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E-Newsletter • August 2022 |
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Diabetes and Alcohol Drinking: Not a Match Made in Heaven
Drinking alcohol in moderation or “responsibly” may not be harmful to health for clients without chronic disease, but this isn’t the case for people with diabetes.
In this month’s E-News Exclusive, Today’s Dietitian (TD) discusses alcohol absorption and metabolism, alcohol’s effects on the liver in people with diabetes, the definition of moderate drinking, and recommendations for counseling clients.
After reading the article, visit TD’s website at www.TodaysDietitian.com to read the digital edition of our August/September issue, which includes articles on Orlando’s award-winning restaurants, TD’s Spring Symposium highlights, reversal and remission of diabetes, the booming air fryer trend, and black beans’ health benefits and culinary uses.
Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on Twitter.
— Judith Riddle, editor |
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| In This E-Newsletter
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Risks of Alcohol Drinking for People With Diabetes
By Jill Weisenberger, MS, RDN, CDCES, CHWC, FAND
From pasta salad to grilled burgers to ice cream cones, summer BBQs and other gatherings often present challenges for people with diabetes. Clients may know about counting carbohydrates, watching portion sizes, and limiting saturated fats, but many are poorly informed about the effects of alcohol. While drinking alcohol may have a few perks related to heart health, drinking can have unpredictable effects on blood sugar levels for people with diabetes, especially among those taking certain hypoglycemic medications.
Alcohol Absorption and Metabolism
How quickly alcohol is absorbed depends on several factors, including the rate of gastric emptying, the presence or absence of food in the stomach, and the speed and amount of alcohol consumption.1 Alcohol, which is toxic to the body, can’t be stored and must be removed quickly. Medications, sex, age, health status, drinking regularity, time of day, and other genetic and environmental factors influence the rate of elimination. About 10% of alcohol ingested is excreted in the breath, urine, and sweat. Most of what remains is oxidized by the liver, which can result in perilous effects on blood sugar stability.
Alcohol and Diabetes
The liver contributes to blood glucose regulation by storing carbohydrate in the form of glycogen and releasing glucose—by glycogenolysis or gluconeogenesis—to the blood when levels are low. However, alcohol oxidation can override the liver’s role to store and release glucose. All people with type 1 diabetes are at risk of hypoglycemia after drinking, and many people with type 2 diabetes—especially those taking diabetes medications that have the side effect of low blood sugar—also are at risk.
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Study: People ‘Right Size’ Portions of High-Calorie Foods
New research has revealed that humans moderate the size of energy-rich meals they eat, suggesting people are smarter eaters than previously thought.
The findings, led by the University of Bristol, revisit the long-held belief that humans are insensitive to the energy content of the foods they consume and are therefore prone to eating the same amount of food (in weight) regardless of whether it’s energy rich or energy poor.
The study, published recently in The American Journal of Clinical Nutrition, is especially significant as it challenges a common view among researchers that people are apt to overconsume high-energy foods.
This idea stems from previous studies that manipulated the energy content of foods or meals to create low- and high-energy versions. In those studies, people weren’t told whether they were eating a low- or a high-energy version, and findings showed they tended to eat meals of the same weight, resulting in greater calorie intake with the high-energy version.
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Does Low BMI Equate With More Activity?
According to Science Daily, a study shows that people with low BMI aren’t more physically active.
Questioning the Benefits of Chocolate
While The New York Times reports that cocoa may be beneficial to health, it questions how that translates to chocolate candy.
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CPE Monthly
Learn about the role of probiotics in treating and preventing allergies in the latest issue of Today’s Dietitian. Read the CPE Monthly article, take the 10-question online test at CE.TodaysDietitian.com, and earn two CEUs!
Now you can save on CPE Monthly articles! Access 12 courses and their corresponding quizzes for about $8/credit when you sign up for our NEW CPE Monthly Pass!
