
Can patients with diabetic nephropathy consume medicinal wine?
Disease description:
I am a diabetic patient and have been taking medication for several years. Recently, a friend gave me a bottle of tonic wine, saying that it can nourish the kidneys and enhance immunity. May I ask, can patients with diabetic nephropathy consume tonic wine?

Patients with diabetic nephropathy should not consume medicinal liquor (health-enhancing alcoholic beverages), for the following main reasons:
1. **Blood glucose fluctuations**: Although medicinal liquor contains some tonic ingredients, it also contains alcohol. Alcohol may elevate blood glucose levels, which is detrimental to glycemic control in diabetic patients and may lead to blood glucose fluctuations, thereby worsening the condition of diabetic nephropathy.
2. **Increased kidney burden**: The kidneys of patients with diabetic nephropathy are already damaged, and alcohol needs to be metabolized and excreted through the kidneys. Consumption of medicinal liquor increases the burden on the kidneys, further impairing kidney function and accelerating disease progression.
3. **Interference with medication efficacy**: Alcohol in medicinal liquor may interfere with the metabolism and absorption of antidiabetic medications and drugs used to treat kidney disease, thereby reducing the effectiveness of these medications and potentially causing adverse reactions.
Patients with diabetic nephropathy need to strictly control their diet, avoid alcohol and any form of medicinal liquor, to protect kidney health and stabilize their condition. At the same time, they should undergo standardized treatment and monitoring under the guidance of a physician.