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Lifestyle Changes for Diabetes Reversal

Reducing Alcohol Consumption to Reverse Diabetes

Dealing with diabetes is hard, but smart choices about our lives can make a big difference. It’s crucial to look at how much alcohol we drink because it can really affect our blood sugar and how our insulin works.

If you drink moderately, the danger might not be high. But drinking a lot and over a long time can cause serious problems like kidney disease and heart issues1. Cutting back or stopping your drinking could help manage or even turn around your diabetes. It may also make your insulin work better and bring down your blood sugar levels1. Let’s dive into why drinking and diabetes don’t mix and why changing what we eat is so important for preventing diabetes.

Key Takeaways

  • Too much alcohol can make insulin work less well and mess up how your blood sugar is controlled if you have diabetes.
  • Drinking heavily over time can up your chances of getting long-term pancreas problems, which might cause diabetes.
  • Certain drinks can make your blood sugar spike more because they have lots of carbs in them.
  • If you cut out alcohol or stick to light drinking, you can handle your diabetes better and maybe avoid serious issues.
  • Always talk to doctors if you’re not sure how alcohol fits with your diabetes care.

Understanding Diabetes and Its Types

Diabetes mellitus is a serious problem affecting energy use from food in the body. Over 133 million Americans have it or are close to getting it2. It’s key to know about the different kinds of diabetes.

Type 1 Diabetes: An Autoimmune Condition

Type 1 diabetes is from the immune system attacking cells that make insulin. This stops the body from making insulin. It mainly starts in kids and young adults2.

Without enough insulin, the body can’t control blood sugar well. People with type 1 diabetes need to take insulin to stay alive.

Type 2 Diabetes: Insulin Resistance and Reduced Insulin Production

Type 2 diabetes is the most seen kind, making up 90% to 95% of cases2. It’s linked to the body not using insulin right, coupled with less and less insulin over time. This is seen more with obesity and a family history2.

It can show up at any age but is more common after 40. Sadly, it’s now found in more kids too3.

Gestational Diabetes: A Temporary Form During Pregnancy

Gestational diabetes happens during pregnancy and goes away after birth. But, it raises the risk of type 2 diabetes later2. If left untreated, it can cause problems for the baby and mother, like preeclampsia3.

Up to 2019, 37.3 million in the U.S., about 11.3%, had diabetes2. Shockingly, almost one in four adults didn’t know they had it2. Prediabetes affected 96 million Americans, over a third of adults. It puts them at risk of type 2 diabetes24. Long-term high blood sugar can harm the heart, kidneys, feet, and eyes2. Yet, some with type 2 diabetes see their blood sugar get back to healthy levels without medicine4.

Common Symptoms of Diabetes

Diabetes is a chronic illness that impacts how our bodies use food for energy. It presents through various symptoms. These can act as early signals, telling us it’s time to see a doctor and manage the condition.

Increased Thirst and Frequent Urination

Feeling extremely thirsty and urinating often are common signs of diabetes. When there’s too much sugar in our blood, it pulls out water from tissues. This leads to dehydration and a cycle of needing to drink and use the bathroom often.5

Extreme Fatigue

Another noticeable symptom is feeling excessively tired. If the body struggles to deliver glucose to cells for energy, it causes tiredness and a lack of energy, even after getting enough rest.5

Blurred Vision

Diabetes can make the lenses in our eyes swell, creating problems such as blurred vision or trouble focusing. This issue might go away with blood sugar control. Yet, if not managed, it could hint at more significant eye problems.5

Slow Healing of Cuts and Sores

People with diabetes might find their wounds taking longer to heal. Challenges like poor blood circulation and high sugar levels can cause this. So, it’s vital to seek medical care for any cuts or sores not getting better quickly.5

Unexplained Weight Loss

If someone with type 1 diabetes starts losing weight without trying, it could be a sign. This happens when their body uses muscle and fat for energy. Other symptoms like increased thirst, frequent urination, and tiredness often come with this weight loss.5

Common Symptoms of Diabetes Description
Increased Thirst and Frequent Urination Excess sugar in the bloodstream causes dehydration, leading to constant thirst and frequent urination.
Extreme Fatigue Inefficient glucose transport to cells results in persistent tiredness and lack of energy.
Blurred Vision Fluctuating blood sugar levels can cause the lenses in the eyes to swell, leading to blurred vision.
Slow Healing of Cuts and Sores Impaired circulation and elevated blood sugar levels can delay the healing process for wounds and infections.
Unexplained Weight Loss In type 1 diabetes, the body may burn muscle and fat for energy, resulting in weight loss despite increased appetite.

