Department of Endocrinology and Metabolism, The First Affiliated Hospital of Soochow University, Suzhou, China.
Diabetes Metab Res Rev. 2019 Nov;35(8):e3187. doi: 10.1002/dmrr.3187. Epub 2019 Jul 10.
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.
在全球范围内,糖尿病不仅被认为是主要的死亡和发病原因,而且还造成了巨大的经济负担。越来越多的证据表明,食物及其成分可以用于预防和治疗 2 型糖尿病(T2DM)。增加乳制品的摄入量与降低 T2DM 风险有关。乳制品在 T2DM 发展中的保护作用主要归因于乳制品中的营养成分,其中之一就是乳蛋白。有相当多的证据表明,牛奶蛋白能增加健康受试者和 T2DM 患者的餐后胰岛素反应,降低餐后血糖反应。然而,牛奶蛋白降低餐后血糖的确切机制尚未确定;但是,从牛奶蛋白衍生的氨基酸和生物活性肽被认为可以改变生理环境,包括延缓胃排空和增强肠促胰岛素和胰岛素的反应,从而导致餐后血糖降低。本综述将重点阐述通过总结该主题的相关支持证据,将牛奶蛋白作为膳食补充剂用于预防和治疗 T2DM 的潜在应用。