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A woman with type 2 diabetes who is overweight and takes an oral agent, but otherwise has good blood glucose control, asks if she can include 1-2 glasses of wine with dinner. The best response is:

  1. A 5oz glass of wine may be consumed

  2. Alcohol is not recommended for anyone with diabetes

  3. It is okay to have a glass or two of wine as long as she omits 2 carbohydrates from her dinner

  4. She should decide for herself if she wants to drink wine, consuming it only on an empty stomach

The correct answer is: A 5oz glass of wine may be consumed

The best response recognizes that moderate alcohol consumption, such as 1-2 glasses of wine, can be acceptable for someone with type 2 diabetes who has good blood glucose control. A 5-ounce glass of wine aligns with guidelines that suggest moderation—generally, one drink for women and two for men per day. This makes it a viable option for the individual in question while acknowledging her current good blood glucose management. Moreover, it is important to let clients know that alcohol can impact blood sugar levels, so awareness and moderation are key. Drinking wine with a meal may also help to minimize potential fluctuations in blood sugar. However, monitoring how her body responds to alcohol in conjunction with her medication and eating habits is crucial, as alcohol can influence the effects of oral hypoglycemic agents. In context, while other responses present varying degrees of caution regarding alcohol consumption, the correct answer provides a balanced perspective that allows for moderation and empowerment within dietary choices.