. Alcohol, in addition to its negative effects on the body, can cause rapid weight gain, therefore, insulin and alcohol prescribed in the treatment of diabetes do not combine with each other.


The use of alcohol is prohibited during the treatment of almost all diseases. Diabetes mellitus is no exception.

Insulin-dependent patients often drink strong drinks, unaware of the consequences.

Patients with diabetes are banned from alcohol, even with a minimum alcohol content, as well-being can worsen in a short time and lead to death.

The use of insulin reduces the level of glucose in the circulatory system, protecting internal organs from the negative effects of sugar. Alcohol has a similar effect.

Currently, there are many cases where abuse of drinking with type 2 diabetes led to a sharp deterioration in the patient's well-being. Drinking alcohol during insulin treatment can die in a few hours.

In addition to death, other dangers can lie in wait for a person. Even one glass of a strong drink can affect the digestibility of carbohydrates that came with food.

If the patient has an elevated hormone content, after a feast he may feel a worsening condition that is easily confused with a hangover syndrome.

However, such symptoms may be a manifestation of hypoglycemia, characterized by a drop in blood glucose.


There are some diseases and conditions in which taking a drink becomes especially dangerous. These include:

The systematic drinking of alcohol causes irreparable harm to health. Healthy people need a sufficiently long time to cleanse the body.

The consequences of combining insulin with alcohol can be the following phenomena:

  • The digestive system suffers from the effects of alcoholic poisons. Frequent abuse of alcohol leads to nausea and vomiting reflexes. The toxins contained in ethanol corrode the stomach, especially if you use alcohol-containing substances without eating. This often leads to the development of ulcers, pancreatitis, cholelithiasis, destruction of the mucous surfaces of the intestinal system, and deterioration of the digestive process. In addition, vomiting accompanying the hangover process can last up to several days and lead to dehydration and convulsive syndromes. In some cases, this condition ends in an alcoholic coma.
  • Ethyl alcohol has a detrimental effect on the liver, causing pain symptoms in the right hypochondrium and abdomen, dry mouth, cramping and colic. Frequent libations negatively affect the appetite, as a result of which a person rapidly loses weight or, on the contrary, dramatically gains weight. With prolonged binges, the well-being of the diabetic leaves much to be desired: swelling occurs, body temperature rises, the body's defenses decrease, breathing difficulties, excessive sweating arise.
  • Of the most serious consequences, cardiac pathologies such as heart attack, ischemia, tachycardia, and the formation of varicose veins can be noted.threatening disability.
  • Alcohol with insulin also contributes to the appearance of disorders of the nervous system, mental illness, uncontrolled aggression, irritability, which turns into depression and apathy.

These conditions lead the patient to a loss of interest in life, auditory and visual hallucinations, suicidal thoughts.

How to prevent negative consequences

  • Control over drinking. If there is a need for alcohol, it is allowed to drink a small dose, for example, a glass of wine: this will not affect the production of insulin.

With excessive enthusiasm for alcohol or drinking strong drinks, you can provoke an exacerbation of an ulcer or gastritis, which ultimately leads to prolonged treatment.

  • Eat the right diet. Do not drink strong drinks on an empty stomach. During the feast, any drink should be eaten. On ordinary days, you must also follow a special diet that excludes a large number of calories. The diet should include protein, carbohydrate foods and fats. This will help to avoid metabolic problems.
  • Avoid other bad habits. Smoking and drugs, as well as alcohol, with diabetes can cause deterioration.

Only the right way of life will help the patient maintain his health for many years.

  • Before using alcohol, you need to measure the sugar level.
  • You can not use an antioxidant after intense physical exertion, severe stress or prolonged starvation.

Insulin and alcohol compatibility

For any disease, the use of alcoholic beverages is not recommended, and often simply prohibited. It is especially important to consider this with a disease such as diabetes. In this case, a strict diet is required, many products should be excluded.

This is due to the fact that diabetes has a tendency to obesity, and alcohol, in addition to its other negative effects, is also high-calorie, and therefore becomes the reason for a quick set of pounds. The main drug is insulin, and it does not combine with alcohol.

So can I take alcohol with diabetes medication?

Alcohol and drugs

  • the risk of glycemic negative reactions,
  • lactic acidosis,
  • disulfimira-like reaction,
  • ketoacidosis.

