Is Red Wine Good for Diabetics? The Definitive Science-Backed Guide

For centuries, wine has been a centerpiece of human culture, a symbol of celebration, relaxation, and communion. For the millions of people living with diabetes, however, the simple act of enjoying a glass of Merlot or Cabernet Sauvignon is often fraught with anxiety and confusion. The question “Is red wine good for diabetics?” is not merely a dietary inquiry; it touches on the fundamental desire for a normal life amidst a condition that demands constant vigilance.

The relationship between diabetes and alcohol is complex, contradictory, and often misunderstood. On one hand, you have headlines touting the “French Paradox”—the observation that the French population, despite a diet rich in saturated fats and wine, has relatively low rates of heart disease. This suggests that red wine might be a protective elixir, a “superfood” for the cardiovascular system.¹ On the other hand, you have the stark biological reality that alcohol is a toxin that the liver must prioritize over blood sugar regulation, leading to potentially dangerous lows.³

This report aims to bridge the gap between scientific jargon and daily life. We will move beyond simple “yes or no” answers to explore the intricate mechanisms of how alcohol interacts with insulin and glucose. We will analyze the nutritional profiles of specific wine brands, debunk persistent marketing myths about “low sugar” wines, and present insights from leading endocrinologists. Whether you are managing Type 1 or Type 2 diabetes, this comprehensive guide is designed to empower you with the knowledge to make safe, informed decisions about your health.

The Science of Alcohol and Blood Sugar: What Actually Happens?

To understand if red wine is beneficial or harmful, we must first look under the hood of human metabolism. For a person without diabetes, the body naturally balances blood sugar levels through a sophisticated feedback loop involving the pancreas and the liver. For a diabetic, this system is compromised, and the introduction of alcohol creates a unique metabolic traffic jam.

The Liver’s “Pause Button” Effect

The liver is the body’s metabolic powerhouse. One of its primary responsibilities is to maintain steady blood sugar levels, especially when you are not eating (such as while sleeping or between meals). It does this by breaking down stored glucose (glycogen) and releasing it into the bloodstream—a process known as glycogenolysis.⁵

However, the liver views alcohol as a poison that must be neutralized immediately. When you drink a glass of wine, the liver shifts its entire focus to breaking down the ethanol. During this detoxification process, the liver effectively hits the “pause button” on releasing glucose. If you have active insulin in your system—whether from an injection or your body’s natural production—that insulin continues to clear sugar from your blood. With the liver temporarily out of the glucose-producing game, your blood sugar “bucket” empties without being refilled.⁴

This mechanism is the primary cause of alcohol-induced hypoglycemia (low blood sugar). It is a silent danger because it does not happen immediately. The risk of a drop in blood sugar can persist for up to 24 hours after your last drink, lurking long after the glass is empty.⁸

The Rollercoaster: The U-Shaped Glucose Curve

Alcohol rarely affects blood sugar in a straight line. Instead, it often creates a confusing “U-shaped” curve that can baffle patients monitoring their Continuous Glucose Monitors (CGMs).

First, there is often an initial spike. Many alcoholic beverages, including some red wines and certainly sweet mixers, contain carbohydrates. When you first consume the drink, these sugars are absorbed rapidly, leading to a temporary rise in blood glucose—hyperglycemia.⁹

Second, the delayed drop occurs. Once the sugar is absorbed, the alcohol’s suppressive effect on the liver takes over. As the liver works through the alcohol—which takes approximately 1 to 1.5 hours per standard drink—blood sugar levels begin to drift downward. This delayed hypoglycemia is particularly treacherous for evening drinkers, as the drop often coincides with sleep, leading to nocturnal hypoglycemia where the patient may not wake up to treat the low.¹⁰

Alcohol and Insulin Sensitivity: A Double-Edged Sword

Paradoxically, some research suggests that moderate alcohol consumption might actually improve insulin sensitivity in the short term. This means your cells become more efficient at using the insulin that is available. While increased sensitivity is generally a goal in treating Type 2 diabetes, in the context of alcohol consumption, it adds another layer of risk. If your cells are pulling sugar out of the blood more efficiently at the same time your liver has stopped releasing new sugar, the precipitous drop in blood glucose can be rapid and severe.⁸

Red Wine vs. The Rest: Why the Grape Matters

If alcohol carries these inherent risks, why is red wine frequently singled out as a potentially “healthy” option for diabetics? The answer lies not in the alcohol itself, but in the skin of the grape and the fermentation process.

