Impact of Nighttime Sports Drinks on Kidney Health and Diabetes Risk - Internal Medicine

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Kidney problems, diabetes?


Hello Dr.
Lin, I would like to ask you a few questions.
For the past two years, I have been drinking half a bottle (about 300cc) of sports drinks, such as Fun or Pocari Sweat, every night before bed.
Recently, I have been feeling unwell frequently.

1.
I have developed a habit of drinking sugary sports drinks before bed for the past two years, and I find it hard to change this habit.
I am worried that drinking them at this time might be more harmful to my kidneys or could lead to diabetes compared to drinking them during the day.

2.
A few months ago, I experienced a significant weight loss, but my appetite has not decreased.
Could this be related to my habit of drinking sports drinks before bed?
Thank you for taking the time to respond amidst your busy schedule.

Mr. Chen, 20~29 year old female. Ask Date: 2021/06/09

Dr. Lin Wufu reply Internal Medicine


Hello: 1.
There is no research confirming whether drinking sugary beverages at night or during the day makes a difference, but consuming them before bedtime may lead to weight gain more easily, and being overweight increases the risk of diabetes.
2.
It is unlikely, but if there is a sudden weight loss of more than 2-3 kilograms over a few months without intentional dieting, it is advisable to consult a family medicine or internal medicine clinic for further evaluation.

Reply Date: 2021/06/09

More Info


Drinking sugary sports drinks before bedtime can have several implications for your health, particularly concerning kidney function and diabetes risk. Let's break down your concerns based on current medical knowledge.

1. Impact on Kidney Health: Consuming sugary drinks, including sports drinks, before bed can lead to increased sugar levels in your bloodstream. High sugar intake can contribute to insulin resistance over time, which is a precursor to type 2 diabetes. While there isn't specific research indicating that drinking sports drinks at night is worse for kidney health than during the day, the overall high sugar content can lead to obesity and metabolic syndrome, both of which are risk factors for kidney disease. The kidneys are responsible for filtering excess glucose from the blood, and consistently high levels can lead to increased workload and potential damage over time.

2. Diabetes Risk: Regularly consuming sugary beverages, especially at night, can increase your risk of developing type 2 diabetes. When you consume sugar, your body releases insulin to help manage blood glucose levels. If this process is repeated frequently, it can lead to insulin resistance, where your body becomes less responsive to insulin. This can eventually result in elevated blood sugar levels, which is a hallmark of diabetes. The timing of your consumption may not be the only factor, but it certainly contributes to your overall sugar intake and metabolic health.

3. Weight Loss Concerns: You mentioned experiencing a significant weight loss without a change in appetite. This could be concerning, especially if it is more than 2-3 kilograms over a few months. While it is unlikely that drinking sports drinks before bed is directly causing weight loss, it could be a symptom of an underlying issue, such as metabolic changes or even stress. If your body is not processing sugars effectively due to insulin resistance, it may lead to unexpected weight changes. It is crucial to consult a healthcare provider to rule out any serious conditions.

4. General Recommendations: If you find it difficult to break the habit of drinking sports drinks at night, consider alternatives that are lower in sugar or calorie-free. Hydration is essential, and water or herbal teas can be excellent substitutes. Additionally, if you are concerned about your weight loss and overall health, it would be wise to consult a healthcare professional who can perform a thorough evaluation, including blood tests to check your glucose levels and kidney function.

5. Lifestyle Modifications: Incorporating a balanced diet rich in whole foods, such as fruits, vegetables, whole grains, and lean proteins, can help manage your blood sugar levels and overall health. Regular physical activity is also beneficial, but timing is essential; try to avoid heavy meals or sugary drinks right before bed to promote better sleep and metabolic health.

In summary, while drinking sports drinks before bed may not be the sole cause of health issues, it can contribute to a range of problems, including increased risk of diabetes and potential kidney strain. Monitoring your overall sugar intake, making dietary adjustments, and consulting with a healthcare professional for personalized advice will be crucial steps in managing your health effectively.

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