The Complex Relationship Between Alcohol and Diabetes

Understanding the link between alcohol and diabetes needs a detailed look. Moderate drinking might help your health. But, too much or drinking often can boost the chance of getting diabetes and make it worse if you already have it.

Drinking alcohol can lead to weight gain, which is a big factor in type 2 diabetes. It can also inflame the pancreas. This makes the pancreas not work right, leading to problems with blood sugar.6 Still, some studies show light drinking might lower the risk for type 2 diabetes in some people. This shows us that everyone’s risk and benefit are different. We should look at this individually.

Diabetes Type Prevalence Onset Age Insulin Production
Type 1 10% Before 40 Deficient
Type 2 90% After 40 Reduced

Roughly 90% of diabetes cases in the U.S. are type 2 diabetes. This type often starts after 40. Even though at first, those with type 2 diabetes keep making insulin, they have trouble using it well. This trouble can partly come from family and partly from lifestyle.6

Depending on whether diabetics eat or not, alcohol can change blood sugar levels. This is important to know.6

To manage diabetes well and keep A1C levels low, we must understand how alcohol and diabetes relate. It’s key to think about your own situation and talk to your doctor. This will help you decide wisely about drinking alcohol.

How Alcohol Affects Blood Sugar Levels

Drinking alcohol impacts blood sugar levels in those with diabetes. It can cause both high and low sugar spikes. The change in blood sugar depends on many things. This includes the drink type, how much you have, if you’ve eaten, and your diabetes medicine.

Hyperglycemia: Elevated Blood Sugar Levels

Beer and sweet cocktails, rich in carbs, can spike your sugar levels.7 Alcohol gets processed before glucose, so your sugar levels rise. This happens because your body focuses on breaking down alcohol first, leaving sugar in your blood.

hyperglycemia and alcohol

Hypoglycemia: Low Blood Sugar Levels

Too much alcohol can lower your blood sugar.7 This happens when the liver doesn’t make enough glucose. The risk increases if you drink on an empty stomach or take certain diabetes drugs. These include insulin or sulfonylureas. Mixing these meds with alcohol can be very dangerous. It might lead to severe issues like seizures, coma, or death if not handled quickly.

If you have diabetes, it’s very important to keep a close eye on your blood sugar while drinking. Work with your doctor to manage your meds and diet when you plan to drink.8

Alcoholic Drinks and Their Impact on Blood Sugar

Understanding alcohol types and their effect on blood sugar is key. The American Diabetes Association tells us that beer, ales, and ciders often have more carbs. This can cause a quick rise in blood sugar8. On the flip side, liquor and dry wines usually have fewer carbs. So, they might be better for managing blood sugar8.

Yet, all drinks don’t affect blood sugar the same way. For example, sweet dessert wines can have a lot of carbs in a small glass. Meanwhile, spirits and a standard glass of wine have almost no carbs or just a few grams8.

A 12-ounce beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor make up one drink8.

If you have diabetes, watch how much alcohol you drink. Extra drinking can make you gain weight because alcohol has lots of calories8. Having more than three drinks in a day might raise your blood sugar too high. This can make managing diabetes harder8.

Drink Serving Size Carbohydrate Content
Beer 12 oz 10-20 grams
Wine (dry) 5 oz 4 grams
Spirits (80 proof) 1.5 oz Trace
Sweet Dessert Wine 3.5 oz 14 grams

Drinking moderate amounts might have some benefits for keeping blood sugar in check and helping insulin work better8. But, it’s important to talk to your doctor. They can explain how alcohol affects you, especially if you have health problems or might get diabetes.

Risks of Drinking Alcohol with Diabetes

Drinking alcohol while dealing with diabetes can be risky. It can make existing health problems worse. Or, it might cause new ones. Some of these dangers are elevated blood pressure and increased risk of heart disease. There’s also a risk of alterations in lipid metabolism and liver disease and pancreatitis. Plus, it can cause diabetic ketoacidosis and make issues like nerve damage (neuropathy) and eye diseases (retinopathy) worse.

