Good question
@Harri0723!
Yes alcohol is still possible, but diabetes is typically fickle and annoying about it, and as others have said, individual experiences vary widely.
One of the tricky things is not the carbs in the alcohol itself, but the way alcohol affects both the brain and the liver.
Initially the carbs in beers and ciders can hit the BG rapidly (though this varies from person to person, so there can be a hefty initial spike.
Ales and bitters can have around 20g of carbs per pint, and laters 10-15g a pint... so you don’t need many to make a whole meal’s-worth of carbs.
But...
While the liver gets busy processing the alcohol, it can rather let you down on the whole ‘trickling out glucose to keep you going’ front. So many people find that alcohol provides a net BG drop - sometimes significantly.
So alcohol, adds significant risk of hypoglycaemia. And of course, alcohol also impairs brain function, so you are less equipped to spot early warning signs... AND if anyone sees you stumbling about and slightly incoherent from hypoglycaemia you will have alcohol on your breath, and will appear to be drunk.
So you have to experiment. Initial advice to me was that I should limit to 2 pints at any one time, and snack to avoid hypo. With the benefit of sensors, an insulin pump, and some experimentation
😉😛 I have had some success with small boluses to offset the initial BG rise, but you have to be *very* careful with that, because not all days act the same... and the later BG drop on some days can be
much bigger than on others.
So go carefully, and err on the side of caution
🙂