The relationship between alcohol consumption and glycemic control among patients with diabetes: the Kaiser Permanente Northern California Diabetes Registry.

Kaiser Permanente Division of Research, Oakland, CA 94612, USA.
Journal of General Internal Medicine (Impact Factor: 3.42). 03/2008; 23(3):275-82. DOI: 10.1007/s11606-007-0502-z
Source: PubMed

ABSTRACT Alcohol consumption is a common behavior. Little is known about the relationship between alcohol consumption and glycemic control among people with diabetes.
To evaluate the association between alcohol consumption and glycemic control.
Survey follow-up study, 1994-1997, among Kaiser Permanente Northern California members.
38,564 adult diabetes patients.
Self-reported alcohol consumption, and hemoglobin A1C (A1C), assessed within 1 year of survey date. Linear regression of A1C by alcohol consumption was performed, adjusted for sociodemographic variables, clinical variables, and diabetes disease severity. Least squares means estimates were derived.
In multivariate-adjusted models, A1C values were 8.88 (lifetime abstainers), 8.79 (former drinkers), 8.90 (<0.1 drink/day), 8.71 (0.1-0.9 drink/day), 8.51 (1-1.9 drinks/day), 8.39 (2-2.9 drinks/day), and 8.47 (>/=3 drinks/day). Alcohol consumption was linearly (p < 0.001) and inversely (p = 0.001) associated with A1C among diabetes patients.
Alcohol consumption is inversely associated with glycemic control among diabetes patients. This supports current clinical guidelines for moderate levels of alcohol consumption among diabetes patients. As glycemic control affects incidence of complications of diabetes, the lower A1C levels associated with moderate alcohol consumption may translate into lower risk for complications.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Studies documenting the effectiveness of medical nutrition therapy for Type 1 and Type 2 diabetes report improvements in hemoglobin A1C (A1C), as well as in other outcomes. A variety of nutrition therapy interventions are effective. Under debate is the role of carbohydrate intake on glycemic control and weight loss in individuals with Type 2 diabetes. Some studies have reported improvements in glycemic control from reducing carbohydrate intake; however, other trials have reported no significant changes in A1C with a lower carbohydrate eating pattern. Studies comparing low-carbohydrate or low-fat diets for weight loss at 12 months report similar amounts of weight loss. Evidence for the usefulness of the glycemic index concept is debatable. For the majority of people with diabetes moderate alcohol consumption with food will have minimal, if any, acute or long-term effects on glycemic control, and may have beneficial effects on insulin sensitivity and decreased risk for coronary heart disease.
    Expert Review of Endocrinology &amp Metabolism 01/2014; 7(6). DOI:10.1586/eem.12.56
  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose: The drinking practices of a nationally representative sample of white, black, Mexican American, and other Hispanic adult diabetics are described and compared. Methods: Combined years (2005/2006-2011/2012) of the National Health and Nutrition Examination Survey provided home interview data from 2220 adults with self-reported diabetes of white (n = 875), black (n = 720), Mexican American (n = 402), and other Hispanic (n = 223) ethnicity. Current drinking status, the number of drinks consumed per week, and binge drinking were compared across ethnicity. Results: The multivariate findings for both diabetic men and women showed no statistically significant ethnic differences in current drinking status, and among women, there were no statistically significant ethnic differences in binge drinking. Among male diabetics, Mexican Americans consumed more drinks per week than whites (b = 0.35; 95% confidence interval, 0.13-0.58; P = .002) and were at increased risk for binge drinking (odds ratio, 2.04; 95% confidence interval, 130-3.21; P = .002). Conclusions: Binge drinking is prevalent among Mexican American male diabetics. This pattern of drinking may put them at risk for poor diabetes management and control. It is important that health care providers routinely assess their patients' drinking practices and address the health risks associated with alcohol consumption.
    Annals of Epidemiology 07/2014; 24(10). DOI:10.1016/j.annepidem.2014.07.007 · 2.15 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A low glycemic diet may improve metabolic control in type 2 diabetes, but the debate continues. Fruits, despite the fructose they contain, may also lower the glycemic index, as well as its consumption has been associated with a reduction in A1c levels and can positively influence HDL cholesterol, blood pressure and risk of coronary heart disease in general . There is no relationship between fat intake and A1c. On the consumption of alcohol has been reported that moderate alcohol consumption is asso-ciated with a lower prevalence of metabolic syndrome, although there is information that relates to the A1c. This article reviews the published evidence on the effect of consumption of fruits, fats and alcohol on metabolic control in diabetics.


Available from