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200 Cardio Diabetes Medicine 2017

Alcohol Heart, Diabetes and Lipids

Dr. Meenakshi Sundaram, MD

Asst.Prof. Medicine, TKMCH, Tuticorin

Abstract Women Men
Longterm alcohol consumption in well nourished Moderate No more than No more than two
diabetics can result in excessive blood sugar level. one drink per drinks per day
Long term alcohol ingestion in diabetics who are day
not adequately nourished can lead to dangerously Heavy More than one More than two drink
low blood sugar. Alcohol consumption can worsen drink per day per day
diabetes related medical complications, such as dis-
turbances in fat metabolism, nerve damage and eye Binge >4 drinks on >5 drinks on single
disease. Consuming moderate amount of alcohol re- single occa- occasion
duce the incidence of diabetes .Moderate intake of sion
alcohol has been shown to reduce the risk of CAD Excessive drink means either binge ,heavy or both
(Coronary Artery Disease) by 40 to 70% compared in both gender.
with non-drinkers and heavy drinkers in several pro-
spective cohort studies. Several factors such as an- According to the centres for Disease control and
tioxidant, antithrombotic, enhanced insulin sensitivity Diabetes (CDC), one standard drink is equal to 14
and increase in HDL(High Density Lipoprotein) have gms (0.6 ounces) of pure alcohol. drinks such as
been hypothesized for this benefit. However binge beer and wine can have content of anywhere from
drinking and heavy drinking have shown to be as- 2-20 %.spirits and liquor can contain 40-50 percent
sociated with metabolic syndrome through eleva- or even more alcohol. below is the alcohol content in
tion of blood pressure and Triglycerides in patients common alcoholic drinks according to CDC. each is
with Diabetes. Accordingly more studies are needed equal to one drink.
to determine whether the beneficial effects of daily • 12 ounces of beer -5% alcohol content
moderate alcohol consumption outweigh the delete-
rious effects .Diabetics should avoid heavy drinking • 8 ounces of malt liquor-7 %alcohol content
because it can cause hypoglycaemia and ketoaci- • 5 ounces of wine -12 %alcohol content.
dosis and ultimately increase diabetics risk of death Association between heart disease and alcohol con-
from non cardiovascular causes.
sumption has been described as a U or J shaped
curve with increasing alcohol consumption plotted
Alcohol and Heart on the X axis and increasing incidence of heart dis-
Alcohol percentages by volume (ABV) of some com- ease plotted on the Y axis. the curve shows that
mon type of drinks are as follows abstinence from alcohol consumption is associated
with more heart disease than is low to moderate al-
1. Beer : 3-10%
cohol consumption(2 drinks/day).Increasing alcohol
2. Wine : 8-14% consumption beyond moderation is associated with
3. Fortified wines : 16-22% increasing heart disease.
4. Spirit : 20-70%

GCDC 2017