How Does a Cup of Beer or Glass of Wine Affect Blood Sugar?


drinking with diabetes

 

As a diabetes educator, I frequently get asked by patients, “Can I drink alcohol and, if so, how much?” A lot of people don’t know that alcohol can actually lower your blood glucose level. If you use insulin or certain diabetes medications you are at greater risk of having a low blood glucose reaction if you drink alcohol. It’s important to have this conversation with your doctor to see if it’s safe.

Keep in mind that alcohol should always be consumed in moderation; however, if you choose to have an alcoholic drink, here are some tips to help keep you safe:

  1. Don’t drink on an empty stomach or when your blood glucose is low. Drink alcohol with a meal or carbohydrate snack like pretzels or crackers.
  2. Don’t carb count your alcohol. If you count carbohydrates don’t add alcohol to the equation. Replacing alcohol with carbohydrate foods can be risky and lead to low blood glucose or hyperglycemia. Alcohol is considered empty calories. It provides no nutritional value, so drinking too much will add no benefit to you.
  3. Drink in moderation. The American Diabetes Association recommends drinking in moderation and people with diabetes should follow the same guidelines as those without diabetes. Women should have no more than 1 drink a day, and men, no more than 2 drinks a day. You might be wondering, “What is one drink?” To give you an idea, one drink is equal to 12 ounces of beer, 5 ounces of wine or 1 ½ ounces of distilled spirits (American Diabetes Association).
  4. Sip on your drink and make it last. By drinking in small sips, you can savor the flavor and make that one drink feel like much more.
  5. Hydrate yourself by keeping water close by. It’s easy to forget to drink water especially when you’re in the midst of a conversation. Grab a glass of water when you grab your alcoholic beverage and keep it close by, so that you remember to stay hydrated.
  6. Wear a medical ID bracelet. Wearing an ID bracelet is a great way to let others know you have diabetes in case of an emergency.
  7. Beware of cocktails. Cocktails can use some very sugary mixers with high calories. This doesn’t mean you can never have a cocktail again, but find out the ingredients and make substitutions if necessary. Some examples of zero calorie mixers are diet soda, club soda, diet tonic water, or water.
  8. Be safe and smart when drinking alcohol. Always check your blood glucose levels and drink with someone who supports you and knows how to react when you have a low blood glucose level.

Cheers!

Source: 

  1. American Diabetes Association. (2017). Making Healthy Food Choices: Alcohol. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/alcohol.html?loc=rfhl.

Following Lifestyle Recommendations Reduces Risk of Cancer Death.


People who follow the diet and lifestyle recommendations laid out by the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) have a 34 percent reduced risk of dying from several diseases and specifically, a 20 percent reduced risk of dying from cancer compared to people who don’t follow the recommendations, according to the results of a study published in The American Journal of Clinical Nutrition.

In 2007, the WCRF and the AICR issued recommendations on diet, physical activity, and weight management for cancer prevention on the basis of the most comprehensive collection of available evidence. The 10 recommendations are as follows:

  • Be as lean as possible within the normal range of body weight.
  • Be physically active as part of everyday life.
  • Limit consumption of energy-dense foods. Avoid sugary drinks.
  • Eat mostly foods of plant origin.
  • Limit intake of red meat and avoid processed meat.
  • Limit alcoholic drinks.
  • Limit consumption of salt. Avoid moldy grains or legumes.
  • Aim to meet nutritional needs through diet alone (by avoiding supplements).
  • Mothers to breastfeed; children to be breastfed.
  • Follow the recommendations for cancer prevention.

In order to determine whether these recommendations were associated with a reduced risk of death, researchers conducted a study to investigate 378,864 people in nine European countries enrolled in the European Prospective Investigation into Cancer and Nutrition study. Over a period of 12 years, researchers examined the subjects’ diet and lifestyle to see how closely they complied with six or seven (for women) of the ten recommendations: body fat, physical activity, consumption of foods and drinks that promote weight gain, consumption of plant foods, meat, alcoholic drinks and breastfeeding. Participants were given a score from 0 to 6 (or 7 for women); higher scores indicated greater compliance with the recommendations.

They then compared the group of participants with the strongest adherence to the guidelines to those with the weakest adherence to calculate the level of risk reduction that would come from compliance with the recommendations. When compared to the group with the lowest level of compliance, those who most closely followed the WCRF/AICR recommendations had a 34 percent reduced risk of death overall—and specifically, a 50 percent reduced risk of dying from respiratory disease, 44 percent reduced risk of dying from circulatory disease, and a 20 percent reduced risk of dying from cancer.