The negative effects of alcohol itself, along with the use of insulin, can cause a strong and sharp deterioration in the general condition. Alcohol itself has a hypoglycemic effect, that is, it reduces sugar levels, but this does not mean that they can replace insulin. In no case should you use alcohol-containing drinks in order to improve your condition. This is a false opinion; one cannot categorically verify its effect on oneself. Do not drink alcohol even if there are problems with the vessels against the background of diabetes, for example, the patient has atherosclerosis, various lesions of the retinal vessels, and other problems.

Insulin compatibility with alcohol

Alcohol activates the action of insulin and sugar-lowering drugs, and also prevents the formation of glucose in the liver.

Sugar is reduced instantly! Diabetes over time can lead to a whole bunch of diseases, such as vision problems, skin and hair conditions, ulcers, gangrene and even cancerous tumors! People taught bitter experience to normalize their sugar levels. read more.

It is forbidden to combine alcohol with any medicine. In diabetes, this prohibition is squared, especially if a person injects insulin. This hormone is designed to normalize the patient's metabolism, ensure the synthesis of digestive enzymes, and reduce the level of glucose in the body. Insulin injections are vital for people with type 1 diabetes.

The influence of ethanol adversely affects the entire fragile diabetic metabolism system. The action of insulin is enhanced, sugar is sharply reduced. As a result, hypoglycemic coma develops. Death after alcohol intake by insulin-dependent diabetics can occur within 2 hours. Signs of a carbohydrate metabolism disorder can be confused with a hangover syndrome, which prevents timely assistance. In fact, there is no compatibility of insulin and alcohol.

Why do not doctors recommend combining alcohol and insulin?

Diabetes is a disease that requires a strict diet and a certain lifestyle. Insulin in this situation helps to regulate blood sugar and maintain the health of the diabetic. The symbiosis of this medication and alcohol can have a number of serious complications:

  • the likelihood of negative glycemic reactions,
  • lactate acidosis - a complication of the disease, in which there is an accumulation of lactic acid in the internal organs and soft tissues,
  • disulfiram-like effect
  • diabetic ketoacidosis.

Alcohol use during treatment with insulin can significantly worsen the patient's condition. Although alcohol-containing drinks reduce blood sugar, it is impossible to replace the medicine with alcohol.

There is a misconception that due to the hypoglycemic effect, alcoholic beverages improve the general condition of the patient. This is a false judgment, so doctors do not recommend experimenting with their health.

Especially this recommendation applies to those who have problems with the vascular system (atherosclerosis, damage to the vessels of the retina of the visual organ, etc.

Lantus | Instructions for use. Side effects

| Instructions for use. Side effects

Lantus is a brand of insulin glargine, a long-acting insulin used to treat adults and children with type 1 diabetes and adults with type 2 diabetes to control high blood sugar.

Lantus replaces insulin, which your body no longer produces. Insulin is a natural substance that allows your body to convert sugar into energy and helps to store it for later use.

With type 2 diabetes, your body does not produce enough insulin, or the resulting insulin is not used properly, causing an increase in blood sugar.

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, limb loss, and sexual dysfunction. It has also been shown that proper diabetes control reduces the risk of heart attack or stroke.

Lantus is intended to be used along with the proper diet and exercise program recommended by your doctor.

Lantus is made by Sanofi-Aventis. It was approved for use by the Food and Drug Administration (FDA) in 2000 as the first long-acting human insulin to be administered once a day with a 24-hour sugar-lowering effect.


You will be taught to administer this drug correctly, as this is the only way to use it. Do not administer cold insulin because it can be painful. Always wash your hands before measuring insulin injections. Lantus is always transparent and colorless,

Do not use Lantus to treat diabetic ketoacidosis. Short-acting insulin is used to treat this condition.

Other medical problems may affect the use of this medicine, so be sure to tell your doctor your complete medical history. For example, in liver disease, the Lantus effect may be increased, and the amount of Lantus or other insulin may need to be adjusted.

The following conditions increase blood sugar and may increase insulin levels:

  • Emotional disturbance
  • Infection
  • Stress

Lantus: side effects

Using too much of the medicine can lower your blood sugar, which can cause the following symptoms:

  • Chills
  • Cold sweats
  • Blurred vision
  • Dizziness or drowsiness
  • Fast heartbeat
  • Tingling of arms / legs
  • Hunger

Failure to use a sufficient amount of the drug can lead to an increase in blood sugar, which can cause the following symptoms:

  • Thirst
  • Increased urination
  • Drowsiness
  • Quick breath

Tell your doctor if there is any of these symptoms because you may need to change the dosage of Lantus.

