Carbohydrate Counting Page 34

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Basal-Bolus Insulin and Carbohydrate Counting
How does alcohol affect my diabetes?
The alcohol moves from your stomach into your blood.
The liver starts to break it down.
If you drink alcohol faster than the liver is able to
break it down, the alcohol builds up in your blood.
When your blood alcohol level is high, your liver will
work very hard to lower it.
If in addition to drinking alcohol, your blood sugar goes low from lack
of food or from extra activity like dancing, the pancreas will make a
hormone called glucagon.
Glucagon causes the liver to make more sugar. If the liver is too busy
breaking down the alcohol, it will not react to the glucagon to make
more sugar.
The symptoms of low blood sugar can look like the signs of being drunk.
You and people around you may not even realize that your blood sugar
is low.
If your blood sugar goes too low, you can become unconscious.
Glucagon by injection may not work if you have been drinking
a lot of alcohol.
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