The Links Between Hypoglycemia and Alcohol and How to Fix It

hypoglycemia and alcohol

In this article, I’m going to discuss the connection between hypoglycemia and alcohol. In particular, I’ll show you how to avoid the unpleasant symptoms of hypoglycemia that are often confused with psychiatric disorders or, in many recovery circles, spiritual failure.

As it turns out, quitting alcohol is not quite enough to recover fully from alcoholism. But don’t worry – it’s fully within your power to feel incredible once you make a few changes to your diet and lifestyle. This article can be a real life saver for people who have not yet read about the significant overlap between hypoglycemia and alcohol.

You may have heard about people who gave up alcohol, only to mysteriously become dry drunks. They are irritable and generally not fun to be around. While this condition is often characterized as a spiritual defect, there is evidence that this “syndrome” is essentially undiagnosed (and uncorrected) hypoglycemia.

Symptoms of hypoglycemia include:

  • Anxiousness or restlessness
  • Irritability
  • Sugar cravings
  • Alcohol cravings
  • Insomnia
  • General sense of unease
  • Confusion
  • Rapid heartbeat
  • Tremors
  • Body tingling
  • Sweating
  • Impaired vision
  • Nervous exhaustion

Perhaps you can relate to the little hypoglycemic blue guy below:

hypoglycemics and alcohol

We will now proceed to explore the relation between alcohol and hypoglycemia.

How Does Alcoholism Cause Hypoglycemia?

Alcoholism is a biochemical disorder that can be caused by a variety of factors, including genetic liver enzyme anomalies, neurotransmitter deficiencies, prenatal alcohol exposure, and traumatic stress that permanently alters neural pathways.

Hypoglycemia is a very common result of chronic heavy drinking because alcohol is a highly refined sugar that is rapidly absorbed through the stomach lining. The alcoholic brain prefers alcohol to sugar because it provides a quicker hit. A high sugar diet can certainly cause hypoglycemia for a nondrinker, but alcoholism and hypoglycemia often go hand in hand.

In fact, alcoholism and hypoglycemia that results in excessive sugar consumption often lead to many of the same health risks:

hypoglycemic alcohol

But back to our original question: How does excessive drinking lead to hypoglycemia?

Because alcohol is a sugar, drinking alcohol causes the pancreas to produce insulin, which takes sugar out of the bloodstream. When this happens, blood sugar levels fall well below normal, creating a sense of malaise.

In response to low blood sugar, the adrenals release adrenaline that causes the liver to release glycogen (stored glucose) and restore your blood sugar levels temporarily. Excess adrenaline causes discomfort and irritability. This cycle continues until nervous exhaustion becomes the norm.

alcoholism and hypoglycemia

Hypoglycemia is a metabolic rollercoaster: Alcohol and/or sugar intake, followed by a pleasant high, followed by insulin release, followed by low blood sugar and misery, followed by adrenaline release, followed by anxiety and cravings, followed by more alcohol or sugar, and so on…

Eventually the adrenals become fatigued, leading to depression and further emotional instability.

Over time, the adrenals become less able to produce adrenaline and the body becomes more resistant to insulin. Blood pressure fluctuates abnormally, metabolism slows, and cravings for alcohol and/or sugar become endless.

An alcoholic who is hypoglycemic relies on alcohol not just to normalize brain chemistry, but to temporarily increase blood sugar and feel okay. A drink grants relief until blood sugar levels inevitably fall, at which point the alcoholic experiences a screaming full-body urge for more alcohol.

I experienced this cycle myself when I drank, and it was pure hell. I had no idea that my alcohol cravings had anything to do with my body’s inability to regulate my blood sugar. Nor did I have any clue that drinking had caused this problem in the first place.

Research Studies

alcoholism and hypoglycemia

Over the past few decades, science has begun to shed light on why alcoholism and hypoglycemia co-occur:

  • Chronic alcohol consumption inhibits liver enzymes required to maintain stable blood sugar levels, exacerbating hypoglycemia (source)
  • Alcohol significantly redistributes blood flow to the insulin-producing portion of the pancreas (source)
  • At Health Recovery Center in Minneapolis, 88% of alcoholic patients were found to be hypoglycemic (source)
  • The Hypoglycemia Support Foundation acknowledges the significant symptom overlap between alcoholism and hypoglycemia (source)

Joan Mathews Larson, a pioneer of orthomolecular addiction treatment and founder of Health Recovery Center, cites some interesting studies on alcoholism and hypoglycemia in her groundbreaking book, 7 Weeks to Sobriety:

  • When one hundred non-alcoholics were compared with one hundred alcoholics, 14% of the non-alcoholics were found to be hypoglycemic, compared to 96% of the alcoholics (J. Poulos, D. Stafford, and K. Carron)
  • In a three year study of alcoholics, 95% were shown to be hypoglycemic (Robert Meiers, M.D.)
  • Six-hour glucose tolerance tests given to alcoholics revealed that up to 90% of them were hypoglycemic (Emanuel Cheraskin, M.D.)