A very serious allergic reaction is rare. Get medical attention immediately if you notice any of the following signs of a serious allergic reaction:

  • Rash
  • Itching / swelling (especially the face, tongue, or throat)
  • Severe dizziness
  • Labored breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Other interactions

Your doctor may recommend a diet if you are taking Lantus or any other insulin.

The amount of food you eat can affect your insulin needs.

If you eat less food, skip a meal, or eat more than usual, you may need a different dose of insulin.

Talk with your health care provider if you change your diet so that you know how to adjust your intake of Lantus and other doses of insulin.

Exercise or increased activity can also change the way your body uses insulin. Your dose may need to be adjusted if you start or change your exercise program.

Alcohol with insulin: consequences for diabetes

Doctors are unanimous in their opinion that small doses of alcohol for diabetes can rarely be afford. However, certain rules must be followed. Otherwise, unpleasant consequences cannot be avoided.

The danger of drinking alcohol in diabetes is that an intoxicated person loses control. First, he may forget about eating, which further exacerbates hypoglycemia. Secondly, he may forget about the need to measure blood sugar.

In addition, a drunk person is not able to recognize signs of impending hypoglycemia. Unfortunately, this will not be able to understand and people around.After all, the symptoms of hypoglycemia (weakness, staggering, lethargy) can be perceived as ordinary intoxication. And in this situation, a person will not be given first aid.

In addition, alcohol can cause delayed hypoglycemia in the next 24 hours. Hypoglycemia can develop at night, when the first "disturbing bells" simply go unnoticed, and a person can then plunge into a hypoglycemic coma.

Alcohol Recommendations

Of course, with a strict diet and a forced lifestyle for diabetes it’s not easy to come to terms. Therefore, sometimes you can make yourself "concessions", but at the same time observing certain conditions. This approach is also true for alcohol consumption.

First of all, alcohol can only be afforded with compensated and well-controlled diabetes mellitus. In such conditions, the conditionally permissible daily dose of alcohol are:

  • 75 ml of spirits for men, 50 ml of spirits for women,
  • 200 ml dry wine for men, 150 ml dry wine for women,
  • 350 ml of beer for men, 300 ml of beer for women.

But when drinking alcohol, you must adhere to these rules:

  • Do not drink on an empty stomach.
  • During the feast, you definitely need to eat complex carbohydrates (pasta, cereals, bread).
  • In case of hypoglycemia, you need to have fast carbohydrates on hand, for example, fruit juice or cookies.
  • In the evening, upon arrival home, you must definitely eat.
  • Also in the evening you need to measure blood sugar with a glucometer.
  • Do not miss scheduled insulin injections.

Grigorova Valeria, doctor, medical observer

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Possible consequences

The combination of alcohol and insulin can have catastrophic, sometimes unpredictable consequences. Alcohol negatively affects the state of the pancreas, liver and kidneys, which are already unhealthy due to diabetes. After taking alcoholic beverages, blood pressure rises, which is especially dangerous for diabetes, because an increase in sugar provokes the destruction of blood vessels. Alcoholic beverages are very high in calories and contribute to weight gain. Alcohol use by diabetics leads to increased activity of insulin and hypoglycemia, can cause the liver and kidneys to stop working, and also provokes the following pathologies:

The combination of hormone and alcohol can lead to arrhythmia.

  • arrhythmia
  • coronary heart disease
  • varicose veins
  • myocardial infarction
  • mental disorders, hallucinations,
  • disability,
  • death.
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Prevention of the negative effects of alcohol

To avoid complications, the following rules should be followed:

  • alcohol consumption should be minimal
  • drinking alcohol is allowed only after or with food,
  • sugar control must be constant
  • sweet alcoholic and low alcohol drinks, vodka, rum and cognac are prohibited,
  • beer should be only light, not stronger than 5%, wine - only dry,
  • drinking alcohol after stress and intense physical labor is prohibited,
  • alcohol consumption must be agreed with your doctor.

The use of alcoholic beverages to lower the level of glucose in the body is prohibited.