Elevated Blood Pressure

Drinking too much can up your blood pressure. This is extra bad for those with diabetes since they’re more likely to get high blood pressure already. High blood pressure can strain your heart and blood vessels. It can lead to heart disease, stroke, and other problems.68

Increased Risk of Heart Disease

There’s a higher risk of heart disease if you drink a lot, especially with diabetes.68 Alcohol, when combined with diabetes, can mess with your blood sugar and how your body handles fats. This bad combo can hurt your heart health.

Altered Lipid Metabolism

Boozing can mess up how your body breaks down fats. This can cause alterations in lipid metabolism.68 With this issue, you could get abnormal cholesterol and triglyceride levels. And that raises your heart disease risk.

liver disease and pancreatitis

Liver Disease and Pancreatitis

Both diabetes and drinking can harm your liver and pancreas. If you drink too much on top of having diabetes, it really ups the danger. Too much alcohol can give you a fatty liver, cause inflammation, and even make your liver stop working. Diabetes also affects your liver and can increase your chance of getting pancreatitis.68

Diabetic Ketoacidosis

Drinking a lot when you have diabetes can lead to diabetic ketoacidosis. This condition is very serious and happens when acids build up in your blood.68 It often occurs when there’s not enough insulin in your body to handle glucose. Your body starts using fat for energy, creating ketones.

Exacerbated Neuropathy and Retinopathy

Drinking can make diabetes-related nerve damage and eye disease worse.689 Nerve damage can cause numbness, tingling, and pain in your feet and hands. Eye disease can harm your vision, maybe even leading to blindness if you don’t get help.

Alcoholic Beverage Serving Size Carbohydrates (g) Calories
Regular Beer 12 oz 13 150
Light Beer 12 oz 5 100
Non-alcoholic Beer 12 oz 12 60
Dry Wine (White, Red, Rose) 4 oz Negligible 80
Sweet Wine 4 oz 5 105
Wine Cooler 12 oz 30 215
Champagne 4 oz 4 100
Sweet Kosher Wine 4 oz 12 132
Sherry 2 oz 2 74
Sweet Sherry or Port 2 oz 7 90
Cordials or Liqueurs 1 ½ oz 18 160
Gin, Rum, Vodka, Whiskey, Scotch (80-proof) 1 ½ oz Negligible 100
Dry Brandy or Cognac 1 oz Negligible 75

Tips for Safe Alcohol Consumption with Diabetes

If you have diabetes, being wise about alcohol is important. It’s crucial to handle it carefully. Stick to the safe drinking rules for both men and women.

Moderation is Key

People with diabetes should not drink a lot. The limit is about 14 units a week for both men and women. That’s roughly six medium glasses of wine or six pints of lager7. Diabetes means you should drink less than other adults8. For women, a drink a day is fine. For men, two drinks a day is the limit8.

Never Drink on an Empty Stomach

Drinking with food reduces the risk of low blood sugar. Never drink alcohol without eating first. This step can help you avoid getting too low on sugar levels.

Monitor Blood Sugar Levels

Check your blood sugar before, during, and after drinking. Drinking a lot can make the risk of type 2 diabetes higher7. More than three drinks per day can lead to high blood sugar and A1C levels8. So, it’s important to keep an eye on your blood sugar often.

Educate Your Friends and Companions

Tell your friends and family about your diabetes. They can help in an emergency. After drinking, the risk of low blood sugar is high for up to 24 hours7. Having someone nearby who knows what to do can make a big difference.

Opt for Low-Sugar Drinks

Choosing drinks that are low in sugar is smart. Spirits and wine have less sugar. Sweet wines, however, have more carbs. Be aware of how different drinks affect your blood sugar8.

Drink Carbohydrate Content (g) Calorie Content
Regular beer 13 150
Light beer 5 100
Dry white, red, rose wine Trace 80
Sweet wine 5 105
Wine cooler 30 215
80-proof gin, rum, vodka, whiskey, scotch Trace 100

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Avoid Binge Drinking

Binge drinking is bad news for diabetics. It can cause a lot of issues, like low blood sugar and dehydration. Stick to moderate drinking to stay safe.

