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Red meat and Diabetes: Should we rethink our plate?

the conversation December 26, 2024, 20:05:08 IST

A groundbreaking study published in The Lancet has highlighted an alarming link between red meat consumption and type 2 diabetes, a disease affecting over 462 million people globally. Researchers found that high intake of both unprocessed and processed red meats significantly increased the risk of type 2 diabetes across diverse populations

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Prices are seen on a selection of red meat in Manhattan, New York City, US, March 29, 2022. File Image/Reuters
Prices are seen on a selection of red meat in Manhattan, New York City, US, March 29, 2022. File Image/Reuters

Red meat has been a part of diets worldwide  since early man . It is an  excellent source  of protein, vitamins (such as B vitamins) and minerals (such as iron and zinc).

However, red meat has long been associated with increasing the risk of  heart disease cancer  and  early death . What may not be so well known is the link between red meat consumption and type 2 diabetes.

A paper published in the  Lancet  in September 2024 highlighted this link to type 2 diabetes using data from the Americas, the Mediterranean, Europe, south-east Asia and the Western Pacific (20 countries included).

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This recent study, with nearly 2 million participants, found that high consumption of  unprocessed red meat , such as beef, lamb and pork, and  processed meat , such as bacon, salami and chorizo, increased the incidence of type 2 diabetes.

The researchers also highlighted a link between the consumption of poultry and the incidence of type 2 diabetes, but the link was weaker and varied across the populations.

Type 2 diabetes  is a serious public health issue affecting  462 million people globally . It occurs when our bodies don’t make enough insulin or  can’t use insulin well .

Insulin is a hormone produced by the pancreas, a small leaf-shaped gland that sits behind the stomach and just in front of the spine. Insulin helps blood glucose enter cells, which stops levels from rising in the blood.

In type 2 diabetes, due to our body not having enough insulin or inability to use the insulin (also referred to as  “insulin resistance” or “impaired insulin sensitivity” ), blood glucose reaches high levels, causing  symptoms  such as extreme thirst, increased need to pass urine and feelings of tiredness. Long-term health issues include nerve damage, foot problems and heart disease.

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The underlying mechanisms linking red meat intake with type 2 diabetes are unclear. Mechanisms could relate to the function of the pancreas, insulin sensitivity or a combination of the two.

How red meat and diabetes may be linked

Red meat has high levels of  saturated fat  and is  low in polyunsaturated fats , which could disrupt  insulin sensitivity .

Research has also shown that a high protein intake from animal sources (compared to  vegetarian sources ) can increase the risk of type 2 diabetes, possibly due to the high levels of branched-chain amino acids (BCAA) in animal protein.

BCAA include the amino acids leucine, isoleucine and valine. In a small study, short-term BCAA infusions increased  insulin resistance  in humans. Similar findings were shown in  larger human studies .

High levels of plasma BCAA can have various origins. These connections between red meat, BCAA, insulin resistance and type 2 diabetes are worth exploring further.

Another potential mechanism involves gut microbiota, the collection of microbes in our gut.

Our microbiota metabolises  choline  (a water-soluble essential nutrient) and  L-carnitine  (an amino acid found naturally in food), both of which are abundant in red meat, producing  trimethylamine . Increased trimethylamine has been associated with a  higher risk  of developing type 2 diabetes.

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How we cook meat may also add to this conundrum.  Cooking meat at high temperatures , such as grilling and barbecuing, can produce harmful compounds called “advanced glycation end products”.

These compounds can damage cells due to oxidative stress (caused by unstable atoms called free radicals), lead to  inflammation  (which can be damaging if it occurs in healthy tissues or lasts too long) and  insulin resistance .

Red meat is a great source of iron. But some studies have shown long-term iron intake or iron overload, particularly  haem iron (iron from animal-based sources) , may increase the risk of type 2 diabetes.

The solution: Eat less red meat

According to a World Health Organisation report, in the last 50 years, global consumption  of all types of meat has increased. In some wealthy countries, such as the UK, red meat consumption appears to be stable or  declining . Although there is a lot of  variation  in meat consumption between and within countries.

In the UK, people are advised to consume no more than  70g (cooked weight) of red meat per day  and to avoid eating processed meat. A similar recommendation is given across many  countries .

With the winter holidays around the corner and the festive gatherings in full swing, reducing red meat consumption will be difficult, especially for those who really like the taste. So enjoy these  moments  without worrying, and where possible, try to consume  fibre-rich vegetables with red meat .

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Small steps can be taken to  reduce your red meat intake  by having smaller portions or choosing a day in the week that is meat free (meat-free Mondays, say), or substituting some (or all) of the meat in recipes with chicken, fish, beans, lentils or the like.

And for those days you do eat red meat, try poaching, steaming or stewing it –  it’s healthier  than grilling or barbecuing.

Gulshanara (Rumy) Begum, Senior Lecturer in Nutrition & Exercise Science, University of Westminster

This article is republished from  The Conversation  under a Creative Commons license. Read the  original article .

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