Vodka (90 Proof) (1 Fl Oz)

Choose plain vodka served neat, on ice, or with sparkling water; avoid tonic water, juice, regular soda, syrups, sweetened flavored waters, and liqueurs, which are more likely to raise glucose.

Check the exact drink and portion: 90-proof vodka itself has little to no carbohydrate, so a recorded rise may come from mixers, a larger-than-usual pour, food eaten alongside it, or normal measurement variability.

Have alcohol with a balanced meal rather than on an empty stomach, such as eggs with non-starchy vegetables, grilled chicken with salad, or salmon with broccoli; avoid pairing it with sugary or refined-starch foods.

Keep the serving small and sip slowly; higher alcohol intake can disrupt liver glucose regulation and may cause a delayed drop in glucose even if an early rise is seen.

Use unsweetened hydration alongside the drink, such as water or sparkling water, and avoid drinking alcohol when dehydrated.

Review your glucose pattern for several hours after drinking, especially overnight; if you use glucose-lowering medication or insulin, discuss alcohol safety and any medication adjustments with your clinician.