Effect of alcoholic beverages on postprandial glycemia and insulinemia in lean, young, healthy adults
Open accessAbstract
Background Ethanol's ability to inhibit gluconeogenesis might reduce postprandial glycemia in realistic meal settings.Objective The objective was to explore the effect of 3 types of alcoholic beverages consumed alone, with a meal, or 1 h before a meal on postprandial glycemia in healthy subjects.Design In study 1, isoenergetic (1000 kJ) servings of beer, white wine, and gin were compared with a 1000-kJ portion of white bread. In study 2, the same servings were compared with water as an accompaniment to a bread meal. In study 3, 20-g alcohol portions were served as a premeal drink. Fingertip capillary blood samples were taken at regular intervals over 2-3 h.Results In study 1, the mean (+/-SE) glucose scores for beer (58 +/- 11), wine (7 +/- 3), and gin (10 +/- 5) were significantly lower (P < 0.001) than those for bread (= 100). In study 2, meals consumed with beer (84 +/- 11; P = 0.03), wine (63 +/- 6; P < 0.001), and gin (80 +/- 12; P = 0.007) produced less glycemia than did the meal consumed with water (= 100). In study 3, all 3 beverages reduced the postprandial glycemic response to the subsequent meal (67 +/- 5, 75 +/- 6, and 78 +/- 4 with the beer, wine, and gin trials, respectively; P < 0.003).Conclusion In realistic settings, alcoholic beverage consumption lowers postprandial glycemia by 16-37%, which represents an unrecognized mechanism by which alcohol may reduce the risk of chronic disease.
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Randomized placebo-controlled trials in healthy nondiabetic individuals showed that 1 to 2 drinks immediately before a meal significantly lower postprandial glucose and insulin levels.
“Randomized placebo-controlled trials in healthy nondiabetic individuals showed that 1 to 2 drinks immediately before a meal will significantly lower post-prandial glucose and insulin levels (37) (Fig. 7).”
From Dietary Strategies for Improving Post-Prandial Glucose, Lipids, Inflammation, and Cardiovascular Health (2008) · cites this paper as [37]
Study 3 reports significantly lower postprandial glucose after alcoholic drinks, but the drinks were consumed one hour before the meal, not immediately before it. The Study 3 results also say insulin responses tended to be higher, significantly so for gin, rather than significantly lower. The premeal servings were two standard drinks. (LLM, conf=0.93)
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Self-citation
- Authors
- Brand-Miller, J. C., Fatima, K., Middlemiss, C., Bare, M., Liu, V., Atkinson, F., & Petocz, P.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Brand-Miller, Jennie C
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2007-06
- Volume
- 85
- Issue
- 6
- Pages
- 1545-1551
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2130624836
- Cited by
- 69
- References
- 26
- Citations by year
- 2026: 4 · 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 6
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Keywords
- alcoholic beverages, ethanol, postprandial blood glucose, insulin levels, beer, white wine, gin, meal timing, gluconeogenesis inhibition, healthy young adults
- MeSH terms
- Adult, Ethanol, Alcoholic Beverages, Blood Glucose, Dietary Carbohydrates, Female, Gluconeogenesis, Humans, Insulin, Male, Middle Aged, Postprandial Period
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