DM: Protein (2001)
Nutrition Practice Guidelines for Type 1 and 2 Diabetes: Protein (2001)
The amount of protein consumed at meals has minimal influence on glucose response when diabetes is controlled, however, the insulin response to protein is similar to that of carbohydrate.
Individuals with diabetes who have clinical signs of nephropathy (>30 mg urine albumin/day) should limit dietary protein to 0.8 to 1.0 g/kg/d to slow the progression of renal disease. (2001)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
Evidence Summary: Type 1 and 2 Diabetes:Protein
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- American Diabetes Association. Position Statement. Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications. Diabetes Care 2002; 25(suppl 1): S50-60.
- Gannon MC, Nuttall JA, Damberg G, Gupta V, Nuttall FQ. Effect of protein ingestion on the glucose appearance rate in people with type 2 diabetes. J Clin Endocrin Metab. 2001;86:1040-1047.
- Gannon MC, Nuttall FQ, Grant CT, Ercan-Fang S, Ercan-Fang N. Stimulation of insulin secretion by fructose ingested with protein in people with untreated type 2 diabetes. Diabetes Care. 1998;21:16-22.
- Gray RO, Butler PC, Beers TR, Kryshak EJ, Rizza R. Comparison of the ability of bread versus bread plus meat to treat and prevent subsequent hypoglycemia in patients with insulin-dependent diabetes mellitus. J Clin Endocrinol Metab. 1996;81:1508-1511.
- Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, Mitch W, Smith SC, Sowers JR. Diabetes and cardiovascular disease. A statement for healthcare professionals from the American Heart Association. Circulation. 1999;100:1134-1146.
- Hansen HP, Christensen PK, Tauber-Lassen E, Klausen A, Jensen BR, Parving H. Low-protein diet and kidney function in insulin-dependent diabetic patients with diabetic nephropathy. Kidney International. 1999;55:621-628.
- Nordt TK, Besenthal I, Eggstein M, Jakober B. Influence of breakfasts with different nutrient contents on glucose, C peptide, insulin, glucagon, triglycerides, and GIP in non-insulin-dependent diabetics. Am J Clin Nutr. 1991;53:155-160.
- Nuttall FQ, Mooradian AD, Gannon MC, Billington C, Krezowski P. Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load. Diabetes Care. 1984;7:465-470.
- Raal FJ, Kalk WJ, Lawson M, Esser JD, Buys R, Fourie L, Panz VR. Effect of moderate dietary protein restriction on the progression of overt diabetic nephropathy: a 6-month prospective study. Am J Clin Nutr. 1994;60:579-585.