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ALCOHOL AND DIABETES
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<blockquote data-quote="Deleted Account" data-source="post: 2084287"><p>I think you have enough lectures about the evils of drink.</p><p></p><p>So, to focus on your actual question - this is not something I have experienced but do wonder if [USER=372207]@Antje77[/USER] is correct and your loss of memory is due to night time hypos.</p><p></p><p>As you probably know, our livers "drip" glucose into our blood stream 24 hours a day.</p><p>Our liver has other functions such as "filtering out" the toxins from alcohol.</p><p>Livers are not good at multi-tasking. So, when it is dealing with the alcohol, it is not dripping glucose. As a result, when we cannot control our basal insulin levels (because we inject basal only once or twice a day and it is expected to be released at exactly the same rate 24 hours regardless of activity), our BG drops and we hypo.</p><p></p><p>When this happens, sometimes, another part of body will take over and force our liver to release a huge amount of glucose. AS a result, if you do not wake during this interaction, when you wake in the morning, your BG may be "normal" or high making you think there was no hypo.</p><p></p><p>This can be confirmed with a CGM, Libre or lots of finger pricking during the night.</p><p></p><p>To avoid this, you could eat some carbs (without insulin) before you go to bed (as well as before you go out) to avoid the hypo.</p><p>Another way is to avoid drinking but, if that is an important part of your life it sounds to me like diabetes controlling your lifestyle rather than your lifestyle managing diabetes.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 2084287"] I think you have enough lectures about the evils of drink. So, to focus on your actual question - this is not something I have experienced but do wonder if [USER=372207]@Antje77[/USER] is correct and your loss of memory is due to night time hypos. As you probably know, our livers "drip" glucose into our blood stream 24 hours a day. Our liver has other functions such as "filtering out" the toxins from alcohol. Livers are not good at multi-tasking. So, when it is dealing with the alcohol, it is not dripping glucose. As a result, when we cannot control our basal insulin levels (because we inject basal only once or twice a day and it is expected to be released at exactly the same rate 24 hours regardless of activity), our BG drops and we hypo. When this happens, sometimes, another part of body will take over and force our liver to release a huge amount of glucose. AS a result, if you do not wake during this interaction, when you wake in the morning, your BG may be "normal" or high making you think there was no hypo. This can be confirmed with a CGM, Libre or lots of finger pricking during the night. To avoid this, you could eat some carbs (without insulin) before you go to bed (as well as before you go out) to avoid the hypo. Another way is to avoid drinking but, if that is an important part of your life it sounds to me like diabetes controlling your lifestyle rather than your lifestyle managing diabetes. [/QUOTE]
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