Substance Use

Can Alcohol Cause Diabetes? Prevention & Reversibility

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The interplay between alcohol and diabetes has been the subject of extensive research and discussion in the medical community. While some alcoholic drinks might be enjoyed in moderation without severe health repercussions, chronic alcohol consumption, particularly heavy drinking, can lead to an array of health problems ranging from kidney disease and hypoglycemia to heart disease. But the question remains: can alcohol cause diabetes?

Join us as we explore how alcohol affects blood sugar levels, the risks associated with drinking alcohol for diabetics, and the preventive measures one can take to mitigate these risks. Whether you have prediabetes, or type 1 diabetes, or are concerned about your loved one’s alcohol use disorder, understanding the relationship between alcohol and this chronic health condition is crucial.

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What is Diabetes?

Diabetes Mellitus, or simply diabetes, is a chronic health condition that affects how your body turns food into energy. Most of the food we eat is broken down into glucose, a type of sugar, which is released into the bloodstream. (1)

As blood glucose levels rise, the pancreas is signaled to release insulin. Insulin is a hormone that acts like a key, unlocking the cells in your body to allow glucose to enter and be used as energy. However, in individuals with diabetes, this system is disrupted leading to elevated levels of glucose in the blood. (2)

Over time, high blood glucose levels can cause serious health issues like heart disease, vision loss, and kidney disease.

Types of Diabetes

There are two main types of diabetes:

  • Type 1 Diabetes: In this type, the body does not produce insulin due to an autoimmune reaction that destroys insulin-producing cells in the pancreas. Individuals with type 1 diabetes need to take insulin every day to survive.
  • Type 2 Diabetes: This is a more common type where the body either doesn’t produce enough insulin or cannot use it effectively, a condition known as insulin resistance. (3) (4)

There’s also a third type known as Gestational Diabetes.This type of diabetes develops in some pregnant women and usually goes away after pregnancy. Women with gestational diabetes are at an increased risk of developing type 2 diabetes later in life. (5)

Symptoms of Diabetes

Diabetes manifests in various symptoms that can differ based on the type and the severity of the condition. Both Type 1 and Type 2 diabetes share some common signs, but there are distinctions. Early recognition of these symptoms can lead to timely intervention, potentially preventing complications.

Common symptoms include: (6)

  • Increased thirst and frequent urination: One of the earliest symptoms of diabetes, often arising from excess sugar accumulating in your bloodstream. As a result, your kidneys work overtime to filter and absorb the excess sugar, leading to increased urine output.
  • Extreme fatigue: Elevated blood sugar levels can hinder the efficient transport of glucose to cells for energy, leading to feelings of exhaustion and constant fatigue.
  • Blurred vision: Fluctuating blood sugar levels can cause swelling in the lens of the eye, impairing one’s ability to focus and leading to blurred vision. If left untreated, diabetes can also cause significant eye disease.
  • Cuts or sores that are slow to heal: Diabetes can affect blood circulation and the body’s ability to heal itself. High blood sugar levels can impair the body’s natural healing processes and its ability to fend off infections.
  • Unexplained weight loss (more common in type 1 diabetes): Despite eating more than usual to relieve hunger, you may lose weight. Without the capacity to metabolize glucose, the body uses alternative fuels stored in muscle and fat, leading to weight loss.

Can Alcohol Use Cause Diabetes?

The relationship between alcohol use and diabetes is complex. While moderate alcohol consumption can potentially have some health benefits, excessive alcohol use, particularly binge drinking, is a significant risk factor for both the onset and exacerbation of diabetes. (7) (8)

Heavy alcohol consumption, particularly chronic alcohol abuse, can lead to conditions such as chronic pancreatitis, which in turn, can result in diabetes. Alcohol can cause inflammation in the pancreas, impairing its ability to secrete insulin and ultimately disrupting the regulation of blood glucose levels. (7)

