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Wondering if alcohol is off limits with diabetes? Research has shown that there can be some health benefits such as reducing risk for heart disease. But, there are also risks. Drinking alcohol can cause a drop in blood glucose because alcohol blocks the production of glucose in the liver. (The liver contains “emergency stores” of glucose to raise your blood sugar if it drops too low.) Once the liver’s stores of glucose are used up, a person who has drank a lot of alcohol can’t make more right away, and that can lead to dangerously low blood glucose or even death.
Also, alcohol is processed by your liver, which is responsible for removing toxins (like alcohol or drugs) and processing medication, so if you are taking other pills, drinking too much alcohol can cause damage to your liver. If you have any questions about whether alcohol is safe for you, check with your doctor. People with diabetes need to use the same guidelines as those without diabetes if they choose to drink:
Women: no more than 1 drink per day.
Men: no more than 2 drinks per day.
*One drink is equal to a 12 oz beer, 5 oz glass of wine or 1 ½ oz distilled spirits (vodka, whiskey, gin, etc.).
Some Tips to Sip By
If you have diabetes, do not drink on an empty stomach or when your blood glucose is low, since your risk of low blood glucose increases after drinking.
If you choose to drink, follow the rules above and have it with food. This is mainly important for those on insulin and other diabetes pills that can lower blood glucose by making more insulin.
Don’t skip a meal if you are going to drink. (If you use carbohydrate counting to plan meals, it is important to understand how the drinks you choose affect your blood glucose and often your insulin dose will need to be decreased if having more than one drink)
Wear an I.D. that notes you have diabetes. If you are in a setting where people are drinking alcohol, hypoglycemia may be mistaken for being drunk.
Watch out for craft beers, which can have twice the alcohol and calories as a light beer.
For mixed drinks, choose calorie-free drink mixers like diet soda, club soda, diet tonic water or water.
As with anyone with or without diabetes, do not drive or plan to drive for several hours after you drink alcohol.
Alcohol can cause hypoglycemia shortly after drinking and for up to 24 hours after drinking. If you are going to drink alcohol, check your blood glucose:
Before you drink
While you drink
Before bed and throughout the night
More often for up to 24 hours
Be sure your blood glucose is at a safe level – between 100 and 140 mg/dL before you go to sleep. If your blood glucose is low, eat something to raise it and be sure to check again before you go to sleep, and again over night to be sure it’s not dropping too low.
The symptoms of too much alcohol and hypoglycemia can be similar – feeling sleepy, dizzy and confused. The one way to get the help you need is to always wear an I.D. that says “I have diabetes.” Also, be sure that your family and friends know to be aware of your symptoms of hypoglycemia and what to do.
Wondering if adding a glass of wine or beer might help lower your blood glucose if it is high? The effects of alcohol can be unpredictable and it is not recommended as a treatment for high blood glucose. The risks likely outweigh any benefit that may be seen in blood glucose alone.
Takeaways
If you choose to drink alcohol, follow the rules above and have it with food to help prevent a low blood sugar. Talk with your health care team about whether alcohol is safe for you.
If you drink alcohol several times a week, make sure your doctor knows this before he/she changes the dose or type of diabetes pills and/or insulin as well as changes to other medications including adding or changing other pills or injectable medication. See “What Can I Drink?” for non-alcoholic drinking guidelines.
Not only are apples extremely alkalizing, but they have anti-inflammatory and immune-boosting properties as well. This abundant fruit is readily available in the fall and can be added to just about every meal. Add them to your breakfast juice, cut up into a salad for lunch, or dip into nut butter for a delicious snack!
Broccoli
High in A, C, K, & B-complex vitamins, this fall food is packed with many minerals and phytonutrients! Calcium, magnesium, iron, selenium, and zinc — to name a few. These nutrients can help arm our immune systems to combat viruses, bacteria, and help us with our psoriatic disease. Try eating it raw and cooked to ensure your body receives all the wonderful benefits of this green veggie!