According to endocrinologist John Tintera, M.D., “by far the most important part of the physiological treatment of alcoholics is the complete restriction of easily absorbed carbohydrates.”

Tintera points out that hypoglycemic blood sugar swings in recovering alcoholics create symptoms that are very similar to “deep-rooted emotional or psychiatric disorders.”

Beating Post-Acute Withdrawal Syndrome (PAWS)

I’ve written on this blog about the alcohol withdrawal timeline, which ends for many people with post-acute withdrawal syndrome (PAWS). This slippery state of existence lasted months for me, because it took a long time to discover the diet changes, supplements, and lifestyle strategies that finally helped me transform my life.

But if you want to avoid being a dry drunk in a hypoglycemic malaise, there’s one simple change you can make now…


Experts like Joan Mathews Larson will advise that you swear off sweets for the rest of your life. They will also tell you to quit drinking anything containing caffeine, which releases adrenaline. Perhaps I’m endowed with resilient physiology, but I’ve had a lot of success with a less drastic approach:

  • I cut out soda, condiments containing sugar, candy, and junk from my daily diet
  • I eat dark chocolate sweetened with stevia powder
  • I have 1-2 servings of whole fruit per day and avoid fruit juice
  • I eat mostly food that comes out of the ground or fresh meats/eggs/fish
  • I never sweeten my coffee or tea, except with stevia powder
  • I use unsweetened almond milk in my coffee instead of regular milk (lactose is sugar)
  • I’ve cut down on coffee by switching to Yerba Mate after 2 cups
  • I’ve replaced quick-digesting bread with Ezekiel bread (sprouted whole grain bread)
  • Every Sunday, I have a cheat meal in which I eat whatever the hell I want

Sometimes I’ve felt a little foggy on Monday mornings, especially if I’ve consumed cheesecake and dark chocolate ganache the night before. But I’ve cut my sugar to such low levels that I don’t even want sweet things that much anymore. Whereas my sweet tooth was insatiable when I quit drinking, these days a small bite of the chocolate cake is all I want.

It’s hard to crave sweets when you’ve just eaten a grass fed steak. Unlike Twizzlers, fresh meats and eggs and cheeses contain good saturated fats that will help you restore feel-good chemicals in your brain.

hypoglycemics and alcohol

After cutting excess sugar from your diet, you’ll almost certainly feel a major difference in your emotional stability within a few weeks.

Further Suggestions

Here are three more tips to help ward off hypoglycemia by improving your metabolism and hormonal health:

  • Exercising daily improves insulin sensitivity (source)
  • Getting 8 hours of sleep every night reduces the risk of blood sugar problems (source)
  • Supplementing with Rhodiola Rosea can help combat fatigue by repairing your adrenals (source)
  • Supplementing with L-Glutamine can kill sugar (and alcohol) cravings instantly

Rhodiola rosea is an herb that has been proven to be effective at restoring adrenal health. I still take this supplement on days that I have to train 6 or more people. I don’t feel anything when I take it, but I notice that I’m able to come home and write a lot without feeling fatigued. I’ve had good results with rhodiola rosea from NOW Rhodiola.

To be clear, I’m not arguing that psychological considerations are unimportant in alcohol recovery. I’m a huge fan of meditation and deep breathing techniques. Reading books by Anthony Robbins and learning neuro-linguistic programming (NLP) helped me enormously after I’d begun to repair my system from years of alcoholic damage.

But it’s not all mind over matter. Your mind cannot thrive without a healthy brain, which is made out of matter. Your physical health, beginning with nutrition, is the groundwork for your mental improvement.

If your blood sugar is out of whack and your stress hormones are elevated all day long, your efforts at mental reconditioning and spiritual transformation will be difficult uphill battles, if not outright impossible.

A Personal Anecdote

I briefly knew an addiction counselor whose defining trait seemed to be irritability disguised as grittiness. She spent most of her days in an office lined with trinkets that all turned out to be filled with various brands of candy. She was extremely overweight, had joint pain, and rarely smiled. I once heard her tell an alcoholic patient: “You’re successful in sobriety when you can sit in a chair and not be suicidal.”

Really? Is sitting in a chair the most that any so-called recovering alcoholic can hope for in this life? What’s the point of even trying? Fortunately, I know now that the bland, bitter, depressing sense of life so common in “sobriety” is caused by a refusal to address one’s own lifestyle and nutrition. This woman meant well, but it was clear that her sugar problem kept her from being healthy, feeling good, and perceiving the blatant connection between alcoholism and hypoglycemia.

It’s unfortunate to be an addiction counselor who still meets the criteria of a dry drunk.

Cutting out excess sugar, and only enjoying sweets on special occasions (once per week or less) was one of the best things I ever did to feel better after beating alcoholism. My blood sugar rollercoaster totally disappeared within about a month of quitting drinking. As soon as I quit drinking diet soda, I began to feel stable all the time.