Being lean and eating foods mostly of plant origin appeared to have the greatest impact on reducing the risk of death from disease. Limiting alcohol consumption and eating mostly plant foods had the greatest impact on reducing the risk of cancer death. Women who breastfed for at least six months had a reduced risk of death from cancer and circulatory disease.

The researchers concluded that following the WCRF/AICR lifestyle recommendations could reduce the risk of cancer death and death from other diseases.

Reference:

Vergnaud AC, Romaquera D, Peeters PH, et al. Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe: results from the European Prospective Investigation into Nutrition and Cancer cohort study. The American Journal of Clinical Nutrition. Published early online April 3, 2013. doi: 10.3945/ajcn.11

 

Source: cancerconnect.com

 

Alcohol consumption has no impact on breast cancer survival, according to new research.


However, breast cancer survivors who consume alcohol in moderation may have a reduced risk of dying from heart disease

Although previous research has linked alcohol consumption to an increased risk of developing breast cancer, a new study has found that drinking before and after diagnosis does not impact survival from the disease. In fact, a modest survival benefit was found in women who were moderate drinkers before and after diagnosis due to a reduced risk of dying from cardiovascular disease, a major cause of mortality among breast cancer survivors.

The study results will be published in the April 8 edition of the Journal of Clinical OncologyPolly Newcomb, Ph.D., a member of the Public Health Sciences Division and head of the Cancer Prevention Program at Fred Hutchinson Cancer Research Center, led the study.

“Our findings should be reassuring to women who have breast cancer because their past experience consuming alcohol is unlikely to impact their survival after diagnosis,” said Newcomb. “This study also provides additional support for the beneficial effect of moderate alcohol consumption with respect to cardiovascular disease.”

The study was based on data from almost 23,000 women with breast cancer who participated in theCollaborative Breast Cancer Study, a National Cancer Institute-sponsored, multi-site, population-based study of risk factors for breast cancer, and the largest such study of its kind. The study began in 1988 and was conducted in New Hampshire, Massachusetts and Wisconsin. In a smaller follow-up study between 1998 and 2001, about 5,000 study participants with breast cancer were also sent a follow-up questionnaire about their alcohol consumption habits after diagnosis.

Among study participants with a history of breast cancer, the authors found that the amount and type of alcohol a woman reported consuming in the years before her diagnosis was not associated with her likelihood from dying from breast cancer. However, the authors also found that those who consumed a moderate level of alcohol (three to six drinks per week) in the years before their cancer diagnosis were 15 percent less likely to die from cardiovascular disease than non-drinkers. Moderate wine consumption in particular was associated with a lower risk of cardiovascular disease mortality, while no such benefit was evident for consumption of beer or spirits, or for heavier levels of alcohol consumption.

Similar patterns were evident when considering reported alcohol consumption after breast cancer diagnosis. The amount and type of alcohol a woman consumed after diagnosis did not appear to be associated with survival of breast cancer, but those who consumed alcohol in moderation experienced a 40- to 50-percent lower mortality rate from cardiovascular disease.

What could account for the difference in alcohol’s impact on developing breast cancer risk and on survival from the disease? “It could be that the kind of breast cancer that is more likely to be diagnosed among women who drink may be more responsive to hormone-modifying therapies,” Newcomb said. Alcohol consumption is believed to influence breast cancer risk through increases in estrogen production in both pre- and post-menopausal women.

Funding for the study was provided by grants from the National Cancer Institute and Komen for the Cure. Co-authors included researchers from the University of Wisconsin Paul B. Carbone Comprehensive Cancer Center, Wageningen University in the Netherlands, H. Lee Moffitt Cancer Center, Norris Cotton Cancer Center, the University of North Carolina Lineberger Cancer Center and Research Institute, and Harvard Medical School and Brigham and Women’s Hospital.

 

Source: Fred Hutchinson Cancer Research Center

 

Five Worst Foods for Sleep.


coffee

Nearly 41 million US adults are sleeping just six hours or less each night, putting them at risk of adverse health effects (such as heart disease and obesity) and potentially fatal drowsy driving linked to lack of sleep.1

While stress is one of the most-often cited reasons why people can’t sleep, there’s another factor that could be keeping you up at night: your diet. Certain foods can significantly interfere with your sleep, including the five worst of the worst below.

What Are the Five Worst Foods for Sleep?

