The Glucose Never Lies® Podcast

25 — Partying with T1D (Alcohol Edition)

• John Pemberton • Episode 25

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In this episode, John Pemberton and Dr Dessi Zaharieva open a transparent, evidence-based conversation about alcohol, nightlife, festivals, hypos, and harm-reduction for people living with Type 1 Diabetes.

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FAQ: Alcohol & Type 1 Diabetes

Alcohol suppresses hepatic glucose output, disrupts REM sleep, increases overnight hypo risk, and affects metabolism differently across single-night and multi-day events. This episode walks through the mechanisms, the patterns, and the practical adjustments that help people stay safer.

What we cover:
• Alcohol’s effects on the liver and glucose release
• Why glucagon often fails
• Why memory disappears after drinking
• Night-one vs multi-night physiology
• Basal adjustments, Activity Mode, manual mode and MDI
• Festival strategies and hypo prevention
• How parents and clinicians can talk about alcohol without shame

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For education only. Not medical advice and not a substitute for individual care; decisions about your care sit with you and your diabetes team.

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