Additionally, alcohol consumption can lead to weight gain, a known risk factor for type 2 diabetes, due to the high carbohydrate and calorie content found in alcoholic beverages. Obesity exacerbates the body’s resistance to insulin, making the management of blood sugar levels increasingly challenging, particularly when alcohol is regularly consumed. (9) (10)

On the other hand, some studies suggest that moderate alcohol consumption may be associated with a lower risk of type 2 diabetes in some people. However, the potential benefits must be weighed against the risks, and it is always advisable to consult with healthcare professionals to understand the implications of alcohol consumption on an individual basis, especially for those with pre-existing health conditions or those at risk of developing diabetes. (10) (11)

The Effects of Alcohol on Blood Sugar Levels

Alcohol consumption can significantly affect blood sugar levels, leading to either hyperglycemia (high blood sugar) or hypoglycemia (low blood sugar levels): (12)

  • Hyperglycemia: Consuming alcoholic beverages, especially those with high carb content, can lead to elevated blood sugar levels. This is particularly concerning for individuals with diabetes who may experience difficulty in managing their blood glucose.
  • Hypoglycemia: On the other hand, excessive alcohol consumption can inhibit the liver’s ability to produce glucose, leading to hypoglycemia. This is a risk when drinking alcohol on an empty stomach or for individuals on blood sugar-lowering diabetes medications. (13)

The adverse effects of different alcoholic drinks on blood sugar levels vary, with some causing more significant spikes than others. Understanding these effects is crucial for individuals with diabetes or those at risk, aiding in better management of blood sugar levels while considering alcohol consumption.

Risks of Alcohol Consumption for Diabetics

Drinking alcohol poses various risks to individuals with diabetes, potentially exacerbating health issues or creating new complications. Understanding these risks can help in making informed decisions regarding alcohol consumption.

Below are some of the key risks you should be aware of: (14)

  • Blood Pressure: Alcohol can cause blood pressure to rise, especially in individuals who consume alcohol in excess.
  • Heart Disease: Excessive alcohol consumption is a risk factor for heart disease, which is already a concern for individuals with diabetes. (15)
  • Lipid Metabolism Alterations: Alcohol can alter lipid metabolism, potentially elevating triglyceride levels and leading to dyslipidemia, a common concern in individuals with type 2 diabetes.
  • Liver Disease: The liver plays a crucial role in glucose management. Alcohol can cause liver inflammation, impair its ability to regulate glucose and lead to fatty liver disease, liver cirrhosis, and other severe liver conditions.
  • Pancreatitis: Excessive alcohol intake can cause pancreatitis, a severe inflammation of the pancreas, impairing its ability to produce insulin. (16)
  • Diabetic Ketoacidosis: Alcohol consumption can increase the risk of ketoacidosis, a serious condition that can occur in individuals with diabetes, characterized by the buildup of acids called ketones in the bloodstream. (17)
  • Neuropathy: Consuming alcohol might amplify nerve damage, known as neuropathy, a common complication of diabetes, leading to increased pain, numbness, and other symptoms. (18)
  • Retinopathy: Alcohol might exacerbate diabetic retinopathy and other eye diseases—conditions that can culminate in vision loss if untreated. (19)

How to Manage Diabetes While Drinking Alcohol

If you have diabetes and choose to consume alcohol, it’s crucial to do so in a way that minimizes the risks to your health. Here are some essential tips and guidelines:

  1. Moderation is Key: Stick to moderate drinking guidelines. For men, this typically means up to two drinks per day, and for women, one drink.
  2. Never Drink on an Empty Stomach: Consuming alcohol with a meal can help slow the absorption of alcohol and reduce the risk of low blood sugar. (20)
  3. Monitor Blood Sugar Levels: If you’re planning to drink, check your blood sugar levels before, during, and after drinking. Alcohol can interfere with blood sugar levels, leading to either hyperglycemia or hypoglycemia. Always keep a glucose meter on hand.
  4. Educate Your Friends: Ensure your friends and those you’re with know about your condition, so they can help in case you exhibit signs of low blood sugar.
  5. Opt for Low-Sugar Drinks: Some alcoholic beverages, like certain cocktails, can contain high amounts of sugar. Opt for drinks with lower sugar content.
  6. Avoid Binge Drinking: Not only is binge drinking harmful to your liver and overall health, but it also poses significant risks for those with diabetes. (8)
  7. Consult Your Healthcare Professional: Before making any decisions regarding alcohol consumption, discuss with your doctor or diabetes educator. They can provide guidance tailored to your specific condition and medications.