1. Alcohol

A drink or two before bed can make you drowsy, leading many to believe it’s actually beneficial for sleep. But while it may make you nod off quicker, research shows that drinking alcohol makes you more likely to wake during the night, leaving you feeling less rested in the morning.

The latest study found that alcohol increases slow-wave “deep” sleep during the first half of the night, but then increases sleep disruptions in the second half of the night.2

Since alcohol is a potent muscle relaxant, it can also increase your risk of snoring. Snorers — and their bed partners — often experience restless sleep leading to sleepiness and difficulty concentrating during the day.

2. Coffee

Coffee, of course, is one of the most common sources of caffeine. This stimulant has a half-life of five hours, which means 25% of it will still be in your system even 10 hours later, and 12.5% 20 hours later (see the problem?). Plus, in some people caffeine is not metabolized efficiently, leaving you feeling its effects even longer after consumption. So, an afternoon cup of coffee or tea will keep some people from falling asleep at night. Be aware that some medications contain caffeine as well (for example, diet pills).

3. Dark Chocolate

Dark chocolate, though the healthiest form of chocolate from an antioxidant perspective, can contain relatively high levels of caffeine that can keep you up at night if you’re sensitive. It also contains theobromine, a compound that has caffeine-like effects.

4. Spicy Foods

Spicy foods before bedtime can give you indigestion that makes it nearly impossible to get a good night’s sleep. But even if you can eat spicy foods without discomfort, they are still linked with more time spent awake during the night and taking longer to fall asleep.3 It’s speculated that this may be due to capsaicin, an active ingredient in chili peppers, affecting sleep via changes in body temperature.

5. Unhealthy Fatty Foods

When you don’t get enough sleep, you’re more likely to crave high-fat, high-sugar foods the next day. But eating a high-fat diet also has impacts on your sleep, including leading to more fragmented sleep. In fact, an animal study revealed that eating fatty foods may lead to disrupted sleep and excessive daytime sleepiness.4

The link may be due to the brain chemical hypocretin, a neurotransmitter that helps keep you awake and also plays a role in managing appetite. Keep in mind that while you should limit your intake of unhealthy fats like those from fried foodshealthy fats (including saturated fats) play an important role in your diet and shouldn’t be eliminated.

Recent Study Gives Clues on How Diet Impacts Sleep

The link between what you eat and how well you sleep, and vice versa, is only beginning to be explored, however, a recent study evaluating the diets and sleep patterns of more than 4,500 people did find distinct dietary patterns among short and long sleepers.5

While the study was only able to generate hypotheses about dietary nutrients that may be associated with short and long sleep durations, it did yield some interesting data.

  • Very short sleepers (less than 5 hours a night): Had the least food variety, drank less water and consumed fewer total carbohydrates and lycopene (an antioxidant found in fruits and vegetables).
  • Short sleepers (5-6 hours): Consumed the most calories but ate less vitamin C and selenium, and drank less water. Short sleepers tended to eat more lutein and zeaxanthin than other groups.
  • Normal sleepers (7-8 hours): Had the most food variety in their diet, which is generally associated with a healthier way of eating.
  • Long sleepers (9 or more hours): Consumed the least calories as well as less theobromine (found in chocolate and tea), choline and total carbs. Long sleepers tended to drink more alcohol.

As for what the data means, researchers aren’t yet sure, but it could be that eating a varied diet is one key to normal, healthful sleep. If you need some help in this area, check out my nutrition plan for a step-by-step guide to optimizing your eating habits.

Sleep Tip: Stop Eating at Least Three Hours Before You Go to Bed

It is ideal to avoid eating any food three hours before bed, as this will optimize your blood sugar, insulin and leptin levels and contribute to overall good health and restful sleep. Specifically, avoiding food for at least three hours before bed will lower your blood sugar during sleep and help minimize damage from too much sugar floating around. Additionally, it will jumpstart the glycogen depletion process so you can shift to fat-burning mode.

A recent study6 is a powerful confirmation of this recommendation, as it found that the mere act of altering your typical eating habits — such as getting up in the middle of the night for a snack — causes a certain protein to desynchronize your internal food clock, which can throw you off kilter and set a vicious cycle in motion. Eating too close to bedtime, or very late at night when you’d normally be sleeping, may throw off your body’s internal clock and lead to weight gain.

Routinely eating at the wrong time may not only disrupt your biological clock and interfere with your sleep, but it may also devastate vital body functions and contribute to disease.

