Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: diabetes | red | wine | heart | health | drug | interactions

Will Red Wine Help Diabetes?

Monday, 09 July 2012 09:33 AM

Question: I have diabetes. Is it safe for me to drink red wine in moderation?

Dr. Hibberd's answer:
This is a very good question, and given that you have an underlying medical condition, alcohol use must be reviewed and approved by your personal physician first.
Red wine has been studied for its cardioprotective function for years in population studies , and it appears to offer some degree of cardioprotection. This applies to low levels of consumption in general population studies, and these benefits are negated by side effects when used in excess. Excess is regarded as more than 2 glasses of wine or its equivalent daily
Whether it is safe for you as a diabetic depends upon several factors:
a) How regularly you drink
b) How much
c) Drug interactions with medications or supplements you use
d) Underlying conditions, especially those associated with diabetes ( such as gastroparesis, hypoglcemia, retinopathy etc) that may be aggravated or become complicated by red wine use.
Your doctor must be consulted before you start using red wine as a preventive agent, despite your own elevated risk for cardiovascular complication.
So, just like everyone else, you may (with your doctor's permission) be able to drink wine in moderation, which translates to about 1 to 2 glasses per day, one standard drink being 5 oz of wine
You cannot "treat" or prevent diabetes by red wine use. There are many reports that NIH publishes on the effects of dietary or calorie restriction as an effective way to alleviate age associated disease. As you know, this is also a mainstay of management for your Diabetes.
Be very careful interpreting health claims made on the internet and direct mail that are not FDA approved.
There are animal (not human) studies that have been published over the past 10 years that suggest that some chemical components of red wine such as resveratrol (one of many naturally occurring chemicals found in red wine and other plants) may confer health benefits similar to calorie restriction. Unfortunately, the truth is the amounts of reservatrol found in wine or foods is not high enough to produce significant health benefits, according to the NIH, and it is not without potential complication when supplemented to higher doses.
NIH-published animal studies have suggested that resveratrol acts as a prostaglandin inhibitor, and may have a future role in diet-induced obesity, improving glucose tolerance and increasing physical endurance study, but this optimistic data from animal models is not yet proven safe or effective in NIH human studies.
Unfortunately resveratrol in its natural form interacts with many proteins, and may also cause not-yet-known toxicities as a medicine, especially with long term use. So beware of premature, overly optimistic health claims on non-regulated medications such as resveratrol, especially from the dietary supplement industry, which is quick to point out anticipated benefits from drug combinations available at your local health food store noted in animal models without adequate data to prove effectiveness, lack of toxicity or drug interaction in humans. Also beware that animal study results do not always translate to beneficial or harmful effects in human use, and it may be very dangerous (not to mention a waste of money!!) to assume that benefits in one population will translate seemlessly to another non -related population.

© HealthDay

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You may be able to drink red wine in moderation even though you have diabetes.
Monday, 09 July 2012 09:33 AM
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