The Power of Polyphenols and Resveratrol

Red wine is fermented with the grape skins, seeds, and stems left in the mixture for an extended period. These skins are the primary source of polyphenols, a category of plant compounds that act as potent antioxidants. The most thoroughly studied of these is resveratrol.¹

Resveratrol is a protective compound produced by plants in response to stress. In human biology, it has been linked to a variety of potential benefits:

• Heart Protection: It may help protect the lining of blood vessels in the heart and reduce inflammation.¹
• Cholesterol Management: Antioxidants in red wine have been associated with increased levels of HDL (“good”) cholesterol and reduced LDL (“bad”) cholesterol oxidation.¹⁴
• Anti-Thrombotic: It may help prevent the formation of blood clots, which are a precursor to heart attacks and strokes.¹

White wine, by contrast, is fermented after the skins have been removed. While it still contains some antioxidants, it lacks the dense polyphenol profile of red wine. This structural difference is why red wine is the focus of most health-related alcohol research.¹⁵

The Fermentation Factor: Dry vs. Sweet

For a diabetic, the most critical distinction between wines is the amount of “residual sugar” (RS)—the natural grape sugars left behind after fermentation is complete.

In the production of dry red wines—such as Pinot Noir, Cabernet Sauvignon, and Merlot—the winemaker allows the yeast to consume almost all the available sugar, converting it into alcohol and carbon dioxide. The result is a beverage that is naturally low in carbohydrates, often containing less than 4 grams of carbs and less than 1 gram of sugar per 5-ounce serving.¹⁶

In contrast, many white wines (like Riesling or Moscato) and cheaper “Red Blends” are often arrested before fermentation is complete, or have sugar added back in, leaving a significant sugar load that can wreak havoc on blood glucose levels.¹⁷

Investigating the Benefits: Heart Health and Insulin Sensitivity

While skepticism is healthy, we must acknowledge the body of evidence suggesting that moderate red wine consumption can play a positive role in metabolic health, particularly for Type 2 diabetics.

The CASCADE Study: A Landmark Trial

One of the most rigorous studies on this topic was the CASCADE trial, published in the Annals of Internal Medicine. Researchers followed 224 patients with well-controlled Type 2 diabetes who previously abstained from alcohol. They were randomly assigned to drink mineral water, white wine, or red wine with dinner every night for two years. All participants followed a Mediterranean diet.¹⁴

The results were compelling:

• Cardiovascular Boost: The red wine group saw a significant increase in their HDL (good) cholesterol levels compared to the water group. They also had a more favorable ratio of total cholesterol to HDL.
• Glycemic Control: For a subset of patients who were genetically “slow metabolizers” of alcohol, red wine consumption led to better glycemic control (lower blood sugar levels) compared to water.
• Sleep Quality: Both wine groups reported improved sleep quality without adverse effects on blood pressure or liver function.¹⁴

This study provides strong clinical evidence that for certain diabetics, red wine can be safely integrated into a healthy lifestyle and may offer specific heart benefits that water or white wine do not.

The Mechanism of Protection

How exactly does red wine help? Beyond the simple antioxidant effect, research points to the activation of specific metabolic pathways. Resveratrol has been shown to activate SIRT1, a protein that plays a role in aging and metabolism. SIRT1 activation mimics the effects of calorie restriction, potentially improving insulin sensitivity and reducing oxidative stress.¹⁸ Furthermore, moderate alcohol intake has been linked to increased adiponectin levels, a hormone that regulates glucose levels and fatty acid breakdown.²⁰

However, it is vital to note the dosage. The therapeutic doses of resveratrol used in many animal studies (often hundreds of milligrams) are far higher than what is found in a glass of wine (usually 1-2 mg). Therefore, the benefits seen in humans are likely a synergistic effect of the alcohol, the resveratrol, and the other polyphenols working together, rather than resveratrol alone.¹³

The Hidden Dangers: Risks You Must Know

Despite the potential benefits, the risks of alcohol for diabetics are immediate and can be life-threatening. The “U-shaped” curve of blood sugar response means that safety is never guaranteed.

