The relationship between alcohol consumption and diabetes is complex, with significant implications for disease management and patient outcomes. While moderate alcohol intake has been associated with potential cardioprotective effects, excessive consumption can lead to adverse metabolic consequences, complicating glycaemic control and increasing the risk of complications in diabetic patients. This article explores the physiological interactions between alcohol and glucose metabolism, reviews evidence from epidemiological and clinical studies, and discusses the effects of alcohol on medication efficacy, comorbid conditions, and long-term diabetes-related outcomes. Recommendations for alcohol consumption in diabetic individuals are also highlighted, emphasizing the need for personalized, evidence-based approaches to optimize management.