That said, while you’ve likely heard the advice that breakfast is the most important meal of the day, some experts believe that skipping breakfast and eating your main meal at night may actually be more in-tune with your innate biological clock. I’ve revised my own eating schedule to eliminate breakfast and restrict the time I eat to a period of about six to seven hours each day, which is typically from noon to 6 or 7 pm.

Diet Is Only One Factor in Getting a Good Night’s Sleep

There are many variables that impact how well you sleep. I suggest you read through my full set of 33 healthy sleep guidelines for all of the details, but to start, making some adjustments to your sleeping area can go a long way to ensure uninterrupted, restful sleep.

  1. Cover your windows with blackout shades or drapes to ensure complete darkness. Even the tiniest bit of light in the room can disrupt your pineal gland’s production of melatonin and the melatonin precursor serotonin, thereby disrupting your sleep cycle.

So close your bedroom door, get rid of night-lights, and refrain from turning on any light during the night, even when getting up to go to the bathroom. If you have to use a light, install so-called “low blue” light bulbs in your bedroom and bathroom. These emit an amber light that will not suppress melatonin production.

  1. Keep the temperature in your bedroom at or below 70 degrees F (21 degrees Celsius). Many people keep their homes and particularly their upstairs bedrooms too warm. Studies show that the optimal room temperature for sleep is quite cool, between 60 to 68 degrees F (15.5 to 20 C). Keeping your room cooler or hotter can lead to restless sleep.
  2. Check your bedroom for electro-magnetic fields (EMFs). These can also disrupt your pineal gland’s production of melatonin and serotonin, and may have other negative effects as well. To do this, you need a gauss meter. You can find various models online, starting around $50 to $200. Some experts even recommend pulling your circuit breaker before bed to kill all power in your house.
  3. Move alarm clocks and other electrical devices away from your head. If these devices must be used, keep them as far away from your bed as possible, preferably at least three feet.
  4. Reduce use of light-emitting technology, such as your TV, iPad, and computer, before going to bed. These emit the type of light that will suppress melatonin production, which in turn will hamper your ability to fall asleep, as well as increase your cancer risk (melatonin helps to suppress harmful free radicals in your body and slows the production of estrogen, which can contribute to cancer). Ideally, you’ll want to turn all such light-emitting gadgets off at least one hour prior to bedtime.

Source: mercola.com

 

Alcohol calories ‘too often ignored’.


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A large glass of wine contains more than 170 calories .

People watching their weight should pay closer attention to how much alcohol they drink since it is second only to fat in terms of calorie content, say experts.

According to the World Cancer Research Fund, alcohol makes up nearly 10% of total calorie intake among drinkers.

Having a large glass of wine will cost you the same 178 calories as eating two chocolate digestive biscuits.

And it will take you more than a half hour’s brisk walk to burn off.

Empty calories

Eating or drinking too many calories on a regular basis can lead to weight gain.

Recent reports have shown that people are unaware of calories in drinks and don’t include them when calculating their daily consumption”

Kate Mendoza World Cancer Research Fund

But unlike food, alcoholic drinks have very little or no nutritional value.

The ’empty calories’ in drinks are often forgotten or ignored by dieters, says the WCRF.

Kate Mendoza, head of health information at WCRF, said: “Recent reports have shown that people are unaware of calories in drinks and don’t include them when calculating their daily consumption.”

Containing 7kcal/g, alcohol is only slightly less calorific than fat, which contains 9kcal/g.

Protein and carbohydrates contain 4kcal/g and fibre 2kcal/g.

Men need around 2,500 calories a day, and women around 2,000.

“Cutting down on drinking can have a big effect on weight loss or maintaining a healthy weight,” said Ms Mendoza.

It can also reduce your risk of cancer, she said.

Alcohol has been linked with breast, bowel, mouth and liver cancer.

If you don’t want to abstain entirely, there are ways that can help you cut down, including opting for smaller glass sizes, diluting alcohol with soda water or a low-calorie soft drink, alternating between alcoholic and non-alcoholic drinks and keeping a few nights each week booze-free.

WCRF has produced an Alcohol Calorie Calculator for different drinks that shows approximately how much exercise you would need to do to burn off the alcohol calories you consume.

Government guidelines recommend men should not regularly drink more than 3-4 units of alcohol a day, and women should limit themselves to 2-3 units a day.

A standard 175ml glass of wine contains about two units and a large 250ml glass contains about three units.

If you have had a heavy drinking session, you should avoid alcohol for at least 48 hours, experts advise.

Source:BBC