Deteriorated glucose metabolism with a high-protein, low-carbohydrate diet in db mice, an animal model of type 2 diabetes, might be caused by insufficient insulin secretion

Eur J Nutr. 2017 Feb;56(1):237-246. doi: 10.1007/s00394-015-1075-y. Epub 2015 Oct 24.

Abstract

Purpose: We previously showed the deleterious effects of increased dietary protein on renal manifestations and glucose metabolism in leptin receptor-deficient (db) mice. Here, we further examined its effects on glucose metabolism, including urinary C-peptide. We also orally administered mixtures corresponding to low- or high-protein diets to diabetic mice.

Methods: In diet experiments, under pair-feeding (equivalent energy and fat) conditions using a metabolic cage, mice were fed diets with different protein content (L diet: 12 % protein, 71 % carbohydrate, 17 % fat; H diet: 24 % protein, 59 % carbohydrate, 17 % fat) for 15 days. In oral administration experiments, the respective mixtures (L mixture: 12 % proline, 71 % maltose or starch, 17 % linoleic acid; H mixture: 24 % proline, 59 % maltose or starch, 17 % linoleic acid) were supplied to mice. Biochemical parameters related to glucose metabolism were measured.

Results: The db-H diet mice showed significantly higher water intake, urinary volume, and glucose levels than db-L diet mice but similar levels of excreted urinary C-peptide. In contrast, control-H diet mice showed significantly higher C-peptide excretion than control-L diet mice. Both types of mice fed H diet excreted high levels of urinary albumin. When maltose mixtures were administered, db-L mixture mice showed significantly higher blood glucose after 30 min than db-H mixture mice. However, db mice administered starch-H mixture showed significantly higher blood glucose 120-300 min post-administration than db-L mixture mice, although both groups exhibited similar insulin levels.

Conclusions: High-protein, low-carbohydrate diets deteriorated diabetic conditions and were associated with insufficient insulin secretion in db mice. Our findings may have implications for dietary management of diabetic symptoms in human patients.

Keywords: High-protein diet; Insulin secretion; Oral administration; Urinary C-peptide; db mice.

MeSH terms

  • Albuminuria / metabolism
  • Animals
  • Blood Glucose / metabolism*
  • Body Weight
  • C-Peptide / urine
  • Carbohydrate Metabolism
  • Diabetes Mellitus, Experimental / physiopathology*
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diet, Carbohydrate-Restricted*
  • Dietary Carbohydrates / administration & dosage
  • Dietary Proteins / administration & dosage*
  • Dietary Proteins / analysis*
  • Insulin / blood
  • Insulin / metabolism*
  • Insulin Secretion
  • Leptin / blood
  • Male
  • Maltose / administration & dosage
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Starch / administration & dosage

Substances

  • Blood Glucose
  • C-Peptide
  • Dietary Carbohydrates
  • Dietary Proteins
  • Insulin
  • Leptin
  • Maltose
  • Starch