Nocturnal Hypoglycemia: The Silent Killer

The most significant risk is delayed hypoglycemia that occurs during sleep. If a diabetic consumes alcohol in the evening, the liver may still be processing that alcohol at 3:00 AM. If their basal insulin lowers their blood sugar during this time, the liver will fail to release the emergency glucose needed to wake them up or correct the low. This can lead to seizures, coma, or even death in their sleep.⁹

This risk is compounded by “hypoglycemia unawareness.” Alcohol dulls the senses and can mask the early warning signs of low blood sugar, such as shakiness or anxiety. A person might mistake these symptoms for tipsiness and ignore them until it is too late.⁴

The “Drunkorexia” Trap and Weight Gain

Alcohol is calorie-dense, providing 7 calories per gram—almost twice as much as carbohydrates or protein. A single 5-ounce glass of dry red wine contains roughly 120-125 calories. While this seems manageable, two glasses a night adds up to nearly 1,800 extra calories a week. For patients with Type 2 diabetes, where weight management is often a primary treatment goal, this “liquid bread” can sabotage progress and worsen insulin resistance.⁹

Some patients attempt to compensate for these calories by skipping meals—a dangerous practice sometimes called “drunkorexia.” Drinking on an empty stomach strips the body of the carbohydrate buffer needed to prevent hypoglycemia, making the subsequent crash almost inevitable.⁹

Neuropathy and Retinopathy Aggravation

Chronic or heavy alcohol use is toxic to the nerves. For diabetics who already suffer from peripheral neuropathy (nerve damage in the feet and hands), alcohol acts as an accelerant, worsening pain, tingling, and numbness.⁵ Additionally, heavy drinking can raise blood pressure, putting increased strain on the delicate blood vessels of the eyes and worsening diabetic retinopathy.⁹

Expert Contributions: What the Doctors Say

The medical community is not a monolith; different specialists view red wine through different lenses. Here is how three leading voices in the diabetes world approach the subject.

The Pragmatist: Dr. Marina Basina (Endocrinologist)

Dr. Basina, a clinical associate professor at Stanford University, advocates for a safety-first approach. She emphasizes that alcohol is a neurotoxin and that the liver’s inability to multitask is the primary danger. Her key advice is practical: “Don’t drink on an empty stomach.” She explains that having carbohydrates in the stomach prevents the rapid nosedive in blood glucose. She also warns that glucagon emergency kits may be ineffective when alcohol is in the system because the liver is blocked from responding to the glucagon signal.²⁴

The Metabolic Analyst: Dr. Jason Fung (Nephrologist)

Dr. Fung, known for his work on intermittent fasting and reversing Type 2 diabetes, views the disease primarily as an issue of insulin resistance and hyperinsulinemia (too much insulin). While he generally advises against alcohol due to its “empty calories” and effects on the liver (fatty liver disease), he acknowledges a hierarchy of harm. He notes that red wine, with its minimal insulin response compared to beer or sugary cocktails, is the “lesser of two evils.” He compares treating Type 2 diabetes with insulin to “prescribing alcohol for alcoholism,” highlighting that while red wine might be permissible, it doesn’t solve the underlying toxicity of sugar and insulin overload.²⁵

The Strict Controller: Dr. Richard Bernstein (Type 1 Pioneer)

Dr. Bernstein, a Type 1 diabetic and author of Diabetes Solution, takes a much harder line. His philosophy is based on the “Law of Small Numbers”—keeping carbohydrate inputs small to keep blood sugar errors small. He warns that alcohol makes blood sugar unpredictable, which violates the core tenet of his management strategy. For Bernstein, the potential heart benefits do not outweigh the chaos alcohol introduces to strict glycemic control.²⁷

comparison of Wine Brands and Types: A Nutritional Analysis

Marketing in the wine aisle has become increasingly aggressive, with brands explicitly targeting health-conscious consumers. But how do these “specialty” wines stack up against traditional bottles?

The “Low Sugar” Marketing Myth: FitVine Analysis

Brands like FitVine have surged in popularity by marketing themselves as “clean,” “low sugar,” and “diabetic-friendly.”