Does Quitting Alcohol Reverse Diabetes?

The correlation between ceasing alcohol consumption and the potential reversal of diabetes is nuanced. Abstaining from alcohol diminishes the risk of complicating or inducing diabetes, particularly as it directly affects factors like weight gain, pancreatitis, and liver health. (9)

While stopping alcohol might not inherently “reverse” diabetes, it markedly betters the management of blood sugar levels, reducing the likelihood of complications. For those nearing a diabetes diagnosis, known as the prediabetes stage, cutting back or quitting alcohol can halt the disease’s progression.

Preventing and Treating Alcohol-Induced Diabetes

Alcohol-induced diabetes can often be prevented or managed, and in cases of prediabetes, it may be reversible with appropriate lifestyle modifications and medical interventions. It’s crucial to understand that once diabetes has developed, reversing it can be quite challenging, and the focus often shifts to management to prevent further complications. (21)

Lifestyle Modifications

Taking control of one’s lifestyle is a foundational step in preventing and potentially reversing alcohol-induced diabetes. Moderation or abstention from alcohol is crucial, and adherence to recommended alcohol guidelines can significantly impact blood sugar regulation.

Additionally, embracing a nutritious diet is vital as it supports blood sugar control and overall metabolic health. Regular physical activity complements dietary efforts by helping maintain a healthy weight and improving insulin sensitivity, which is beneficial for blood sugar control.

Medical Interventions

Medical interventions are often necessary for managing alcohol-induced diabetes, especially in severe cases. Medication management, under the supervision of healthcare professionals, can help regulate blood sugar levels and address other related health issues.

Regular monitoring of blood sugar levels and routine healthcare check-ups are essential for tracking the progress of management plans and making necessary adjustments. Moreover, early detection of any complications or the onset of diabetes can provide a more favorable prognosis.

Support Groups and Counseling

Mental health plays a pivotal role in managing any chronic condition. For those grappling with alcohol-induced diabetes or alcohol use disorder, support groups and counseling provide emotional and psychological support, which is crucial for individuals dealing with alcohol-induced diabetes.

Engaging in support groups can provide a sense of community and shared understanding, while counseling can equip individuals with coping strategies and a better understanding of their condition. The shared experiences and advice from support groups, combined with professional counseling, can significantly enhance the journey towards managing or reversing alcohol-induced diabetes.

Whether it’s dealing with the stress of managing diabetes complications or seeking understanding from those in similar situations, mental and emotional well-being is crucial.

Reduce Diabetes Risk and Get Help With Alcohol Addiction Today

The journey through understanding and mitigating the risks of alcohol-induced diabetes may reveal underlying issues of alcoholism. Addressing alcohol addiction is a significant step towards reducing diabetes risk and promoting overall health. At Zinnia Health, we extend a supportive hand to individuals grappling with alcohol addiction, offering a pathway toward a healthier lifestyle.

Our dedicated team of healthcare professionals provides personalized care and resources to manage alcohol consumption effectively, aiming to reduce the associated risks of diabetes. With a supportive community and expert guidance, overcoming the challenges posed by alcohol addiction and diabetes becomes a shared endeavor.

Taking the step towards managing alcohol addiction not only paves the way for reduced diabetes risk but also fosters a foundation for healthier living. Reach out to Zinnia Health today, and embrace the support and resources available to navigate through the complexities of alcohol addiction and diabetes management.


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