Brussels sprouts
Did you know that brussels sprouts are a great source of omega-3 fatty acids? Omega-3’s are extremely helpful when it comes to fighting autoimmune conditions. These small green powerhouses also include phytonutrients, vitamins C, A, E, and K, and minerals such as calcium, iron, and manganese. Try roasting at 400 degrees, with a little extra virgin olive oil, pink Himalayan salt, pepper, and garlic, until browned and crunchy!
Cauliflower
High in vitamins C, K, and B-complex, this cruciferous vegetable is excellent for supporting our immune system. High in protein, it’s also a great source of omega-3s. Cauliflower can be used in numerous ways. In addition to being steamed, sautéed, grilled, or roasted, you can chop up raw cauliflower into a rice-like texture to use in nori rolls or as a rice substitute in recipes!
Celery
A well-known diuretic, celery is wonderful at flushing out toxins from our body. It is high in vitamin A, magnesium, and iron and has strong anti-inflammatory properties. It helps calm our nervous systems and allows our immune systems to do their jobs efficiently. Eat it raw or start your day with fresh celery juice.
Cabbage
Not only is cabbage inexpensive, but it’s also a great source of vitamins K, C, and B6. Calcium, choline, phosphorus, selenium, iron, pantothenic acid, protein, niacin, folate, copper — this food is chocked full of nutrients and minerals! Roast it, throw it in a nice fall stew, or eat it raw.
Figs
Did you know that figs are one of the highest sources of calcium easily digested, assimilated, and absorbed into our bodies? Figs are wonderful at providing our bodies with energy to keep them going. They also help repair and restore many of our bodies’ systems — including the immune system!
Kale
When we think of healthy food, we tend to think of kale. And it’s no secret why! It’s a nutrient-packed powerhouse containing omega-3 fatty acids, chlorophyll, amino acids, vitamins A, C, E, K, B-complex, and minerals such as iron, magnesium, copper, and potassium. It has incredible healing and rejuvenating properties. Try to eat it raw to obtain the most nutrients, but it’s also delicious sautéed in vegetable broth, lightly seasoned with your favorite herbs and spices!
Pears
This anti-inflammatory fruit is called the “gift of the gods” for good reason! Pears contain several anti-cancer properties, the ability to improve insulin sensitivity and contain a great source of iodine, which helps maintain a balanced metabolism. They’re rich in vitamins A, C, E, and alkaline minerals folic acid, niacin, copper, and boron. Bite right into one, add them to your salads, or cook them in your favorite fall dish.
Pumpkin
Pumpkins are packed with vitamins A, C, E, B — vitamins such as folates, niacin, thiamin, and pantothenic acid and minerals like calcium, copper, potassium, and phosphorus. This fruit (yes, it’s a fruit!) not only has immune-boosting properties, but also contains several anti-aging benefits as well. Next time you need to replenish and balance your electrolytes, reach for some pumpkin. Roast your pumpkin and add it to a salad, puree it and make a smoothie, or add it to a warming stew.
Winter squash
Varieties of winter squash include butternut, acorn, delicata, kabocha, kuri, buttercup, spaghetti, hubbard, golden nugget, and sweet dumpling. Each can be used differently but all are very easy to digest. These are also high in vitamins (A, E, C, B-complex, and beta carotene, iron, zinc, copper, calcium, and potassium) which are beneficial to immune and nervous systems. Instead of pasta, roast a spaghetti squash and use as “noodles.” Roast butternut squash to make an alternative to mashed potatoes, or make a sweet dessert by sweetening with maple syrup and cinnamon!
Layer broccoli in a large casserole dish. Drizzle with olive oil and sprinkle with a little salt and pepper.
Roast broccoli for 15-20 minutes.
While the broccoli is roasting, combine heavy cream, chicken stock, 1 cup cheddar cheese, mozzarella cheese, cream cheese and garlic in a medium sauce pan over medium-low heat. Stir frequently.
Once the broccoli is done, top with cubed ham. Pour cheese sauce over top and mix everything together.
Sprinkle remaining 1 cup of cheddar cheese over top.