• The Data: FitVine Cabernet Sauvignon contains approximately 0.06g of sugar per 5-ounce glass and 117 calories.²⁹
• The Comparison: A standard, high-quality dry Cabernet Sauvignon from a producer like Yellow Tail or Barefoot typically contains less than 1.0g of sugar and about 120-122 calories per glass.³⁰
• The Verdict: While FitVine is indeed low in sugar, the metabolic difference between 0.06g and 0.9g of sugar is negligible for almost all diabetics. The calorie reduction (about 5 calories per glass) is also insignificant. The primary value of brands like FitVine is the guarantee of low sugar, whereas with other brands, you have to trust the varietal is fermented to dryness.²⁹

Traditional Brands: What’s in the Bottle?

It is crucial to look at the specific nutritional data for common supermarket wines to make informed choices.

Key Insight: Beware of “Red Blends” like Apothic. Winemakers often add sugar or grape concentrate to these blends to make them smoother and more palatable to the mass market. Always check if a wine is “dry” or “off-dry” (semi-sweet).

Real-Life Scenarios: Navigating Social Drinking

Understanding the theory is different from living it. Here are three common scenarios diabetics face and the best strategies to navigate them.

Scenario 1: The Wedding Reception

The Situation: You are at a wedding. The dinner is delayed, but the open bar is serving wine. You are offered a glass of red wine at 5:00 PM, but dinner won’t be served until 7:00 PM.

The Risk: Drinking on an empty stomach is the cardinal sin. Your liver will process the alcohol, risking a drop in blood sugar before the food arrives.

The Fix:

1. Decline initially or ask for club soda with lime.
2. Scout for appetizers. Find cheese, nuts, or meats (protein/fat) before taking a sip of wine.
3. Correct timing. Once you have a buffer of food in your stomach, you can enjoy the glass.
4. Insulin adjustment. If you are Type 1, be aware that the later dinner might require a different bolus strategy if you have alcohol in your system, as the alcohol might blunt the post-meal spike but cause a drop later.³⁷

Scenario 2: The “Healthy” Nightcap

The Situation: You are managing Type 2 diabetes with diet and Metformin. You read that red wine helps heart health, so you start having two large glasses (8 oz each) every night after dinner to “help your heart.”

The Risk:

1. Portion Distortion: A “standard” drink is 5 ounces. Two 8-ounce glasses equal more than three standard drinks. This exceeds the ADA moderation guidelines.⁵
2. Metformin Interaction: Heavy alcohol intake with Metformin increases the risk of lactic acidosis.
3. Calorie Overload: This habit adds roughly 400 calories a night, likely stalling weight loss or causing weight gain.
   The Fix: Measure your pour. Buy smaller wine glasses (which make 5 oz look fuller). Limit consumption to one glass, and ensure it is truly 5 ounces.

Scenario 3: The Delayed Drop

The Situation: A Type 1 diabetic enjoys pizza and red wine on a Friday night. They bolus for the pizza. At bedtime (11:00 PM), their blood sugar is 180 mg/dL (a bit high from the pizza fat/protein delay). They take a correction bolus of insulin.

The Risk: This is a classic setup for a severe emergency. The pizza digests slowly, keeping sugar high initially. However, the alcohol is still occupying the liver. The correction insulin will start working at the same time the liver is blocked from releasing glucose. The “pizza spike” will fade, and the insulin plus the alcohol block will cause a massive crash around 3:00 AM.

The Fix: Never correct a high blood sugar before bed if you have been drinking. It is safer to run slightly high (180-200 mg/dL) overnight than to risk a fatal low. The alcohol will likely lower the blood sugar naturally by morning.10

Recommendations Grounded in Proven Research

Based on the synthesis of clinical trials, expert opinion, and nutritional data, here is the evidence-based protocol for red wine consumption.

The KISS Protocol (Keep It Simple, Safe)

1. The “Food First” Rule: Never consume alcohol without food. Ideally, pair it with a meal containing protein and healthy fats (e.g., salmon, chicken, nuts) to slow absorption.³⁹
2. The “One and Done” Limit: Stick to the ADA guideline of one drink (5 oz) for women and two for men. The benefits for heart health do not increase with more drinks; in fact, the risks skyrocket.⁵
3. The Bedtime Safety Check: Always check blood glucose before sleep. If it is below 100-120 mg/dL, consume a small carbohydrate snack (15g) to buffer against nocturnal hypoglycemia.⁴
4. Identification: Always wear a medical ID bracelet. If you experience hypoglycemia in public, it can look like drunkenness. Medical responders need to know to check your sugar immediately.⁴
5. Choose Dry Reds: Prioritize Pinot Noir, Cabernet Sauvignon, or Merlot. Avoid “sweet” red blends, ports, or sherries.²²

