A patient who is prescribed glyburide (DiaBeta) asks if having a glass of wine once a week is okay. What is the nurse's best response?
a. "Insulin activity is dramatically reduced under the influence of alcohol, and drinking even one glass of wine will increase your insulin requirements."
b. "Diabetes reduces your kidney function, so you should avoid ingesting alcohol in all forms at all times."
c. "You should not drink any alcohol as it is likely to increase your sense of hunger and make you overeat."
d. "One glass of wine can be ingested with a meal on occasion and cause no problems."
D
Under normal circumstances, blood glucose levels will not be affected by moderate use of alcohol when diabetes is well controlled. When using insulin, two alcoholic beverages for men and one for women can be ingested in addition to the normal meal plan. Because alcohol can induce hypoglycemia, it should be ingested with or shortly after a meal. Although alcohol can lead to or worsen liver problems and should not be taken with drugs that affect the liver, glyburide does not appear to cause liver problems
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