Upcoming Live Webinars
Food as Lifestyle Medicine for Hormonal Health
Tuesday, August 30, 2022, from 2–3 pm ET
Presented by Vicki Shanta Retelny, RDN
1.0 CEU | Register Now »
Decoding Prebiotics Using a Patient-Centered Approach
Thursday, September 1, 2022, from 2–3 pm ET
Presented by Heather Rasmussen, PhD, RDN
1.0 CEU FREE | Sponsored by The National Honey Board.
Register Now »
Health Literacy: Practical Interprofessional Strategies for Enhancing Health Equity
Wednesday, September 21, 2022, from 2–3 pm ET
Presented by Brenda Hage, PhD, DNP, CRNP, CCM, and David Hage, MSW, LCSW, ACSW, C-ASWCM
1.0 CEU | Register Now »
Comfort, Compassion, and End of Life Nutrition Care
Thursday, September 22, 2022, from 2–3 pm ET
Presented by Liz Friedrich, MPH, RD, CSG, LDN, FAND, NWCC
1.0 CDR-approved Ethics CEU! | Registration will take place on the Becky Dorner & Associates website.
Yoga Therapy for Nutrition-Related Conditions: Mechanisms, Evidence, Practical Applications, and Credentialing
Wednesday, September 28, 2022, from 2–3:30 pm ET
Presented by Annie Kay, MS, RDN, RYT500, C-IAYT
1.5 CEUs | Register Now »
A Novel Approach for Helping Kids Develop Healthy Eating Skills
Thursday, October 6, 2022, from 2–3 pm ET
Presented by Stephanie Meyers, MS, RD, LDN
1.0 CEU | Register Now »
Interprofessional Updates for Diabetes and Telehealth: A Clinician’s Guide to Equitable and Collaborative Care
Tuesday, November 1, 2022, from 2–3:30 pm ET
Presented by James R. Gavin III, MD, PhD, and Susan Weiner, MS, RDN, CDCES, FADCES
1.5 CEUs | Register Now »
Recorded Webinars
The Role of Nutrients in Developing a Healthy Immune System
Presented by Mike Roussell, PhD
1.0 CEU FREE | Sponsored by American Pistachio Growers. American Pistachio Growers is approved by the CDR to offer 1.0 CEU for this webinar.
Access the Recording »
Nutrition and Bone Health Across the Lifespan
Presented by Taylor C. Wallace, PhD, CFS, FACN
1.5 CEUs FREE | Sponsored by National Dairy Council. National Dairy Council Via Dairy Management Inc. is approved by the CDR to offer 1.5 CEUs for this webinar. Access the Recording »
Taming the Flame: Dairy and Inflammation
Presented by Bradley Bolling, PhD, and Jim White, RDN, ACSM EX-P
1 CEU FREE | Sponsored by National Dairy Council. National Dairy Council Via Dairy Management Inc. is approved by the CDR to offer 1.0 CEU for this webinar. Access the Recording »
Show Me, Don’t Tell Me: Dairy Innovations for a Sustainable Future
Presented by Alise Sjostrom, Abigail Andrew Copenhaver, MS, RDN, CDN, Adam Wylie, Austin Allred, and Brett Reinford
1 CEU FREE | Sponsored by National Dairy Council. National Dairy Council Via Dairy Management Inc. is approved by the CDR to offer 1.0 CEU for this webinar. Access the Recording »
Recently Added Self-Study Courses
2023 Spring Symposium
Today's Dietitian is hosting our 10th annual continuing education and networking event May 14–17, 2023, in Savannah, Georgia, and you don’t want to miss this one!
Early-Bird Registration is open right now, so make plans to join us next May and experience what we have in store for our 10th Anniversary event. You’ll get the opportunity to earn CEUs with sessions, workshops, and presentations led by some of the foremost experts in dietetics and nutrition.
In addition, there will be a variety of opportunities to interact with fellow attendees and our presenters, as well as sponsors who often come bearing product samples. Put simply, our Spring Symposium is unlike other events for dietitians and other nutrition professionals.
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In the October Issue
• The Whole Foods Plant-Based Diet Debate
• Upcycling Innovations
• Natural Brown Sugars and Syrup Sweeteners
• The Link Between RED-S and Eating Disorders
• Curbing Cancer in Older Adults |
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COVER STORY
Orlando’s Best Cuisine
Forget the iconic theme parks; the real magic is happening in Orlando’s restaurants, bakeries, and farmers’ markets. Pack your bags and get ready to savor the flavors of the Sunshine State!
FEATURE
Are Prediabetes and Type 2 Diabetes Reversible?
Claims abound that individuals can “reverse” their diabetes with certain diets or products. But what do the experts have to say? Today’s Dietitian examines a recent consensus report on the matter.
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