When to Abstain Completely

Research indicates you should avoid alcohol entirely if you have:

• Severe diabetic neuropathy (nerve damage).
• High triglyceride levels.
• A history of pancreatitis.
• Liver disease or active hepatitis.
• A history of alcohol addiction.⁵

Myths vs. Facts

Myth: “Red wine has no sugar, so it won’t affect my diabetes.”

Fact: While dry red wine has very little sugar, the alcohol affects your liver’s ability to regulate blood sugar. It can cause dangerous lows even if the drink itself is sugar-free.7

Myth: “I should take insulin for the carbs in the wine.”

Fact: Usually, NO. Most experts advise against bolusing for dry wine. The alcohol’s blood-sugar-lowering effect often cancels out the small amount of carbs. Taking insulin for wine increases the risk of hypoglycemia.11

Myth: “FitVine is the only wine diabetics can drink.”

Fact: Standard dry wines from reputable producers (like many French or Italian reds, or specific domestic varietals like Pinot Noir) are naturally low in sugar and just as safe. FitVine is a good option, but not the only option.29

Conclusion: The Final Verdict

So, is red wine good for diabetics?

The science suggests a nuanced answer: Red wine can be a neutral or even slightly beneficial addition to a diabetic diet, but only if consumed with strict discipline.

For the Type 2 diabetic with good glycemic control, moderate consumption of dry red wine (specifically with meals) appears to offer cardiovascular benefits, increasing good cholesterol and potentially aiding insulin sensitivity. It is the “gold standard” of alcoholic beverages for this demographic.

For the Type 1 diabetic, the equation is riskier. While the heart benefits remain, the threat of unpredictable hypoglycemia requires a higher level of vigilance and management.

Ultimately, red wine is a luxury, not a medicine. It should never be initiated solely for health benefits if you do not already drink. But for those who cherish the ritual of a glass with dinner, the research provides a path to enjoy it safely: Drink dry, drink moderately, drink with food, and always, always listen to your body.

Frequently Asked Questions (FAQ)

1. Which specific red wine is the best for diabetics?

Pinot Noir is widely considered the top choice. It naturally has the highest concentration of resveratrol (the heart-healthy antioxidant) and is typically fermented to be very dry, meaning it has the lowest sugar content (often <1g per glass) compared to bolder reds like Zinfandel or Shiraz.²²

2. Can drinking wine cause high blood sugar the next morning?

Yes, this is known as the “rebound” effect. If your blood sugar drops low during the night due to alcohol, your body might panic and release stress hormones (like cortisol and adrenaline) or you might over-treat the low with too much food. This can result in a high blood sugar reading (hyperglycemia) when you wake up.³⁸

3. I take Metformin. Is it safe to drink red wine?

Yes, but with caution. You should limit alcohol to moderate levels (1 drink per day). Excessive drinking while on Metformin puts you at risk for lactic acidosis, a rare but dangerous buildup of lactic acid in the blood. Always eat when you drink to mitigate this risk.⁴²

4. Does red wine count as a “carb choice” for meal planning?

Generally, no. Because dry red wine has so few carbohydrates (approx. 3-4g), it is usually not counted as a carb choice. Some dietitians recommend counting it as a “fat exchange” because of the caloric density (alcohol has 7 calories/gram, similar to fat’s 9 calories/gram).¹⁶

5. Why do some “Red Blends” spike my blood sugar?

Many commercial “Red Blends” (like Apothic or Menage a Trois) are formulated to be “smooth” and “jammy” to appeal to a wider audience. To achieve this, winemakers often stop fermentation early or add grape concentrate back in, resulting in significantly higher residual sugar (up to 15g+ per liter) compared to strict varietals like Cabernet. Always check if a blend is “dry” or “off-dry”.³⁴

6. What should I do if my blood sugar is low after drinking?

Treat it immediately with fast-acting glucose (glucose tabs, juice, or regular soda). Do not use a glucagon kit as your primary defense, as it may not work if your liver is blocked by alcohol. Eat a small snack with protein/fat (like peanut butter crackers) after your sugar rises to keep it stable.¹⁰

