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Importance of Dietary Proteins in management of Prediabetes and Type 2 Diabetes

Diabetes mellitus, commonly referred to as diabetes, is a metabolic disorder that causes high blood sugar. Diabetes occurs either when the pancreas does not produce enough insulin (Type 1 Diabetes) or when the body cannot effectively use the insulin it makes (Type 2 Diabetes). More than 95% of people with diabetes have Type 2 Diabetes. Prediabetes is a clinical condition where the blood sugar levels are raised but not high enough to be considered type 2 diabetes; however, without preventive measures and lifestyle modifications, people with prediabetes are at increased risk of developing type 2 diabetes. (1)

Poorly controlled diabetes can lead to severe consequences, causing damage to a wide range of your body's organs and tissues.

  • Over time, diabetes can damage various vital organs like the heart, blood vessels, eyes, kidneys, and nerves
  • Adults with diabetes have a two- to three-times higher risk of heart attacks and strokes
  • Combined with reduced blood flow and neuropathy (nerve damage), there is an increased chance of foot ulcers, infection, and limb amputation
  • Diabetic retinopathy is an important cause of blindness in people suffering from prolonged diabetes.
  • Diabetes is among the leading causes of kidney failure
  • People with diabetes are more likely to have poor outcomes for several infectious diseases, including COVID-19 (1)

It is well established that healthful eating, physical activity, and, in many cases, pharmacotherapy are the foundations of successful diabetes management. Eating suitable foods and planning each meal strategically can provide the best results regarding blood sugar management and body weight maintenance and avert the chronic health conditions associated with diabetes. (4)

Clinical studies acclaimed those diets rich in whole grains, fruits, vegetables, legumes, and nuts, moderate in alcohol consumption, and lower in refined grains, red/processed meats, and sugar-sweetened beverages reduce diabetes risk and improve glycemic control and blood lipids in patients with diabetes. The recommended foods for diabetic people include:

Healthy carbohydrates sourced from fruits, vegetables, whole grains, and legumes, such as beans and peas.

Low-fat dairy products such as milk and cheese

Fiber-rich foods, including vegetables, fruits, nuts, legumes, such as beans and peas, and whole grains

Protein Foods consisting of lean protein, such as poultry and fish

'Good' fats like monounsaturated and polyunsaturated fats, found in Avocados, Nuts, Canola, olive, and peanut oils. (3) (4)

A protein-rich diet can be beneficial for both diabetes and prediabetes as it improves glycemic control, aids in satiety and preservation of lean body mass during weight loss, and facilitates the older adult's increased protein requirements. The recommendations for protein intake are based on individual assessment and consideration of other factors and parameters, such as age, gender, genetics, glycemic index, and clinical conditions like kidney disease, hypertension, overweight, and obesity. However, in general, 20–30% of total energy intake as protein is recommended for people with type 2 diabetes. (2) (4)

Many misconceptions surround the role of dietary protein in the management of diabetes. Two common misconceptions about dietary protein in diabetes management are

However, research has provided a better understanding of the role of dietary protein in diabetes and prediabetes management. Protein has a minimal effect on blood glucose concentrations; instead, a slightly higher protein intake (20–30% of total energy) of both animal and plant protein may be beneficial for older adults and those desiring to improve glucose control and weight loss. In addition, clinical surveys and trials have evidenced that a high protein intake does not harm the kidneys nor interfere with the effective functioning of the renal system. (3)

Nutrition and meal planning is often the most challenging aspects of diabetes self-care. American Diabetes Association recommends that the nutrition prescription for diabetes should be based on the individual's treatment goals, and the macronutrient composition of the meal plan should consider the individual's lifestyle, food preferences, and dietary changes that the person is willing and able to make. (3)

Resources

Significance of Screening Strategies for Prediabetes, Diabetes, and Associated Complications

Prediabetes and Risk of Mortality, Diabetes-Related Complications, and Comorbidities

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