The REWIND trial investigated the cardiovascular benefits of dulaglutide, a GLP-1 receptor agonist, in a population of 9,901 patients with T2DM aged 50+ and either established CVD or risk factors
Diabetes Metab Res Rev 34: e2982, 2018
Why Alcohol is Tricky on GLP-1s GLP-1s slow gastric emptyingalcohol may hit you harder and faster Alcohol on an empty stomach is worse on GLP-1s Many users report significantly worsened nausea Alcohol lowers inhibitions (may lead to poor food choices) Empty calories without nutrition If You Choose to Drink Stick to these guidelines: Limit to 1 drink maximum Always drink with food (never on empty stomach) Choose lower-calorie options: Wine (5 oz), light beer, spirits with soda water and lime Avoid: Sugary cocktails, margaritas, pia coladas, multiple drinks Drink slowly (sip over 45-60 minutes) Hydrate: Drink water before, during, and after Monitor your response (if you feel worse, skip alcohol entirely going forward) Best Choices if Drinking Dry wine (red or white): ~120 calories per 5 oz Light beer: ~100 calories per 12 oz Vodka/gin + soda water + lime: ~100 calories Champagne/prosecco: ~90 calories per 4 oz Social Pressure to Drink If you prefer to skip alcohol but feel social pressure: Order sparkling water with lime (looks like a cocktail) Say "I'm taking a break from alcohol" Say "Mixing badly with medication I'm on" Hold a non-alcoholic drink so people don't keep offering Real friends respect your choices
consistently high = not an everyday choice
They may be able to prescribe a covered GLP1 for a different indication, such as diabetes or cardiovascular disease, if you qualify