Consult Your Healthcare Professional

Talk to your doctor before you drink alcohol. They can give advice based on your health. They’ll tell you how alcohol and your diabetes might mix. This is key to making the best choices about drinking.

Remember, alcohol doesn’t need insulin to give you energy. Yet, your body focuses on alcohol metabolism over keeping your blood sugar level. This can lead to low blood sugar risk8. By being careful and following advice, you can enjoy drinking while taking care of your diabetes.

Reversing Diabetes: The Role of Alcohol Abstinence

Abstaining from alcohol doesn’t directly turn back diabetes. But it can make a big difference. It helps manage blood sugar levels better. And it lowers the chances of having diabetes problems.

If you’re at the early stage of diabetes, not drinking can slow it down. It might even prevent it from getting worse.1

Quitting alcohol and changing how you live can avoid or control diabetes from alcohol. Sometimes it can even be stopped.1 Drinking too much, especially over a long time, harms your pancreas. This can lead to diabetes by messing with how insulin is made.1

Drinking alcohol can make blood sugar levels too high or too low for people with diabetes.1

That’s why giving up alcohol is so important for diabetes. It cuts down on possible problems. And in some cases, it can make diabetes go away if you also change your lifestyle.

  • Not drinking can lower your risk of getting or making diabetes worse. It helps keep your blood sugar levels right and might stop prediabetes from becoming full diabetes.1
  • If you have diabetes because of alcohol, stopping drinking and living healthier can be a big help.1
  • Drinking when you have diabetes makes it hard to control blood sugar. This can lead to very high or very low blood sugar levels.6

Reversing Diabetes: Strategies and Lifestyle Changes

Keeping diabetes in check or even turning it around means changing how we live in big ways. A big part of this is eating well. A balanced and nutritious diet helps you keep a healthy weight and steady blood sugar levels.1011 Moving your body, like through physical activity and exercise, is key too. It makes your muscles better at using sugar and helps your body react better to insulin, which can help beat diabetes.11

One big goal is to reach and stay at a healthy weight. This can mean eating fewer calories, like with low-calorie diets or eating only during certain times. These approaches have shown to help fight type 2 diabetes and get blood sugar back to normal in people who are overweight.1011 It’s also very important to always keep an eye on your blood sugar levels and take your meds like you’re supposed to. This keeps diabetes under control.

It’s not just what you eat and how you move. Dealing with stress and making sure you sleep enough are also important. For those who are extremely overweight, surgeries like gastric bypass and sleeve gastrectomy have been very effective in fixing type 2 diabetes.

Reversing diabetes takes a lot of effort across different parts of your life, considering what’s unique about you. Making changes in what you eat, how much you exercise, and managing your weight, along with your doctor’s care, can help a lot.

Many studies have shown that most people who have these surgeries lose their diabetes. Surgeries like gastric bypass and sleeve have better results over time than gastric banding.10

Lifestyle Modification Potential Benefits
Balanced and nutritious diet Supports healthy weight management and stable blood sugar levels
Regular physical activity and exercise Enhances glucose uptake in skeletal muscles and improves insulin sensitivity
Calorie-controlled diets (low-calorie or intermittent fasting) Aids in weight loss and restoring normoglycemia in obese individuals
Stress management and adequate sleep Contributes to overall diabetes management and well-being
Bariatric surgery (gastric bypass or sleeve gastrectomy) Demonstrated significant remission rates for type 2 diabetes
  • Consult with healthcare professionals for personalized advice and help.
  • Keep track of your progress and change your plan as needed.
  • Take a holistic approach to better your body, mind, and emotions.

Alcohol-Induced Diabetes: Prevention and Management

If you’re dealing with diabetes from drinking too much alcohol, there are steps to help. You should stop drinking or cut back to just a little.1 It’s important to eat well, exercise, and keep a healthy weight too. Doing this can stop or control alcohol-induced diabetes.1

alcohol-induced diabetes

Drinking a lot of alcohol over a long time can harm your health. It leads to problems like kidney disease, low blood sugar, and heart issues. That’s why quitting is key in handling alcohol-linked diabetes.1 Too much drinking makes you more likely to get diabetes. It can make you gain weight, which raises your diabetes risk. It also messes up how your body makes insulin and controls sugar.1

Getting help from a doctor is a good idea if alcohol is a big problem for you.

