Alcohol Hepatic Suppression Estimator
Standard clinical guideline: Reduce overnight basal by 10-30% depending on volume consumed to prevent delayed severe hypoglycemia, as the liver prioritizes clearing alcohol over releasing glucose.
Clinical Context
Alcohol suppresses hepatic gluconeogenesis. While sugary drinks cause an initial spike, the liver will not release background glucose while processing the alcohol. This causes dangerous, severe lows 6-12 hours after drinking.