Diabetes and Alcohol: Drinks and co*cktails (2024)

Diabetes and Alcohol: Drinks and co*cktails (1)
Medically Reviewed by Michael Dansinger,MD on January 28, 2023

Diabetes and Alcohol: Drinks and co*cktails (2)

Drink in Moderation

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Most people with diabetes can enjoy some alcohol. Rules are the same as for everyone else: one drink per day for women; two for men. But you need to know how alcohol affects your blood sugar. A sugary drink might spike your blood sugar. But if you drink on an empty stomach or take certain meds, your levels could swing too low.

Diabetes and Alcohol: Drinks and co*cktails (3)

Beer

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A 12-ounce beer has about 15 grams of carbohydrates, compared to 3 to 6 grams in light beer. Also, “light” and “low carb” are pretty much the same thing -- and also your best bet. Be careful with craft beers. Most have twice the alcohol and calories as regular beer.

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Wine

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Some research says wine (red or white) may help your body use insulin better and may even make you less likely to get type 2 diabetes in the first place. It may also have heart benefits, to boot! Moderation is the key as too much alcohol can cause hypoglycemia. A standard 5-ounce serving has about 120 calories, nearly all of which come from alcohol, not carbs.

Sangria

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Recipes vary, but depending on the fruit and juices involved, this drink may have as much sugar as a regular soda. Instead of sangria, go with one glass of dry red or white wine. Those only have about 4 grams of carbs. Avoid sweeter varieties, like flavored wines and dessert wines.

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Liquor

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One ounce of liquor, depending on the proof, has about the same amount of alcohol as 5 ounces of wine. While liquor is often carb-free, mixers like soda and juice can send blood sugar levels through the roof. To prevent a spike, mix your liquor with a calorie-free drink like water or seltzer.

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Cupcake co*cktails

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Sweet drinks like margaritas and mojitos don’t have to be off-limits. Use sugar-free mixers for margaritas and fresh fruit for daiquiris. And instead of pouring simple syrup into mojitos and martinis, try a natural sweetener like stevia or a sugar substitute.

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Bloody Mary

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This brunch classic can be a diabetes diet disaster. Take out the alcohol to make it "virgin." Add a celery spear, and use low-sodium tomato juice. A virgin bloody Mary contains about one serving of carbohydrates (around 15 g).

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Drinking Dos

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Stay hydrated -- it helps keep you sober.

Wear ID that says you have diabetes -- a buzz and low blood sugar can look the same.

Be careful if you take insulin or another diabetes medication -- alcohol can make your blood sugar drop.

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Drinking Don’ts

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Don’t drink on an empty stomach. Food helps you process alcohol.

Don’t drink your meals. Booze lowers blood sugar.

Don’t forget to test. Alcohol can affect your blood sugar for up to 24 hours. Especially test blood sugar before bed to see if it's under 100. If it is, have a small snack.

Diabetes and Alcohol: Drinks and co*cktails (2024)

FAQs

What alcoholic drinks can you drink with diabetes? ›

Good drink choices

12 ounces of beer • 5 ounces of wine • 1 ½ ounces of liquor. Light beers or dry wines are good choices; they have less alcohol and fewer calories. If you like mixed drinks, use diet soft drinks, water or seltzer as your mixers.

What three drinks should diabetics avoid? ›

The 3 worst drinks
  • regular soda.
  • energy drinks that contain sugar.
  • fruit juices.

What is the best drink for diabetics? ›

Water is the best drink for people with diabetes, but it's not the only option. Many drinks have added sugars, making them high in carbohydrates. They'll quickly raise blood glucose levels. And, because they're also high in calories with few or no nutrients, they aren't the best choice.

Is vodka okay for diabetics? ›

Gin, rum, vodka, or whiskey: A serving of 1.5 ounces (45 mL) contains zero carbs. Avoid these drinks on an empty stomach or mix them with sugary drinks to prevent blood sugar spikes and then dipping to dangerously low levels.