It’s good to eat foods that are full of nutrients and move around a lot. This, along with keeping a healthy weight, can actually beat alcohol-related diabetes sometimes.1 Don’t forget to check your blood sugar often. Teach your loved ones about your condition and stay away from drinking too much at one time.1

  1. Start by changing your diet. Cut back on sugary foods and eat more with fiber.
  2. Do exercises that help your heart and muscles to make your insulin work better.
  3. Keep an eye on your blood sugar and talk to your doctor about the best plan for you.

Being proactive about prevention and management is key. It helps you beat alcohol-caused diabetes and get healthier overall.

Risks of Excessive Alcohol Consumption

Moderate drinking isn’t always bad for health. But, too much can cause problems like dehydration, sleep problems, and increase the chance of getting cancer and heart disease.7

Dehydration and Sleep Disturbances

Alcohol makes you more likely to pee. This loss of fluids can cause dehydration.7 It also messes with your sleep, making you feel tired and off.

This bad sleep can affect how you feel during the day. It might make you more stressed or unhappy.

Increased Cancer and Heart Disease Risk

Drinking a lot has been linked to cancers like breast and liver cancer. It can also raise your chances of getting heart disease by upping your blood pressure.7

Plus, drinking too much can make you gain weight. This can up your risk for cancer and heart diseases even more.

If you have diabetes, you should be extra careful with alcohol. Keeping your drinking low is best. Then again, your doctor may suggest not drinking at all, especially if it helps avoid serious health issues.

Health Condition Risk Associated with Excessive Alcohol Consumption
Dehydration Increased urination, leading to fluid loss
Sleep Disturbances Disrupted sleep patterns, poor sleep quality
Cancer Increased risk of various types, including breast, liver, and colorectal cancer
Heart Disease Elevated blood pressure, a major risk factor for heart disease

Alcohol, Fertility, and Pregnancy Considerations

Drinking alcohol can affect both male and female fertility. It might lower the chances of getting pregnant. A study found a connection between drinking and less fertility in women. This article highlights how alcohol can reduce fertility in women.12

If you’re trying to get pregnant or are pregnant, not drinking is best. Too much alcohol when you’re pregnant can harm the baby. It could cause a miscarriage or contribute to fetal alcohol syndrome, which can affect the baby’s health and development.12

Smoking also affects your chances of getting pregnant. It might take longer to get pregnant if you smoke. This impacts how fertile you are.

But it’s not just alcohol that’s a problem. Smoking and being overweight can also hurt fertility, for both men and women. Making healthier choices is important for having a baby.

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  • Men’s fertility can be harmed if they’re obese. This affects how well treatments like IVF or ICSI work.12
  • If moms drink a lot of caffeine when pregnant, it might affect their baby’s growth. This was shown in a big study.12
  • Smoking and drinking coffee during pregnancy might be linked. Two big studies in Europe found this.

There’s also evidence from genetic studies. They’ve found links between certain genes and how likely we are to smoke and drink. This gives us a better understanding of why people use substances.12

Study Findings
Norwegian Mother and Child Cohort Study (MoBa) This study was key to learning about pregnancy and child health. Its findings have shaped our knowledge.12
Genetic Studies By studying genes, we’ve learned more about drinking and smoking.12

To protect your fertility and have a safe pregnancy, lead a healthy life. This means less alcohol, no smoking, eating well, and talking to doctors.

Emotional Well-being and Alternative Coping Mechanisms

Having a chronic condition like diabetes can be tough emotionally. It might lead some to drink more alcohol. But, seeking comfort in alcohol when feeling stressed or sad is not healthy.1314 It’s better for those with diabetes to find better ways to manage stress and feelings.

Getting active or exercising is one good way to handle stress and boost your mind. Also, doing things you love and that make you feel proud can take your mind off the struggles of diabetes.

Relaxation methods like deep breathing or yoga can lower stress. They help create a sense of peace.13 Moreover, support from family, friends, or groups focused on diabetes, plus talking to a mental health expert, can give strong emotional backing.

Maintaining emotional well-being and finding healthy outlets for stress can contribute to overall diabetes management and overall health.

Putting self-care first, finding coping ways that suit them, and keeping a positive attitude can help people with diabetes face their feelings. They can do this without turning to harmful habits like drinking too much alcohol.

