Alcohol may not ward off diabetes

While some research has found that moderate drinking may protect against Diabetes, a new study suggests that other factors may largely explain the seeming benefit.

“According to our results, it seems that much of the protective relationship between alcohol intake and Diabetes in women can be explained by body weight,” said the study’s lead author, Dr. Leif Lapidus.

In a study that followed nearly 1,500 Swedish women for 32 years, Lapidus and his colleagues at Goteborg University in Sweden found that those who drank wine, beer or liquor were less likely than teetotalers to develop Type 2 diabetes.

However, the apparent protective effect vanished when the study authors factored in the women’s body weight, a key element in Diabetes risk. The positive effect of drinking was also dampened when the researchers accounted for exercise habits and socioeconomic status, according to the team’s report in the journal Diabetes Care.

In short, women who drank tended to be leaner, and somewhat more active and affluent.

Type 2 diabetes is a chronic, life-long disease that results when the body’s insulin does not work effectively. Insulin is a hormone released by the pancreas in response to increased levels of blood sugar (glucose) in the blood.

The new study included 1,462 women who were between the ages of 38 and 60 at the outset, in 1968; the women reported on their drinking habits at the start of the study, and again 12 years later.

Diabetes is caused by a problem in the way your body makes or uses insulin. Insulin is necessary for glucose to move from the blood to the inside of the cells.

Unless glucose gets into cells, the body cannot use it for energy. Excess glucose remains in the blood, and is then removed by the kidneys. The symptoms inlcude excessive thirst, frequent urination, hunger, and fatigue.

Though regularly enjoying a glass of wine did not, by itself, ward off diabetes, there was some evidence of a lower risk of dying over the study period. This might reflect the heart benefits that numerous studies have attributed to moderate drinking, according to Lapidus. He added, however, that the finding should be “interpreted with caution.”

SOURCE: Diabetes Care, September 2005.

Provided by ArmMed Media
Revision date: June 14, 2011
Last revised: by Dave R. Roger, M.D.