Study finds drinking with meals cuts risk of type 2 diabetes

You shouldn’t feel guilty for having a glass of wine every night — so long as you drink it with dinner, like the French.

A study has found enjoying a glass with your meal, rather than on its own, could cut your risk of type 2 diabetes.

The researchers discovered that people who drank wine with their meals were 14 per cent less likely to develop the condition, compared to those who drank wine without food.

However, those who drank beer or spirits with their meals appeared to be at higher risk of the metabolic disease.

Lead author Dr Hao Ma of Tulane University, New Orleans, said: ‘Drinking moderate amounts of wine with meals may prevent type 2 diabetes if you do not have another health condition that may be negatively affected by moderate alcohol consumption and in consultation with your doctor.’

Previous studies have identified a compound present in the skin of grapes, known as polyphenols, as being able to lower blood sugar levels.

Wine, especially red, is also rich in healthy plant chemicals such as resveratrol that acts as an antioxidant. 

The full findings of the preliminary research have not yet been released but researchers said they found ‘beneficial associations between alcohol drinking with meals and type 2 diabetes were mainly driven by the wine consumption’

What is type 2 diabetes?

Type 2 diabetes is a common condition that causes the level of sugar (glucose) in the blood to become too high.

It can cause symptoms like excessive thirst, needing to pee a lot and tiredness. It can also increase your risk of getting serious problems with your eyes, heart and nerves.

It’s a lifelong condition that can affect your everyday life. You may need to change your diet, take medicines and have regular check-ups.

It’s caused by problems with a chemical in the body (hormone) called insulin. It’s often linked to being overweight or inactive, or having a family history of type 2 diabetes.

 Source: NHS

Type 2 diabetes results in patients having their blood sugar levels spike too high because of problems with their insulin — the hormone that regulates the amount of glucose in the bloodstream.

If left untreated it can be deadly and also cause serious problems to the heart, nerves and eyes.

Some 4.7million people in the UK — including one in 10 over-40s — have the life-long condition, while around 34million do in the US.   

The research was presented to the American Heart Epidemiology, Prevention, Lifestyle and Cardiometabolic Health Conference this week.

Researchers tracked whether 312,388 drinkers on the UK biobank developed diabetes over an average of 11 years and asked them when and what they drank.

The respondents — who were 56 years old on average — told researchers what time of day they drank, how much, whether it was beer, wine or spirits and if they drank at meal times.

Around 8,600 of the adults in the study developed type 2 diabetes.

They did not have diabetes, cardiovascular diseases or cancer when they joined the study. 

The full findings of the preliminary research have not yet been released but researchers said they found ‘beneficial associations between alcohol drinking with meals and type 2 diabetes were mainly driven by the wine consumption’. 

Experts say people who do not drink alcohol should not start.

They highlight that those who already consume alcohol should drink in moderation.

Dr Ma said: ‘The message from this study is that drinking moderate amounts of wine with meals may prevent type 2 diabetes if you do not have another health condition that may be negatively affected by moderate alcohol consumption and in consultation with your doctor.’ 

Moderate drinking is defined as one glass of wine or other alcoholic beverage daily for women and up to two glasses daily for men.

Despite the findings, the relationship between alcohol consumption and new-onset type 2 diabetes remains controversial, according to Robert Eckel a past president of the American Heart Association, who was not involved in the study.

He said: ‘This data suggest that it’s not the alcohol with meals but other ingredients in wine, perhaps antioxidants, that may be the factor in potentially reducing new-onset type 2 diabetes.

‘While the type of wine, red versus white, needs to be defined, and validation of these findings and mechanisms of benefit are needed, the results suggest that if you are consuming alcohol with meals, wine may be a better choice.’

The authors note a number of limitations to their study, including that most of those participating were white adults of European descent who reported their own alcohol intake.

It is therefore unknown whether the findings can be generalised to other populations. 

DO YOU DRINK TOO MUCH ALCOHOL? THE 10 QUESTIONS THAT REVEAL YOUR RISK

One screening tool used widely by medical professionals is the AUDIT (Alcohol Use Disorders Identification Tests). Developed in collaboration with the World Health Organisation, the 10-question test is considered to be the gold standard in helping to determine if someone has alcohol abuse problems.

The test has been reproduced here with permission from the WHO.

To complete it, answer each question and note down the corresponding score.

YOUR SCORE:

0-7: You are within the sensible drinking range and have a low risk of alcohol-related problems.

Over 8: Indicate harmful or hazardous drinking.

8-15: Medium level of risk. Drinking at your current level puts you at risk of developing problems with your health and life in general, such as work and relationships. Consider cutting down (see below for tips).

16-19: Higher risk of complications from alcohol. Cutting back on your own may be difficult at this level, as you may be dependent, so you may need professional help from your GP and/or a counsellor.

20 and over: Possible dependence. Your drinking is already causing you problems, and you could very well be dependent. You should definitely consider stopping gradually or at least reduce your drinking. You should seek professional help to ascertain the level of your dependence and the safest way to withdraw from alcohol.

Severe dependence may need medically assisted withdrawal, or detox, in a hospital or a specialist clinic. This is due to the likelihood of severe alcohol withdrawal symptoms in the first 48 hours needing specialist treatment.

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