Insulin Resistance Type 2 Diabetes and Medical Nutrition Therapy

Most major health organizations, including the Joslin Clinic and the American Diabetes Association agree that adequate dietary management of diabetes improves patient outcomes, including reduced insulin resistance and hyperglycemia, (fasting and postprandial), heart disease and hypertension¹⁴.

The role of carbohydrates in raising blood glucose is well accepted. A diet without adequate carbohydrates, however, would be unbalanced and unhealthy, and is therefore not recommended. High fat diets are contraindicated as they contribute to heart disease, a major complication in Type 2 Diabetes.

Research does seem to indicate that moderate increases in dietary protein, and in some studies, specifically whey protein, are beneficial in diabetes, the mode of action being the stimulation of insulin from the pancreas and the subsequent decrease in blood glucose, especially in the postprandial state¹⁵.

In addition, protein of high biological value of which whey protein is the highest, helps to speed the healing of diabetic wounds/ulcers¹⁶.

The role of excess weight in contributing to Type 2 Diabetes is well documented, with moderate caloric restriction and increased physical activity being the major strategies for dealing with this. Some interesting research positively implicates protein, specifically dairy protein in the management of insulin resistance¹⁷ and overweight/obesity¹⁸ in this population.

WHY PROTEEM™ WHEY PROTEIN FOR INSULIN RESISTANCE & TYPE 2 DIABETES?

Proteem™ Whey Protein provides:

• High quality, low fat, complete protein, containing all 9 essential amino acids
• No added carbohydrates, does not contain aspartame
• No added fats, low cholesterol (1.5g total fat in 28 grams of powder)
• Low in naturally occurring sodium (52mg)
• Naturally low in potassium and phosphorus (104 mg/80mg, respectively), will not contribute to renal complications
• Versatility of product: can be added to liquids/foods to meet the specialized needs of this population
• Good taste, preferred by VNA patients to Ensure, Boost, Glucerna, CIB¹⁹

Improved Patient Outcomes using Proteem™ Whey Protein in Diabetes Mellitus:

• Helps lower blood glucose by stimulating pancreatic insulin secretion; especially lowers postprandial blood glucose²⁰
• Helps with weight loss, mainly fat loss and preservation of lean body tissue as part of a comprehensive weight reduction program
• Helps lower blood pressure and serum lipids as part of a comprehensive diabetes management program
• Helps heal diabetic ulcers as part of a comprehensive wound management program
• Helps treat the malnutrition common to elderly diabetic patients with End Stage Renal Disease (ESRD) on hemodialysis by stabilizing and increasing weight and improving biochemical indices, including serum albumin, pre-albumin, potassium, calcium and phosphorus²¹

[ 14 ] Joslin Diabetes Center and Joslin Clinic Clinical Nutrition Guidelines for Overweight and Obese Adults with Type 2 Diabetes, Pre-Diabetes, or At High Risk For Developing Type 2 Diabetes, September 30, 2005
[ 15 ] American Journal of Clinical Nutrition, Vol.82, No. 1, 69-75, July 2005
[ 16 ] Journal of Wound, Ostomy and Continence Nursing, Vol. 32, No. 5, September/October 2005
[ 17 ] JAMA, Vol. 287, No. 16, April 24, 2002
[ 18 ] Journal of Nutrition. 135:2749-2752, December 2005
[ 19 ] Feedback from VNA patients using Proteem™, 2005-2006
[ 20 ] American Journal of Clinical Nutrition, Vol. 82, No. 1, 69-75, July 2005
[ 21 ] Journal of Renal Nutrition, Vol. 10, No. 2 69-75, April 2000