I have a cheat meal once per week, and these days I prefer fried chicken to ice cream. My sweet tooth died when I stopped eating sugar regularly. I love that I’m able to take or leave sugar. I limit my sugar intake to about one or two servings of fruit each day.

Because we’re all biochemically different, it’s definitely possible that some people will have a harder time cutting sugar than I did.


Hypoglycemia is perhaps the most ignored centerpiece of alcohol recovery. But if you’re new to this site, you should also know that nutrient deficiencies caused by alcoholism can persist indefinitely.

These deficiencies will cause anxiety, depression, insomnia and other nasty symptoms until they are fixed.

If you have any questions about the relation between hypoglycemia and alcohol, please leave them in the comment box below.

Hierarchy of Alcohol Recovery


How is alcohol induced hypoglycemia treated?

Quitting or reducing alcohol consumption, along with avoiding sugar, is the best way to eliminate alcohol-induced hypoglycemia. Without alcohol or sugar, insulin spikes no longer occur and blood sugar levels will normalize. For many people, this results in a much better sense of well-being and reduction of anxiety levels.

Why do alcoholics get hypoglycemia?

Drinking alcohol spikes insulin levels, which can lead to episodes of low blood sugar. This problem can become chronic for alcoholics, who are also deficient in nutrients like chromium that regulate blood sugar levels.

Can alcoholism cause hypoglycemia?

Alcoholism can lead to hypoglycemia. The problem can be resolved by avoiding alcohol, sugar, and processed foods that are high in carbohydrates. L-Glutamine is also a great supplement for hypoglycemics.

Does quitting alcohol lower blood sugar?

Alcoholics who quit drinking often suffer from low blood sugar, but this problem is not caused by quitting alcohol. It is a residual effect of chronic heavy drinking, which spikes insulin levels and leads to episodes of low blood sugar.

Please review this post!



Chris Scott founded Fit Recovery in 2014 to help people from around the world dominate alcohol dependence and rebuild their lives from scratch. A former investment banker, he recovered from alcohol dependence using cutting-edge methods that integrate nutrition, physiology, and behavioral change. Today, Chris is an Alcohol Recovery Coach and the creator of an online course called Total Alcohol Recovery 2.0.


Dr. Rebeca Eriksen is the Nutritional Consultant for Fit Recovery. She has a PhD in Nutritional Genetics from Imperial College London, and over ten years of clinical experience designing custom nutritional repair regimens for patients recovering from alcohol addiction. In addition to her work at the exclusive Executive Health clinic in Marbella, Spain, she helps to keep Fit Recovery up to date with emerging research.


The information we provide while responding to comments is not intended to provide and does not constitute medical, legal, or other professional advice. The responses to comments on are designed to support, not replace, medical or psychiatric treatment. Please seek professional care if you believe you may have a condition.

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Sarah Williamson
Sarah Williamson
3 months ago

Has anyone ever done a study on hypoglycemia being a precursor to alcoholism? I was hypoglycemic all the time as a child. I didn’t know what was wrong with me and my parents never took me to a doctor. Looking back, not only did alcohol help me escape, it probably gave me the sugar I needed physically to function until my sugar dropped and I drank more. I’m not saying hypoglycemia caused the drinking, but has anyone checked to see if it is an increased risk factor? Perhaps 88% of alcoholics had hypoglycemia BEFORE drinking?

8 months ago

Hello my husband quit drinking after 30 years. His daily diet consisted of several diet Coke’s while he worked maybe a fast food meal at lunch maybe no meal and coming home to drink approx 10-15 beers a night along with a dinner . Since he stopped drinking and cut Diet Coke he eats more regularly but has noticed some hyperglycemic issues in the morning. He does have a glass of OJ every morning which has made the symptoms almost disappear
How long will this continue or should he see a Dr?

Christian J Rodgers
Christian J Rodgers
8 months ago

Hey! I quit drinking about 5 and a half months ago. Is it normal to still have these episodes of hypoglycemia? I eat a healthy diet with sweet potatoes and oatmeal as my carbs and only eat sugar maybe 2 times a week, sometimes 3 lol. And is this a lifelong condition?

1 year ago

Fixing the auto-correct statement: “…I am pleased with until..,”. Correction: “…I am continually pressured to accept the offer until I break…”. Also my birth father was a raging alcoholic, dying of the disease at age 47.

1 year ago

Thank you for this straightforward information. I drank lots of alcohol between ages of 18-22 but never consider myself an alcoholic. I quit after being at a wedding reception where champagne glasses never got empty (Quick waiters). My earlier drinking had not ever made me drunk except once. So I stopped. I also have had glycemic episodes my whole life (I’m 75) with weight gain issues. My experience tells me to stay away from sugar and flour. But each time I’ve been in a social setting and offered those things…I politely say no thank you…and I am pleased with until… Read more »

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