Elimination of intoxication

If a person with insulin-dependent diabetes has exceeded the permissible dose of an alcoholic drink, intoxication should be eliminated as soon as possible. To do this, the following manipulations are carried out:

  • Coal sorbent will eliminate intoxication.

Gastric lavage. A person should drink about 3 liters of water and artificially induce vomiting. After that, it is recommended to put a cleansing enema.

  • Reception of a sorbent. The most popular and affordable is activated carbon. It is used at the rate of 1 tablet per 10 kg of body weight. In order for the remedy to work faster, the tablets need to be crushed or chewed.
  • Medical care. Regardless of the condition of the diabetic, it is recommended to go to the hospital. The combination of diabetes with alcohol-containing products has unpredictable consequences.
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    Allowed Doses of Alcohol

    After the approval of the attending physician, a diabetic can afford a small amount of an alcoholic drink. Allowed daily doses:

    • vodka, whiskey, cognac - 50 ml,
    • dry wine - 150 ml,
    • light beer - 350 ml.

    Liqueurs, champagne, dark beer, low alcohol drinks are prohibited. The maximum frequency of alcoholic beverages during insulin treatment is up to 2 times a week. It is worth noting that even minimal consumption can lead to negative consequences. Safe intake of alcoholic beverages in combination with insulin will never be. Before filling a glass, you need to think about whether it is worth the risk. If a person knows that he cannot stop at the permitted dose, it is better to completely abandon this idea. The intake of alcohol-containing drinks should in no case be accompanied by smoking or the use of narcotic substances.

    Does it still seem impossible to cure diabetes?

    Judging by the fact that you are reading these lines now, a victory in the fight against high blood sugar is not on your side yet.

    And have you already thought about hospital treatment? It is understandable, because diabetes is a very dangerous disease, which, if untreated, can result in death. Constant thirst, rapid urination, blurred vision. All these symptoms are familiar to you firsthand.

    But is it possible to treat the cause rather than the effect? We recommend reading an article on current diabetes treatments. Read the article >>

    Insulin and overweight

    A peptide hormone promotes glucose uptake into all cells of the human body. At the same time, sugars have the ability to be deposited in “problem” areas of the body: on the stomach and hips.

    Mechanism of action: after food enters the digestive tract, it begins to break down into nutrients, stimulating an increase in the level of glucose in the blood. In response to a similar reaction of the body, the pancreas begins to actively produce insulin, which carries energy in the form of glycogen to the muscles.

    With moderate use of flour and confectionery, the produced hormone should be quite enough. However, if you abuse the sweets, insulin starts to be missed. As a result of the dose produced, it becomes small for the breakdown of glucose, the cells and blood vessels suffer, and the risk of developing diabetes increases. In this case, it is recommended to switch to fatty, protein foods that do not contain sugar, carbohydrates, or inject insulin, drink tablets. At the same time, any treatment and restriction of the diet should be carried out exclusively after consultation with your doctor. Otherwise, you can worsen your health.

    Remember, the pancreas performs a key function in the matter of weight. If a person is healthy, then she adequately fulfills her mission, keeps her body weight within normal limits. However, if there are problems with the production of the hormone insulin, the pancreas can stimulate the deposition of fatty acids from food in a reserve depot. The result of this phenomenon is a gradual weight gain, the development of obesity.

    Diabetes and alcohol

    The use of alcohol is contraindicated in the treatment of all diseases of various origins. Diabetes is not an exception. Insulin-dependent people are strictly forbidden to take alcohol, since this combination can be fatal. The action spectrum of the pancreatic hormone is aimed at normalizing the metabolic reactions that occur in the body. Insulin is actively involved in the production of enzymes necessary for the digestion of food.

    Alcohol accelerates the action of the hormone, which causes severe intoxication. In addition, insulin protects tissues and organs from the negative effects of sugar on them. Alcohol also lowers glucose levels. With the simultaneous administration of insulin preparations and strong cocktails in large quantities (with diabetes mellitus), a sharp deterioration in the patient's condition is observed, a person can die in a few hours.

    Rules for taking alcohol

    The combination of insulin with alcohol is quite dangerous, but only if such a reception is uncontrolled.

    Moderate use with compensated diabetes will not cause harm, but this should not be abused.

    During pregnancy, neuropathy, pancreatitis, it is necessary to immediately abandon even small doses, as they can significantly worsen the condition.

