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Effect of long-term dietary protein intake on glucose metabolism in humans
Open accessAbstract
Aims/hypothesis A meal rich in protein stimulates insulin secretion. Long-term effects of dietary protein on insulin release and glucose metabolism are, however, still not known. Our study focussed on the effect of different protein intake on pancreatic insulin secretion capacity, glycogen turnover and gluconeogenesis.Methods Subjects with constant (6 months) dietary protein of 1.87 +/- 0.26 g kg(-1) day(-1) (1.25-2.41) named high protein group and with 0.74 +/- 0.08 (0.57-0.80), normal protein group, were identified by a food questionnaire and were matched (n = 9) according to sex, age and calorie intake. They underwent an intravenous glucose tolerance test and a euglycaemic hyperinsulinaemic clamp with infusion of [6,6-2H2]-glucose combined with indirect calorimetry. To estimate net gluconeogenesis the usual diet was enriched by deuterated water or U-[13C6]-glucose and breath and plasma were sampled.Results Glucose-stimulated insulin secretion was increased in the high protein group (516 +/- 45 pmol/l vs 305 +/- 32, p = 0.012) due to reduced glucose threshold of the endocrine beta cells (4.2 +/- 0.5 mmol/l vs 4.9 +/- 0.3, p = 0.031). Endogeneous glucose output was increased by 12% (p = 0.009) at 40 pmol/l plasma insulin in the high protein group, but not at higher insulin concentration whereas overall glucose disposal was reduced. Fasting plasma glucagon was 34% increased in the high protein group (p = 0.038). Fractional gluconeogenesis was increased by 40% in subjects receiving a high protein diet as determined by both methods.Conclusion/interpretation High protein diet is accompanied by increased stimulation of glucagon and insulin within the endocrine pancreas, high glycogen turnover and stimulation of gluconeogenesis.
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Insulin Resistance of Protein Metabolism in Type 2 Diabetes and Impact on Dietary Needs: A Review
Gougeon, R. (2013) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2013.01.007 · Cited by 36
Helms, E. R., Zinn, C., Rowlands, D. S., Naidoo, R., & Cronin, J. (2015) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2014-0056 · Cited by 32
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Metadata
- Authors
- Linn, T., Santosa, B., Grönemeyer, D., Aygen, S., Scholz, N., Busch, M., & Bretzel, R. G.
- Affiliations
- Witten/Herdecke University (DE)
- Justus-Liebig-Universität Gießen (DE)
- Venue
- Diabetologia
- Published
- 2000-10-02
- Volume
- 43
- Issue
- 10
- Pages
- 1257-1265
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W2074497389
- Semantic Scholar
- 7e12ba375f9c9537cea1dec3acda695fb924cfcc
- Cited by
- 241
- References
- 5
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 9 · 2023: 12 · 2022: 9 · 2021: 8 · 2020: 9 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 14 · 2015: 13 · 2014: 13 · 2013: 12 · 2012: 17
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- dietary protein, high-protein diet, glucose metabolism, insulin secretion, glucose-stimulated insulin secretion, endogenous glucose production, gluconeogenesis, glycogen turnover, glucagon, glucose disposal, hyperinsulinemic-euglycemic clamp, heavy water, isotope tracers
- MeSH terms
- Insulin Secretion, Adult, Blood Glucose, Energy Intake, Calorimetry, Indirect, Deuterium, Dietary Proteins, Female, Glucagon, Gluconeogenesis, Glucose, Glucose Tolerance Test, Glycogen, Humans, Insulin, Liver, Male, Oxidation-Reduction, Pancreas, Surveys and Questionnaires, Glucose Clamp Technique
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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