The role of dietary proteins among persons with diabetes
- PMID: 23881544
- PMCID: PMC3835583
- DOI: 10.1007/s11883-013-0348-2
The role of dietary proteins among persons with diabetes
Abstract
Examining the role of dietary protein and establishing intake guidelines among individuals with diabetes is complex. The 2013 American Diabetes Association (ADA) standards of care recommend an individualized approach to decision making with regard to protein intake and dietary macronutrient composition. Needs may vary based on cardiometabolic risk factors and renal function. Among individuals with impaired renal function, the ADA recommends reducing protein intake to 0.8-1.0 g/kg per day in earlier stages of chronic kidney disease (CKD), and to 0.8 g/kg per day in the later stages of CKD. Epidemiological studies suggest animal protein may increase risk of diabetes; however, few data are available to suggest how protein sources influence diabetes complications.
Conflict of interest statement
Jeannette M. Beasley declares that she has no conflict of interest.
Judith Wylie-Rosett declares that she has no conflict of interest.
References
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- Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients) Washington, D.C.: National Academies Press; 2002. - PubMed
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- Fulgoni VL., 3rd Current protein intake in America: analysis of the National Health and Nutrition Examination Survey, 2003–2004. Am J Clin Nutr. 2008 May;87(5):1554S–1557S. - PubMed
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American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes care. 2013 Jan;36(Suppl 1):S11–S66. This article lists the current American Diabetes Association recommendations for protein intake and for medical nutrition therapy.
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Wheeler ML, Dunbar SA, Jaacks LM, et al. Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature, 2010. Diabetes Care. 2012 Feb;35(2):434–445. This systematic review provides an evaluation of macronutrient research in diabetes management.
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Ajala O, English P, Pinkney J. Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am. J. Clin. Nutr. 2013 Mar;97(3):505–516. This meta-analysis evaluates the effect size of dietary approaches that vary in protein content.
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