Milk in the prevention and management of type 2 diabetes: The potential role of milk proteins

Diabetes Metab Res Rev. 2019 Nov;35(8):e3187. doi: 10.1002/dmrr.3187. Epub 2019 Jul 10.

Abstract

Globally, diabetes mellitus is not only considered a leading cause of mortality and morbidities but has also created a substantial economic burden. There is growing evidence that foods and their components can be implemented in the prevention and management of type 2 diabetes mellitus (T2DM). Increased dairy consumption has been linked to a lower risk of T2DM. The protective role of dairy foods in the development of T2DM is thought to be largely attributable to dairy nutrients, one of them being dairy protein. There is considerable evidence that milk proteins increase the postprandial insulin response and lower the postprandial blood glucose response in both healthy subjects and patients with T2DM. The exact mechanisms by which milk proteins lower postprandial glucose levels are yet to established; however, the amino acids and bioactive peptides derived from milk proteins are thought to modify a physiological milieu, which includes delayed gastric emptying and the enhancement of incretin and insulin responses, consequently leading to lower postprandial glucose levels. The present review will focus on providing a clear presentation of the potential implementation of milk proteins as a dietary supplement in the prevention and management of T2DM by summarizing the relevant supporting evidence for this particular topic.

Keywords: casein; diabetes; gastric inhibitory polypeptide; glucagon-like peptide-1; glucose; insulin; whey.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Blood Glucose / analysis*
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Humans
  • Milk / chemistry*
  • Milk Proteins / therapeutic use*
  • Postprandial Period*

Substances

  • Blood Glucose
  • Milk Proteins