Food proteins in the regulation of blood glucose control

Adv Food Nutr Res. 2022:102:181-231. doi: 10.1016/bs.afnr.2022.05.001. Epub 2022 Aug 1.

Abstract

Food proteins, depending on their origin, possess unique characteristics that regulate blood glucose via multiple physiological mechanisms, including the insulinotropic effects of amino acids, the activation of incretins, and slowing gastric emptying rate. The strategies aimed at curbing high blood glucose are important in preventing impaired blood glucose control, including insulin resistance, prediabetes and diabetes. The effect of proteins on blood glucose control can be achieved with high-protein foods short-term, and high-protein diets long-term using foods that are naturally high in protein, such as dairy, meat, soy and pulses, or by formulating high-protein functional food products using protein concentrates and isolates, or blended mixtures of proteins from different sources. Commercial sources of protein powders are represented by proteins and hydrolysates of caseins, whey proteins and their fractions, egg whites, soy, yellow pea and hemp which will be reviewed in this chapter. The effective doses of food protein that are capable of reducing postprandial glycemia start from 7 to 10g and higher per serving; however, the origin of protein, and macronutrient composition of a meal will determine the magnitude and duration of their effect on glycemia. The theoretical and methodological framework to evaluate the effect of foods, including food proteins, on postprandial glycemia for substantiation of health claims on food has been proposed in Canada and is discussed in the context of global efforts to harmonize the international food regulation and labeling.

Keywords: Blood glucose; Controlled trials; Dairy; Diabetes; Food proteins; Functional food; Insulin; Milk; Pulses; Soy.

MeSH terms

  • Blood Glucose* / metabolism
  • Gastric Emptying
  • Glycemic Control*
  • Insulin / pharmacology
  • Postprandial Period

Substances

  • Blood Glucose
  • Insulin