    Today, doctors have developed special rules that allow the patient to drink alcohol-containing drinks, not being afraid that there will be a deterioration in their general condition, but it is worthwhile to consult your doctor about them. These rules include:

    • per day, it is necessary to take no more than 2 standard doses, that is, 30 g of a drink (50 ml of vodka, 150 ml of dry wine, 350 ml of light beer). In a week, the amount is 1-2 times, not more
    • insulin after alcohol is taken in smaller quantities and after the sugar level is checked. It is necessary to ensure a balanced meal,
    • alcohol can only be taken after meals or with meals. In no case should you drink alcohol before eating,
    • you should not drink sweet alcohol-containing drinks, it is better to give preference to dry wine,
    • only light beer can be drunk, the amount of alcohol in which is not more than 5%,
    • drinks with a low carbohydrate but high alcohol content are not recommended. This is vodka, rum, cognac,
    • You can’t use sweet sodas, even for cocktails,
    • Do not forget about calories. The problem is that alcohol is very high in calories, and diabetes requires a strict diet,
    • you should not take alcohol-containing drinks after strong physical exertion, after a long break in food, after strong nervous tension,
    • after drinking alcohol, insulin should be administered very carefully, first check the sugar level, including repeatedly before bedtime,
    • alcohol cannot be used as a means to lower sugar levels. This rule should never be violated.

    Anyone with diabetes should have a hand-held device for determining blood sugar levels, a small card that indicates that the person has diabetes. This is necessary so that others do not take the patient for a drunk. If medical care is not provided on time, a person may die.

    Recommended Amount of Alcohol

    • strong alcohol in 50-75 ml. These include whiskey, cognac, vodka,
    • dry wine - up to 200 ml.

    All other alcoholic beverages are prohibited. Champagne, liquors, sweet wines and beer should not be used for diabetes, since they sharply increase the glucose content and cause weight gain.

    When taking, you must remember that all drinks have a certain calorie content:

    • gram of alcohol contains 7 kcal,
    • gram of fat - 9 kcal,
    • gram of protein and carbohydrates - 4 kcal.

    Using such data, you can easily calculate a safe consumption rate, although it is better to completely abandon alcohol.

    With regular use of alcohol, the risk of obesity increases, since high calorie content and drugs only increase weight gain.

    After drinking, a person begins to eat more, especially for fatty, fried, spicy foods - all this also leads to weight gain.

    Drinking beer for diabetes is not recommended, especially for those patients who are prone to obesity. For the rest, an extremely small amount is allowed.

    It is strictly forbidden to drink such drinks as liquors, dessert wines, champagne, any low-alcohol soda and sweet drinks. All of them lead to an increase in blood sugar, i.e.

    cause severe deterioration.

    In any case, we must not forget that alcohol and diabetes are incompatible, improper intake quickly leads to sharp changes in blood sugar. As a result, hypoglycemia may develop. Attention: in no case should you use alcohol as a means to reduce glucose.

    So you can only achieve deterioration and coma. After drinking alcohol for 24 days, there is a strong risk of developing severe hypoglycemia.

    This means that after taking such drinks, you must immediately check the sugar level using portable devices (their diabetics often carry with them).

    Dangerous Combinations: Alcohol-Drug

    Some patients do not pay attention to contraindications and prohibitions of doctors, continue to take the usual medicines, dangerously combining them with alcoholic beverages.

    If you can’t completely abandon alcohol, then it is necessary to significantly reduce its dose, take into account the allowed amount. But there are combinations in which alcohol is deadly, i.e.

    you can not take it with medicines categorically.

    It is necessary to completely avoid such dangerous combinations:

    • alcohol and aspirin lead to stomach ulcers, greatly worsens an existing disease,
    • alcohol and caffeine, theophedrine, ephedrine, coldact, coldrex lead to a hypertensive crisis,
    • alcohol and antihypertensive drugs, diuretics contribute to a sharp and dangerous decrease in blood pressure, which is unacceptable even for a healthy person, not to mention a patient with diabetes,
    • alcohol and paracetamol (a very popular combination for alcohol abuse) - irreversible liver damage,
    • alcohol and insulin - coma, a sharp drop in sugar levels,
    • alcohol and antipsychotics, anti-inflammatory, painkillers - severe intoxication, which is difficult to pass, can lead to the most unpredictable consequences,
    • alcohol and sleeping pills, tranquilizers - cerebral coma, severe intoxication,
    • alcohol and antibiotics, a group of sulfonamides - lack of therapeutic effect, further intolerance to any drugs,
    • alcohol and nitroglycerin - allergic reactions, increased pain.