7. Can alcohol worsen diabetic neuropathy?

Yes. Alcohol is a neurotoxin. Chronic or heavy consumption can directly damage nerves, worsening the pain, tingling, and numbness associated with diabetic peripheral neuropathy. If you have significant nerve damage, your doctor may advise total abstinence.⁵

Works cited

Low Blood Glucose (Hypoglycemia) – NIDDK, accessed December 2, 2025, https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia

Red wine and resveratrol: Good for your heart? – Mayo Clinic, accessed December 2, 2025, https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/red-wine/art-20048281

Red Wine and Diabetes Health: Getting Skin in the Game, accessed December 2, 2025, https://diabetesjournals.org/diabetes/article/63/1/31/17872/Red-Wine-and-Diabetes-Health-Getting-Skin-in-the

Alcohol use: Weighing risks and benefits – Mayo Clinic, accessed December 2, 2025, https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/alcohol/art-20044551

Mixing Alcohol with Your Diabetes – Johns Hopkins Medicine, accessed December 2, 2025, https://www.hopkinsmedicine.org/-/media/general-internal-medicine/documents/faculty-resource/mixing-alcohol-with-your-diabetes.pdf

Diabetes And Alcohol | Franciscan Health, accessed December 2, 2025, https://www.franciscanhealth.org/community/blog/diabetes-and-alcohol

Literature review: drug and alcohol-induced hypoglycaemia – Kalaria, accessed December 2, 2025, https://jlpm.amegroups.org/article/view/6405/html

Alcohol – Know Diabetes, accessed December 2, 2025, https://www.knowdiabetes.org.uk/resources/internal/alcohol/

Red Wine and Type 2 Diabetes: Heart Risk Reducer? – Healthline, accessed December 2, 2025, https://www.healthline.com/health/diabetes/red-wine-and-type-2-diabetes

Alcohol and Diabetes: Effects, Guidelines, and Risks – WebMD, accessed December 2, 2025, https://www.webmd.com/diabetes/drinking-alcohol

The Alcohol and Diabetes Guide | Beyond Type 1, accessed December 2, 2025, https://beyondtype1.org/alcohol-and-diabetes-guide/

Alcohol and Insulin | Diabetes UK Forum, accessed December 2, 2025, http://forum.diabetes.org.uk/boards/threads/alcohol-and-insulin.110334/

Resveratrol for the Management of Diabetes and its Downstream Pathologies – PMC – NIH, accessed December 2, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC5983094/

Resveratrol | Linus Pauling Institute | Oregon State University, accessed December 2, 2025, https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/resveratrol

Is red wine at dinner good for type 2 diabetes? – CBS News, accessed December 2, 2025, https://www.cbsnews.com/news/red-wine-at-dinner-may-help-hearts-in-type-2-diabetes/

Sugar in Wine? Which Wine Has The Lowest Sugar Content? – Pull The Cork, accessed December 2, 2025, https://pullthecork.co.uk/which-wine-has-the-lowest-sugar-content/

Alcohol and sugar: what you need to know – Teladoc Health, accessed December 2, 2025, https://www.teladochealth.com/library/article/alcohol-and-sugar-what-you-need-to-know

Sugar in Wine Chart (Calories and Carbs) | Wine Folly, accessed December 2, 2025, https://winefolly.com/deep-dive/sugar-in-wine-chart/

Resveratrol in Treating Diabetes and Its Cardiovascular Complications: A Review of Its Mechanisms of Action – MDPI, accessed December 2, 2025, https://www.mdpi.com/2076-3921/11/6/1085

Phenolic Profiles of Red Wine Relate to Vascular Endothelial Benefits Mediated by SIRT1 and SIRT6 – MDPI, accessed December 2, 2025, https://www.mdpi.com/1422-0067/22/11/5677

Alcohol Intake, Drinking Pattern, and Risk of Type 2 Diabetes in Three Prospective Cohorts of U.S. Women and Men, accessed December 2, 2025, https://diabetesjournals.org/care/article/48/7/1189/157918/Alcohol-Intake-Drinking-Pattern-and-Risk-of-Type-2

Resveratrol: How Much Wine Do You Have to Drink to Stay Healthy? – PMC – NIH, accessed December 2, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4942868/

