Ep 25 - Partying with T1D (part 1 Alcohol) with Dr Dessi Zaharieva (The Glucose Never Lies® Podcast)

Full Episode Page: https://theglucoseneverlies.com/episo...

John Pemberton and Dr Dessi Zaharieva break down what alcohol really does to the body when you live with Type 1 Diabetes. This is the first episode in the “Partying with T1D” three-part series.

Alcohol affects liver function, glucose regulation, REM sleep, hypos, and insulin requirements in ways most people have never been taught. This conversation focuses on physiology, real-world strategies, and harm-reduction — not judgement.

Topics explored include:
• Why alcohol blocks liver glucose output
• Why glucagon becomes unreliable
• Why hypos can appear late and severe
• What happens across multi-day drinking
• Basal reductions, Activity Mode, and MDI for festivals
• Memory loss, REM suppression, and “zero-REM nights”
• How parents and clinicians can talk about alcohol safely

Full Episode Page (all resources + FAQ):
https://theglucoseneverlies.com/episo...

FAQ: Alcohol & Type 1 Diabetes (PDF):
https://theglucoseneverlies.com/faq-a...

Resources mentioned:
• Partying with T1D — Guide
• AID Systems Guide
• CGM Accuracy & Regulation
• Episode 24 — Skincare, Sensors & Smarter Algorithms

This content is for education only and not medical advice.
Prepared by John Pemberton.