What drink makes diabetes worse? ›

Sugar-sweetened beverages, such as fruit punch, may taste like fruit juice, but they often contain high levels of sugar or corn syrup and contain little to no real fruit juice. These ingredients can cause the same spikes in blood sugar levels as soda.

What should diabetics drink first thing in the morning? ›

Water is the best all-round drink. If your family likes flavoured waters, make your own by adding a squeeze of lemon or lime, or strawberries.

Why should diabetics avoid eggs? ›

In addition, a diet enriched with egg yolk was associated with elevated plasma glucose compared with a control diet in rats (9). Data from the Zutphen Study (10) have indicated a positive association between egg consumption or dietary cholesterol and fasting glucose.

Can I have alcohol if I have diabetes? ›

Diabetics clearly should avoid heavy drinking (i.e., more than 10 to 12 drinks per day), because it can cause ketoacidosis and hypertriglyceridemia. Moreover, heavy drinking in a fasting state can cause hypoglycemia and ultimately increase diabetics' risk of death from noncardiovascular causes.

What diabetics Cannot drink? ›

Drinks, including alcohol

Many soft drinks and juices contain carbohydrates and added sugars. A person with diabetes can safely consume unsweetened teas, coffees, and zero-calorie drinks, as well as plain water, of course. To give the water some flavor, try throwing in some whole fruit pieces.

What lowers blood sugar immediately? ›

The fastest way to lower blood sugar is to take fast-acting insulin medication. Exercise can also help to bring down blood sugar levels quickly. Diet and lifestyle changes can help manage overall blood sugar levels, but for immediate action, prescription medication or medical assistance may be necessary.

How can I flush sugar out of my system fast? ›

Drinking plenty of water helps your kidneys flush out excess sugar. One study found that people who drink more water lower their risk for developing high blood sugar levels. And remember, water is the best. Sugary drinks elevate blood sugar by raising it even more.

Are bananas good for diabetes? ›

Though bananas are higher in carbs and sugars than some foods, they also contain fiber and resistant starch that slows down the digestion and release of sugar into your bloodstream. These qualities make bananas a healthy, go-to snack for people with diabetes.

What alcohol has the least sugar? ›

If what you're looking for is the lowest-calorie, lowest-sugar alcohol, you'll want to stick with clear liquors, registered dietitian Alex Aldeborgh says. This includes vodka, gin, rum, tequila, soju and sake, among others, which will generally have less calories and less sugar.

Can diabetics eat pizza? ›

The short answer to this question is yes, people with diabetes can enjoy all types of pizza. In moderation, people living with diabetes can safely enjoy all types of foods that are often viewed as “unhealthy”, including yummy pizza.

Is tequila or vodka better for diabetics? ›

In terms of carb content, tequila may be a more suitable drink choice for people with than many other alcoholic drinks. Like most distilled spirits, it provides 0 grams of carbs and sugar per 1.4-ounce (42-mL) serving, a standard shot ( 8 ).

What is the alcoholic drink with the least sugar? ›

If what you're looking for is the lowest-calorie, lowest-sugar alcohol, you'll want to stick with clear liquors, registered dietitian Alex Aldeborgh says. This includes vodka, gin, rum, tequila, soju and sake, among others, which will generally have less calories and less sugar.

What alcohol has no sugar or carbs? ›

Spirits Pure spirits like gin, whisky, vodka, and tequila are suitable drink choices for people following a keto diet. These drinks are low-calorie and contain zero added sugar and zero carbs. You can drink them plain or mix them with low-carb mixtures like soda water, diet soda, or sugar-free tonic water.

Are there any sugar-free alcoholic beverages? ›

Pure forms of alcohol like whiskey, gin, tequila, rum and vodka are all completely sugar-free whereas wines and light beer like Sapporo or Budvar have a minimal carb content.

Is tequila ok for diabetics? ›

Diabetics Can Drink It.

Researchers have discovered that tequila can help those with type 2 diabetes. The agavins, natural sugars in agave, are non-digestible so blood sugar levels won't spike. In fact, it can lower glucose levels and increase insulin production.

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