Diabetes Information

Protein Principles for Diabetes


Dietary considerations can present a Hobson's choice in diabetes. Even when the intake is nutritious, assimilating it can be another matter. Then there is the problem of progression of diabetic complications if one ends up with excess glucose or fat in the system. Excess carbohydrates in a meal, and the resulting uncontrolled blood sugar levels can be detrimental to any number of tissues, from the lens of the eye, to the neurons, small blood vessels and the kidneys. Fat is also a problem with increase incidences of atherosclerosis, large vessel disease and cardiac complications. What, then is the appropriate macronutrient for the diabetic population? Enough medical literature exists to suggest that in diabetes, proteins are probably the best bet.

Proteins are the natural choice of the body when faced with diabetes. In uncontrolled diabetes, muscle protein is broken down into amino acids to be converted into glucose by the liver. If left to fend for itself, this can create a commotion within the body. Since proteins have to supply enough energy to substitute for carbohydrates, proteins are broken down faster than they are made. The body ends up with a protein deficit, a situation with subtle, yet far-reaching effects on normal body functions. Importantly, for diabetics, a protein deficit has been shown to impair resistance to infections (Ganong WF). Replenishing the depleting protein stores is a vital requirement of all diabetic diets.

Importance of proteins in a diabetic has been well documented. The American Associations of Clinical Endocrinologists have made it clear that not much evidence exists to indicate that the patients with diabetes need to reduce their intake of dietary proteins. The AACE recommends that 10-20% of the calorie intake in diabetes should come from proteins (AACE Diabetes Guidelines). It is in fact believed that this is one nutrient that does not increase blood glucose levels in both diabetics and healthy subjects (Gannon et al).

Nutrition therapy for diabetes has progressed from prevention of obesity or weight gain to improving insulin's effectiveness and contributing to improved metabolic control (Franz MJ). In this new role, a high protein diet (30% of total food energy) forms a very pertinent part of nutrition therapy. One of the most important causes for type II diabetes is obesity. Excess body fat raises insulin resistance and higher levels of insulin are required to bring down blood sugars as the weight increases (Ganong WF). Another problem with excess fat is the clogging of arteries with atherosclerotic plaques that is responsible for a wide range of diabetic complications. Any mechanism that reduces body fat decreases insulin resistance and improves blood glucose control. Parker et al have also shown that a high protein diet decreased abdominal and total fat mass in women with type II diabetes. Other studies by Gannon et al. and Nuttall et al have verified that blood glucose levels and glycosylated hemoglobin (a marker of long term diabetic control) reduce after 5 weeks on a diet containing 30% of the total food energy in the form of proteins and low carbohydrate content. It is speculated that a high protein diet has a favorable effect in diabetes due to the ability of proteins and amino acids to stimulate insulin release from the pancreas. Thus, a high protein diet is not only safe in diabetes, but can also be therapeutic, resulting in improved glycemic control, and decreased risk of complications related to diabetes.

The benefits of a high protein diet do not end here. Individual protein components of such a diet, when aptly chosen, can have other advantages as well. Dietary supplements containing proteins like whey and casein come highly recommended. Casein is a milk protein and has the ability to form a gel or clot in the stomach. The ability to form this clot makes it very efficient in nutrient supply. The clot is able to provide a sustained, slow release of amino acids into the blood stream, sometimes lasting for several hours (Boirie et al. 1997). A slow sustained release of nutrients matches well with the limited amount of insulin that can be produced by the pancreas in diabetes. A protein supplement containing casein can thus increase the amount of energy assimilated from every meal and, at the same time, reduce the need for pharmacological interventions to control blood sugar.

Whey proteins and caseins also contain "casokinins" and "lactokinins', (FitzGerald) which have been found to decrease both systolic and diastolic blood pressure in hypertensive humans (Seppo). In addition, whey protein forms bioactive amine in the gut that promotes immunity. Whey protein contains an ample supply of the amino acid cysteine. Cysteine appears to enhance glutathione levels, which has been shown to have strong antioxidant properties -- antioxidants mop up free radicals that induce cell death and play a role in aging.

Thus, development of a protein supplement containing casein and whey can provide an apt high protein diet and its health benefits to individuals suffering from diabetes, obesity and hypercholesterolemia.

ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

Copyright - Protica Research - http://www.protica.com

REFERENCES

The American Association of Clinical Endocrinologists. Medical guidelines for the management of diabetes. AACE Diabetes Guidelines, Endocr Pract. 2002; 8(Suppl 1).

Boirie, Y., Dangin, M., Gachon, P., Vasson, M.P., Maubois, J.L. and Beaufrere, B. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences 94, 14930-14935.

Counous, G. Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research 2000; 20, 4785-4792

FitzGerald RJ, Murray BA, Walsh D J. Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S-988S, 2004.

Franz MJ. Prioritizing diabetes nutrition recommendations based on evidence. Minerva Med. 2004; 95(2):115-23.

Gannon et al An increase in dietary protein improves the blood glucose response in persons with type 2 diabetes. Am J Clin Nutr 2003; 78:734- 41.