    Deciding whether to take insulin in diabetes mellitus, combining it with alcoholic beverages, is a personal matter for each patient, doctors can only recommend not to do this.

    But it must be remembered that alcohol even has a detrimental effect on a healthy person, and for a patient this combination can become simply fatal, even if nothing happens from 1-2 glasses.

    Alcohol has a long-term effect, it is excreted for a long time, gradually poisoning all internal organs. Over time, this leads to a sharp deterioration in health, even if alcohol is not consumed for some time.

    Insulin and Alcohol - Compatibility and Consequences

    Diabetes is a disease that requires a strict diet and a certain lifestyle. Insulin in this situation helps to regulate blood sugar and maintain the health of the diabetic. The symbiosis of this medication and alcohol can have a number of serious complications:

    • the likelihood of negative glycemic reactions,
    • lactate acidosis - a complication of the disease, in which there is an accumulation of lactic acid in the internal organs and soft tissues,
    • disulfiram-like effect
    • diabetic ketoacidosis.

    Alcohol use during treatment with insulin can significantly worsen the patient's condition. Although alcohol-containing drinks reduce blood sugar, it is impossible to replace the medicine with alcohol.

    There is a misconception that due to the hypoglycemic effect, alcoholic beverages improve the general condition of the patient.This is a false judgment, so doctors do not recommend experimenting with their health.

    Especially this recommendation applies to those who have problems with the vascular system (atherosclerosis, damage to the vessels of the retina of the visual organ, etc.).

    Lantus: dosage

    Lantus is a long-acting insulin that lasts about 24 hours. You may need to use Lantus in combination with another type of insulin or type of oral diabetes medication to keep your blood sugar under control.

    Lantus Injection is available as:

    • 10 ml (ml) bottle (1000 units / 10 ml)
    • 3 ml cartridge systems for use only in OptiClik (300 pcs / 3 ml)
    • 3 ml single-use insulin device SoloStar (300 units / 3 ml)

    Lantus dosage is based on your medical condition and your response to treatment. Your doctor will give you instructions on how much Lantus should be taken daily.

    Lantus can be administered at any time of the day, but should be taken at the same time every day. If you are using insulin therapy, it is important to monitor your blood glucose.

    If you have type 1 diabetes, your doctor will prescribe Lantus with short-acting insulin. If you have type 2 diabetes, your doctor may start with a dose of 10 units per day, and then adjust Lantus to suit your needs.

    What is the lethal dose of insulin?

    For each person, it is individual and depends primarily on the patient’s health status and weight. For example, a diabetic with a body weight of 60 kg needs 60 PIECES of hormone, while increasing the dosage to 100 PIECES can cause irreversible effects in the body and lead to death. While a patient weighing 90 kg and in need of 90 units can quite easily transfer dosage increases by 10 units.

    First aid

    When drinking alcohol in large quantities against the background of problems with the production of insulin, it is necessary to first wash the stomach and intestines. To this end, the victim is given drink up to 3 liters of clean water, artificially induce vomiting. Then it is recommended to make a cleansing enema to prevent the absorption of poison into the body. These measures should be carried out as soon as possible after drinking alcohol, without waiting for a negative reaction of the body. After cleansing the stomach and intestines from ethanol products, diabetics are given adsorbent drugs (activated carbon) with a detoxifying effect. As a rule, within 2 days the patient's condition returns to normal. However, if the measures taken did not bring the desired result, you should seek the help of a doctor to avoid complications.

    Do cleansing droppers put people with diabetes?

    Yes, however, the choice of the drug, the duration of the course of treatment and its advisability is determined by the doctor.

    Insulin and alcohol are incompatible. People experiencing problems with the production of pancreatic hormone are forced to follow a strict diet throughout their lives, control their blood sugar, abandon bad habits, and rest more. It is interesting that ecology and stress affect the level of insulin production in the body. In most cases, residents of megacities suffer from diabetes. Alcohol only enhances the destruction of an already damaged organ, which exacerbates the clinical picture of the course of the disease. Therefore, insulin-dependent people should refrain from drinking strong drinks.

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