Аlcohol and diabetes: a double-edged stick

This article examines and summarizes studies on the epidemiology, risk of developing diabetes, and the influence on the cardiovascular system of patients with diabetes and different levels of alcohol consumption. High costs for the treatment of alcohol abusers have been demonstrated. The article des...

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Main Author: L. Yu. Morgunov
Format: Article
Language:Russian
Published: Open Systems Publication 2021-07-01
Series:Лечащий Врач
Subjects:
Online Access:https://journal.lvrach.ru/jour/article/view/716
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author L. Yu. Morgunov
author_facet L. Yu. Morgunov
author_sort L. Yu. Morgunov
collection DOAJ
description This article examines and summarizes studies on the epidemiology, risk of developing diabetes, and the influence on the cardiovascular system of patients with diabetes and different levels of alcohol consumption. High costs for the treatment of alcohol abusers have been demonstrated. The article describes the effect of ethanol on glucose metabolism and the mechanisms that cause hyperglycemia and hypoglycemia, the role of ghrelin and leptin in alcohol-consuming patients with diabetes mellitus. Attention is paid to the issues of hypocoagulation and systemic inflammation in diabetics who use ethanol. The effect of alcohol on patients with type 1 diabetes mellitus is shown separately. The influence of alcohol on the development of atherosclerosis, as well as late complications of diabetes mellitus, such as diabetic angiopathy of the lower extremities, is described. The influence of alcoholic beverage preferences on the risk of developing diabetes mellitus has been demonstrated. Low adherence to self-control in ethanol-consuming patients with diabetes mellitus is emphasized. Drinking small or medium amounts of alcohol has been shown to reduce the incidence of diabetes in most studies, while heavy drinkers are at an increased risk of developing the disease. In people with diabetes, light to moderate alcohol consumption reduces the risk of cardiovascular disease and all-cause mortality. The type of alcoholic drink, gender, and probably body mass index are factors that influence these results.
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spelling doaj-art-5286cb61126d445c8668ffd533d8d2052025-08-20T02:49:05ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812021-07-0103101510.51793/OS.2021.24.3.002715Аlcohol and diabetes: a double-edged stickL. Yu. Morgunov0Peoples' Friendship University of RussiaThis article examines and summarizes studies on the epidemiology, risk of developing diabetes, and the influence on the cardiovascular system of patients with diabetes and different levels of alcohol consumption. High costs for the treatment of alcohol abusers have been demonstrated. The article describes the effect of ethanol on glucose metabolism and the mechanisms that cause hyperglycemia and hypoglycemia, the role of ghrelin and leptin in alcohol-consuming patients with diabetes mellitus. Attention is paid to the issues of hypocoagulation and systemic inflammation in diabetics who use ethanol. The effect of alcohol on patients with type 1 diabetes mellitus is shown separately. The influence of alcohol on the development of atherosclerosis, as well as late complications of diabetes mellitus, such as diabetic angiopathy of the lower extremities, is described. The influence of alcoholic beverage preferences on the risk of developing diabetes mellitus has been demonstrated. Low adherence to self-control in ethanol-consuming patients with diabetes mellitus is emphasized. Drinking small or medium amounts of alcohol has been shown to reduce the incidence of diabetes in most studies, while heavy drinkers are at an increased risk of developing the disease. In people with diabetes, light to moderate alcohol consumption reduces the risk of cardiovascular disease and all-cause mortality. The type of alcoholic drink, gender, and probably body mass index are factors that influence these results.https://journal.lvrach.ru/jour/article/view/716diabetes mellitusalcoholrisk of cardiovascular disease
spellingShingle L. Yu. Morgunov
Аlcohol and diabetes: a double-edged stick
Лечащий Врач
diabetes mellitus
alcohol
risk of cardiovascular disease
title Аlcohol and diabetes: a double-edged stick
title_full Аlcohol and diabetes: a double-edged stick
title_fullStr Аlcohol and diabetes: a double-edged stick
title_full_unstemmed Аlcohol and diabetes: a double-edged stick
title_short Аlcohol and diabetes: a double-edged stick
title_sort аlcohol and diabetes a double edged stick
topic diabetes mellitus
alcohol
risk of cardiovascular disease
url https://journal.lvrach.ru/jour/article/view/716
work_keys_str_mv AT lyumorgunov alcoholanddiabetesadoubleedgedstick