Gannon MC, Nuttall J A, Damberg G. Effect of protein ingestion on the glucose appearance rate in people with type II diabetes. J Clin Endocrinol Metab 86: 1040-1047, 2001

Ganong W F. Review of Medical Physiology, 21st Ed. Lange Publications 2003

Ha, E. and Zemel, M.B. Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry 2003; 14, 251-258.

Kent KD, Harper WJ, Bomser JA. Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro. 2003; 17(1):27-33.

Nuttall et al. The Metabolic Response of Subjects with Type II Diabetes to a High-Protein, Weight-Maintenance. J Clin Endocrinol Metab 88: 3577-3583, 2003

Parker et al. Effect of a High-Protein, High-Monounsaturated Fat Weight Loss Diet on glycemic Control and Lipid Levels in Type 2 Diabetes. Diabetes Care 25:425-430, 2002.

Seppo, L., Jauhiainen, T., Poussa, T. & Korpela, R. () A fermented milk high in bioactive peptides has a blood pressure-lowering effect in hypertensive subjects. Am. J. Clin. Nutr. 2003; 77: 326-330.Unger RH. Glucagon physiology and pathophysiology. N Engl J Med. 1971; 285:443- 449.

Copyright 2004 - Protica Research - http://www.protica.com


MORE RESOURCES:
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news


Medical News Today

Why does diabetes cause fatigue?
Medical News Today
Fatigue is a common symptom of diabetes and can result from high blood sugar levels and other symptoms and complications of the condition. Some lifestyle changes can help a person manage diabetes fatigue. Fatigue is different from being tired. When a ...
Greensboro Mayor Nancy Vaughan wants her Type I diabetes to help raise awarenessGreensboro News & Record
Type 2 diabetes symptoms: Having a daytime nap for this long could indicate the conditionExpress.co.uk
People with Diabetes May Want to Stop Storing Their Insulin in the RefrigeratorHealthline
MD Linx -ITV News -PulseLive Kenya
all 16 news articles »


Everyday Health

Study Ties 'Milk' Hormone to Lower Type 2 Diabetes Risk
Everyday Health
October 19, 2018. New research suggests healthy levels of a hormone released during breastfeeding are linked with a reduced risk of diabetes in women, but researchers aren't sure why this association exists and how the hormone may play a role in ...



CNN

Not exercising worse for your health than smoking, diabetes and heart disease, study reveals
CNN
"Being unfit on a treadmill or in an exercise stress test has a worse prognosis, as far as death, than being hypertensive, being diabetic or being a current smoker," Jaber told CNN. "We've never seen something as pronounced as this and as objective as ...
Hate exercising? Skipping workouts worse for health than smoking, diabetes and heart disease, study saysAtlanta Journal Constitution

all 14 news articles »


Free 'Living Well with Diabetes' workshop starts Nov. 6
The Laconia Daily Sun
LACONIA — LRGHealthcare has availability in their upcoming Living Well with Diabetes workshop, starting Tuesday, Nov. 6. The workshop is for those living with, or caring for someone with, diabetes. This free, six-week workshop will be offered Tuesdays ...



Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes
Monthly Prescribing Reference
HealthDay News — Patients with diabetes have increased mortality due to suicide, alcohol-related causes, and accidents than those without diabetes, according to a study published in the November issue of the European Journal of Endocrinology.



Inverse

Scientists Map 100 Trillion Cells to Uncover a Cure for Type 1 Diabetes
Inverse
I have been studying Type 1 diabetes, or juvenile diabetes, for nearly 35 years, and along with my other colleagues at the UF Diabetes Institute, I have been trying to find a way to prevent and cure the disease. This has been a challenge until recently ...



MedPage Today

Type 1.5 Diabetes; Memes Driving Obesity; Bariatric Surgery's Vascular Benefits
MedPage Today
A genome-wide analysis suggested that latent autoimmune diabetes in adults is a hybrid of types 1 and 2 and may deserve its informal moniker of "type 1.5 diabetes." (ScienceDaily). Dangerous memes? Researchers in Britain are arguing that some memes ...
Bariatric Surgery Significantly Lowers Heart Risks for Obese People With DiabetesEveryday Health

all 3 news articles »


New way to prevent heart disease in type 1 diabetes
EurekAlert (press release)
Scientists at Newcastle University have revealed the mechanism which allows a commonly prescribed drug for Type 2 diabetes to prevent heart disease in patients with Type 1 diabetes -and could lead to the development of new treatments. Metformin is an ...



Mediterranean diet-based nutrition therapy linked to improved gestational diabetes outcomes
Healio
Women with gestational diabetes assigned to medical nutrition therapy based on the Mediterranean diet for 3 months experienced an improvement in glycemic profile at delivery that was comparable to pregnant women with normal glucose tolerance, study ...



Yahoo Finance

Tandem Diabetes (TNDM) Q3 Earnings Preview: What to Look Out For
Yahoo Finance
The market expects Tandem Diabetes (TNDM) to deliver a year-over-year increase in earnings on higher revenues when it reports results for the quarter ended September 2018. This widely-known consensus outlook is important in assessing the company's ...

and more »

Google News

home | site map
© 2009