Question

1) “Educating people with diabetes about the signs, symptoms, and self-management of delayed hypoglycemia after drinking alcohol, especially when using insulin or insulin secretagogues, is recommended” – What is the mechanism behind this?

2) If you have a patient on insulin who binge drinks on the weekend, and unwilling to change this lifestyle, how will you counsel the patient as a pharmacist?

3) If you tell someone who drinks a 6 pack beer and 6 shots of hard liquor every other Saturday to cut it to just 2 drinks, they are unlikely to make that change. How will you counsel him as a pharmacist? What therapy change will you make?

Answer 1

1, While moderate amount of alcohole may cause blood sugar to rise in diabetic patients excess alcohol can actually decreases blood sugar level sometimes causing it to drop in to dangerous levels especially for people with type 1 diabetes. beer and sweet wine containg carbohydrates and may raise blood sugar,The is no need for people with diabetes to give up alcohol simply because of their diabetes, Although alcohol does have an effect on blood sugar levels with a few precautions and careful management people with diabetes can also enjoy a drink.

2,Understanding what you are consuing and how alcohol influences blood glucose levels is particularly important for people with diabetes.alcohol can interfere with blood sugar levels, Excessive consuption can reduce the effectiveness of insulin, people with diabetes should sip drinks slowly and not dringk on an empty stomach, so we should health educate the patient with these all points and advice the patient about the good habits for control his disease.

plz give a thums up