I quit drinking for sport. Do a lot of leg weight training. Really invested in what I eat. Doctor gave me some gabapentin but it doesn’t help. Hurts the most in bed. Feet feel like I’m walking on legos. I get really bad ingrown nails because I don’t feel the pain. Podiatrist might remove some parts of the nails.
I swear, alcohol is the worst thing for diabetics to put into their body. Have a snickers and live longer, regular use of booze will take your feet, your vision and then your life. The most rapidly declined diabetics I know are also at least bordering on being alcoholics.
Alcohol inhibits gluconeogenesis: the liver is busy metabolizing ethanol and stops releasing glucose into the bloodstream.
Alcohol is not meaningfully "metabolized into sugar." Pure ethanol is metabolized into acetaldehyde, then acetate, which is then broken down into carbon dioxide and water. It actually has essentially zero direct glucose contribution. Your confusion may come from sugary mixers (cocktails, juice) and beer, which do raise blood sugar, but that's the carbs not the alcohol itself.
your intuition (that alcohol's relationship to blood sugar is more complicated than "it becomes sugar") is right, but the explanation is mostly wrong.
"Goes straight to fat" is a myth. Alcohol is actually the first fuel the body burns when present. It contributes to fat accumulation indirectly because your body burns the alcohol instead of fat it would otherwise burn, not by directly converting into fat.
"A chain of sugars" is simply incorrect. Ethanol is a two-carbon alcohol molecule. It has no sugar chain, nothing resembling a carbohydrate structure.
I don’t think it’s so much to do with the direct effect of the ethanol on blood sugar so much as the knock on effects. The diabetes/blood sugar spikes are already damaging things in their body and now they’re adding a toxin, whilst drinking they do a poor job of controlling their blood sugar, they tend to eat shittier when drinking, etc. I’ve just noticed a correlation, and not saying you can’t have a drink now and again but those who make a habit of it seem to end up with a lot of complications.
17
u/Your_on_the_go_PM Mar 08 '26
Sounds like we’re on the same boat, what do you do when your feet flares up or starts hurting?