Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/31072
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dc.contributor.authorCharlton, Jacquien_UK
dc.contributor.authorGill, Janen_UK
dc.contributor.authorElliott, Lawrieen_UK
dc.contributor.authorWhittaker, Anneen_UK
dc.contributor.authorFarquharson, Barbaraen_UK
dc.contributor.authorStrachan, Marken_UK
dc.date.accessioned2020-04-29T00:08:06Z-
dc.date.available2020-04-29T00:08:06Z-
dc.date.issued2020-02en_UK
dc.identifier.urihttp://hdl.handle.net/1893/31072-
dc.description.abstractEvidence‐based information for people with type 1 diabetes mellitus (T1DM) when consuming alcoholic beverages is sparse and simplistic. In clinical practice, erratic blood glucose levels with hypoglycaemia and hyperglycaemia are regularly observed, with episodes of severe hypoglycaemia being a potential risk. Preventative health behaviour strategies are often based on trial and error, with deliberately caused hyperglycaemia being a common tactic. Although important, there are no systematic reviews that synthesise the research evidence on the acute effects of alcohol on blood glucose and the impact in real‐life. We aimed to investigate the acute effect of alcoholic beverages on blood glucose, and to use appropriate evidence to recommend self‐care advice to help maintain safe glycaemic control in people with T1DM. A literature search from eight bibliographic databases was performed. Fifteen appropriate publications were identified. Most original research was performed in a laboratory environment and demonstrated inconsistencies in the effects of alcohol on blood glucose. Few studies were conducted in the real‐life environment, with advice from ‘diabetes associations’ focusing on abstinence rather than alcohol harm reduction strategies. In conclusion, key components to consider when designing future interventions include: the biochemical response to alcohol; the role of exogenous insulin; the presence and timing of carbohydrate foodstuffs in relation to alcohol; the impact of the constituents and amount of an alcoholic beverage consumed; and the effects of alcohol on cognition and behaviours.en_UK
dc.language.isoenen_UK
dc.publisherWileyen_UK
dc.relationCharlton J, Gill J, Elliott L, Whittaker A, Farquharson B & Strachan M (2020) A review of the challenges, glycaemic risks and self-care for people with type 1 diabetes when consuming alcoholic beverages. Practical Diabetes, 37 (1), pp. 7-12c. https://doi.org/10.1002/pdi.2253en_UK
dc.rightsThis item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Charlton, J., Gill, J., Elliott, L., Whittaker, A., Farquharson, B. and Strachan, M. (2020), A review of the challenges, glycaemic risks and self‐care for people with type 1 diabetes when consuming alcoholic beverages. Practical Diabetes, 37: 7-12c, which has been published in final form at https://doi.org/10.1002/pdi.2253. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.en_UK
dc.rights.urihttps://storre.stir.ac.uk/STORREEndUserLicence.pdfen_UK
dc.subjecttype 1 diabetes mellitusen_UK
dc.subjectalcohol consumptionen_UK
dc.subjectblood glucoseen_UK
dc.subjecthypoglycaemiaen_UK
dc.subjecthyperglycaemiaen_UK
dc.subjectinsulinen_UK
dc.subjectcarbohydratesen_UK
dc.subjectself‐careen_UK
dc.titleA review of the challenges, glycaemic risks and self-care for people with type 1 diabetes when consuming alcoholic beveragesen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2021-02-07en_UK
dc.rights.embargoreason[PD Final 3.12.19_ACCEPTED.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.identifier.doi10.1002/pdi.2253en_UK
dc.citation.jtitlePractical Diabetesen_UK
dc.citation.issn2047-2900en_UK
dc.citation.volume37en_UK
dc.citation.issue1en_UK
dc.citation.spage7en_UK
dc.citation.epage12cen_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.author.emailanne.whittaker@stir.ac.uken_UK
dc.citation.date06/02/2020en_UK
dc.contributor.affiliationEdinburgh Napier Universityen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.identifier.scopusid2-s2.0-85078985646en_UK
dc.identifier.wtid1573212en_UK
dc.contributor.orcid0000-0002-0281-4468en_UK
dc.contributor.orcid0000-0001-8960-5070en_UK
dc.contributor.orcid0000-0001-9295-3156en_UK
dc.date.accepted2019-12-05en_UK
dcterms.dateAccepted2019-12-05en_UK
dc.date.filedepositdate2020-04-28en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionAMen_UK
local.rioxx.authorCharlton, Jacqui|en_UK
local.rioxx.authorGill, Jan|0000-0002-0281-4468en_UK
local.rioxx.authorElliott, Lawrie|en_UK
local.rioxx.authorWhittaker, Anne|0000-0001-8960-5070en_UK
local.rioxx.authorFarquharson, Barbara|0000-0001-9295-3156en_UK
local.rioxx.authorStrachan, Mark|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2021-02-07en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2021-02-06en_UK
local.rioxx.licencehttps://storre.stir.ac.uk/STORREEndUserLicence.pdf|2021-02-07|en_UK
local.rioxx.filenamePD Final 3.12.19_ACCEPTED.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source2047-2900en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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