Wine Nutrition Facts: Calories, Carbs, Sugar & Sodium, accessed December 2, 2025, https://www.drinksurely.com/a/blog/wine-nutrition-facts

Alcohol Use and Diabetes | Home & Garden Information Center – Clemson HGIC, accessed December 2, 2025, https://hgic.clemson.edu/factsheet/alcohol-use-and-diabetes/

Wine and Diabetes | Beyond Type 1, accessed December 2, 2025, https://beyondtype1.org/wine-and-diabetes/

Quotes by Jason Fung (Author of The Obesity Code) – Goodreads, accessed December 2, 2025, https://www.goodreads.com/author/quotes/13509421.Jason_Fung?page=6

The Obesity Code Quotes by Jason Fung(page 3 of 15) – Goodreads, accessed December 2, 2025, https://www.goodreads.com/work/quotes/44603842-the-obesity-code?page=3

Dr. Bernstein’s Diabetes Diet: Pros, Cons, and How It Works – Verywell Health, accessed December 2, 2025, https://www.verywellhealth.com/bernsteins-diabetes-diet-overview-2241679

Dr. Bernstein’s Diabetes Solution, low carbohydrate diet, control blood sugars, accessed December 2, 2025, https://www.diabetes-book.com/

Are FitVine Wines *Really* Healthier for You? Here’s What You …, accessed December 2, 2025, https://www.eatingwell.com/article/7883838/are-fitvine-wines-really-healthier-for-you-heres-what-you-need-to-know/

Nutrition Facts for Yellow Tail Cabernet Sauvignon • MyFoodDiary®, accessed December 2, 2025, https://www.myfooddiary.com/foods/1148647/yellow-tail-cabernet-sauvignon

Yellow Tail Cabernet Sauvignon Australia Red Wine – Shop Wine at H-E-B, accessed December 2, 2025, https://www.heb.com/product-detail/yellow-tail-cabernet-sauvignon-australia-red-wine/495781

Nutrition Facts for Barefoot Merlot • MyFoodDiary®, accessed December 2, 2025, https://www.myfooddiary.com/foods/7562128/barefoot-merlot

Nutrition Facts for Apothic Red Blend Wine – MyFoodDiary, accessed December 2, 2025, https://www.myfooddiary.com/foods/7547850/apothic-red-blend-wine

Apothic Red – LCBO, accessed December 2, 2025, https://www.lcbo.com/en/apothic-red-234369

accessed December 2, 2025, https://www.reddit.com/r/wine/comments/797q7q/what_would_recommend_as_a_next_level_wine_for/#:~:text=It’s%20important%20to%20be%20aware,teaspoons%20of%20sugar%20per%20bottle.

Wine Nutrition Facts: Carbs, Calories, Sugar in Wine and More – Wine Insiders, accessed December 2, 2025, https://wineinsiders.com/blogs/wine-101-essential-wine-guides/wine-nutrition-facts-carbs-calories-sugar-in-wine-and-more

Alcohol and T1D, accessed December 2, 2025, https://breakthrought1d.ca/life-with-t1d/alcohol-t1d/

Alcohol | Diabetes UK Forum, accessed December 2, 2025, http://forum.diabetes.org.uk/boards/threads/alcohol.106958/

Study finds drinking wine with meals was associated with lower risk of type 2 diabetes, accessed December 2, 2025, https://newsroom.heart.org/news/study-finds-drinking-wine-with-meals-was-associated-with-lower-risk-of-type-2-diabetes

The Best Wines for Diabetics: An Overview – WineDeals.com, accessed December 2, 2025, https://www.winedeals.com/blog/post/wines-for-diabetics

Low Sugar Wines – FitVine Wine, accessed December 2, 2025, https://www.fitvinewine.com/pages/low-sugar-wines

Metformin-associated Lactic Acidosis Induced by Excessive Alcohol Consumption – J-Stage, accessed December 2, 2025, https://www.jstage.jst.go.jp/article/internalmedicine/63/12/63_2707-23/_article/-char/en

Metformin-associated lactic acidosis: A mini review of pathophysiology, diagnosis and management in critically ill patients – Baishideng Publishing Group, accessed December 2, 2025, https://www.wjgnet.com/1948-9358/full/v15/i6/1178.htm