The simple answer is: Yes, you can drink alcohol even if you have diabetes. The more complex answer: You need to be even more cautious than the average drinker. Take all the usual precautions, but be sure to pay close attention to your glucose level when partaking in alcoholic beverages. Here are some simple tips for making sure your night is fun and safe. You might have heard all of these before, but take them to heart. The more you drink, the less you'll take care of your blood glucose levels. 1. Do not drink on an empty stomach or when your blood glucose is low. This is especially important for those on insulin and diabetes pills such as sulfonylureas and meglitinides (Prandin), which lower blood glucose by making more insulin. 2. Wear an I.D. that notes you have diabetes. The symptoms of drunkenness and hypoglycemia are very similar, so you may not get the attention you need when it comes to an emergency. Don't let others brush off your strange behavior as the effects of being drunk. 3. Have a zero calorie beverage by your side to keep yourself hydrated like water, diet soda or iced tea. 4. Try a light beer or wine spritzer made with wine, ice cubes and club soda. Watch out for heavy craft beers, which can have twice the alcohol and calories as a light beer. 5. As appealing as they might be, fruity, syrupy cocktails are not your friend. For mixed drinks, choose calorie-free drink mixers like diet soda, club soda, diet tonic water or water. 6. Alcohol can cause hypoglycemia shortly after drinking and for up to 24 hours after drinking. Make it a point to check your blood glucose before you drink, while you drink, and for up to 24 hours afterwards. 7. Be sure to check your blood glucose before you go to bed to make confirm that it is at a safe level – between 100 and 140 mg/dL. If your blood glucose is low, make sure you eat something to raise it.