Does protein distribution affect blood glucose in type I diabetes mellitus A case report

Ho Chiou Yi, . and Pek Siow Hui, . Does protein distribution affect blood glucose in type I diabetes mellitus A case report. pp. 389-392. ISSN 1394-035X

Introduction: Type I diabetes mellitus patients often complain of hunger and suboptimal blood glucose levels. Proper protein distribution might help to improve glucose control and ultimately carbohydrate distribution. Case Presentation : A nine-year-old boy (herein the patient) newly diagnosed with Type I diabetes mellitus with diabetic ketoacidosis presented nocturia polydipsia loss of weight and lethargy. During admission the patient was dehydrated and had decompensate metabolic acidosis with glycated hemoglobin (HbA1c) 14.5 random blood sugar 26.2 mmol/dL and ketone 3.2 mmol/dL. The patient was started on insulin therapy and referred to a dietitian on the 2nd day of admission. Although patient complied with the dietitian's plan his glucose level remained suboptimal and he complained of hunger immediately after meals. Insulin dose and activity level remained same at this moment. Whilst keeping the protein intake constant protein exchanges were redistributed into snacks and main meals. The patient felt satiety and his blood glucose started to optimise. Pairing protein-rich foods with carbohydrates can help to slow the rise in blood glucose because protein causes slower stomach emptying and helps prevent sharp spikes in blood glucose and takes the edge off hunger. Conclusion : This reported case showed proper protein distribution with even carbohydrate distribution can help to improve glucose control and satiety in type I diabetic mellitus. It is recommended that further investigations be conducted to provide more concrete evidence on the role of protein distribution in blood glucose control of type I diabetes mellitus.

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Abstract

Introduction: Type I diabetes mellitus patients often complain of hunger and suboptimal blood glucose levels. Proper protein distribution might help to improve glucose control and ultimately carbohydrate distribution. Case Presentation : A nine-year-old boy (herein the patient) newly diagnosed with Type I diabetes mellitus with diabetic ketoacidosis presented nocturia polydipsia loss of weight and lethargy. During admission the patient was dehydrated and had decompensate metabolic acidosis with glycated hemoglobin (HbA1c) 14.5 random blood sugar 26.2 mmol/dL and ketone 3.2 mmol/dL. The patient was started on insulin therapy and referred to a dietitian on the 2nd day of admission. Although patient complied with the dietitian's plan his glucose level remained suboptimal and he complained of hunger immediately after meals. Insulin dose and activity level remained same at this moment. Whilst keeping the protein intake constant protein exchanges were redistributed into snacks and main meals. The patient felt satiety and his blood glucose started to optimise. Pairing protein-rich foods with carbohydrates can help to slow the rise in blood glucose because protein causes slower stomach emptying and helps prevent sharp spikes in blood glucose and takes the edge off hunger. Conclusion : This reported case showed proper protein distribution with even carbohydrate distribution can help to improve glucose control and satiety in type I diabetic mellitus. It is recommended that further investigations be conducted to provide more concrete evidence on the role of protein distribution in blood glucose control of type I diabetes mellitus.

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Item Type:	Article
AGROVOC Term:	Diabetes mellitus
AGROVOC Term:	Proteins
AGROVOC Term:	Protein concentrates
AGROVOC Term:	Blood glucose
AGROVOC Term:	Diet treatment
AGROVOC Term:	Diet therapy
AGROVOC Term:	Children
AGROVOC Term:	Carbohydrate content
AGROVOC Term:	Energy consumption
AGROVOC Term:	Insulin
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:54
URI:	http://webagris.upm.edu.my/id/eprint/8060

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