Unhealthy Coping Healthy Coping
Alcohol consumption Physical activity
Emotional suppression Relaxation techniques
Social isolation Hobbies and interests
Negative self-talk Support groups

Choosing healthy ways to cope can do more than just help control diabetes. It can also better your way of life and emotional well-being.

Conclusion

Stopping or cutting down on alcohol can create big changes in fighting diabetes. Understanding how alcohol links to diabetes is key. This helps us choose wisely about drinking and boost our health.15 Always get advice from doctors. They can tailor suggestions to fit your personal health needs.

Living all around healthy helps manage diabetes better. This means eating well, staying active, and keeping stress in check. And yes, handling alcohol wisely fits in here too. Talk to your healthcare team often. This way, you’re more likely to reach your health targets.

Dealing with diabetes might be tough, but it’s a chance to put your health first. A choice to live well for a long and full life. Start by cutting back on alcohol and making lasting lifestyle tweaks. You’ll feel the benefits of a healthier you.

FAQ

What is the relationship between alcohol consumption and diabetes?

Drinking alcohol can have a complex impact on diabetes. Moderate drinking might not be harmful. But, too much alcohol can cause health problems. These may include kidney disease, low blood sugar (hypoglycemia), and heart issues.

How does alcohol affect blood sugar levels?

Alcoholic drinks, especially ones with lots of carbs, can raise blood sugar. Yet, drinking too much can also lower blood sugar levels. This is because it affects the liver’s job of making glucose.

Are some alcoholic drinks better for those with diabetes?

Yes, some drinks affect blood sugar more than others. Beers and ales have lots of carbohydrates. Spirits and some wines have less. Choosing drinks lower in sugar helps.

What are the risks of drinking alcohol with diabetes?

Drinking poses many risks for those with diabetes. It can raise blood pressure and increase heart disease risk. It can also change how your body processes fats, harm your liver or pancreas, and worsen nerve and eye problems.

How can individuals with diabetes safely consume alcohol?

To drink safely, take some steps. Drink in moderation and not on an empty stomach. Always monitor your blood sugar levels. Educate your friends about your condition. Choose drinks with less sugar, avoid binge drinking, and talk to your doctor.

Can abstaining from alcohol help reverse diabetes?

Yes, giving up alcohol can improve blood sugar management. It might also prevent complications. For those at risk of diabetes, cutting back or quitting alcohol can even stop its progress.

What are the strategies for reversing diabetes?

To manage or reverse diabetes, life changes are key. This means eating well, moving your body, keeping a healthy weight, and checking your blood sugar. It’s a holistic approach.

How can alcohol-induced diabetes be prevented and managed?

If alcohol causes your diabetes, cutting back is the first step. Also eat well, exercise, and stay at a healthy weight. These steps can prevent or help manage this type of diabetes.

What are the other risks of excessive alcohol consumption?

Too much alcohol is bad for your health in many ways. It can dehydrate you, disrupt your sleep, and increase your cancer and heart disease risks.

How does alcohol affect fertility and pregnancy?

Alcohol can lower fertility in both men and women. Pregnant women shouldn’t drink, as it can harm the baby. It raises the chances of birth defects and other serious health issues for the baby.

What are healthy alternatives to cope with stress or low moods?

Rather than alcohol, people with diabetes should turn to healthier ways to deal with stress or sadness. This includes exercise, hobbies, relaxation, and talking to loved ones or professionals.

Source Links

  1. https://zinniahealth.com/substance-use/alcohol/diabetes
  2. https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
  3. https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444
  4. https://www.diabetes.org.uk/diabetes-the-basics
  5. https://www.webmd.com/diabetes/understanding-diabetes-symptoms
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761899/
  7. https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/what-to-drink-with-diabetes/alcohol-and-diabetes
  8. https://diabetes.org/health-wellness/alcohol-and-diabetes
  9. https://dtc.ucsf.edu/living-with-diabetes/diet-and-nutrition/diabetes-alcohol/
  10. https://www.webmd.com/diabetes/can-you-reverse-type-2-diabetes
  11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400171/
  12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071662/
  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420272/
  14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370485/
  15. https://www.medicalnewstoday.com/articles/327390

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