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How Much Protein Do People With Diabetes Need? Vegetarian Options and Powders

Answered byDr. Rajesh MogantiMBBS, MD (General Medicine), DM (Endocrinology)
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Patient's Query

34 years oldMale

My doctor told me to increase protein because I’m losing muscle and I’ve started resistance training. I have diabetes and I’m mostly vegetarian, so my usual meals are roti or rice with a small amount of dal, plus vegetables. 

When I calculate, I feel I’m nowhere close to what I need. I keep hearing ‘1 gram per kg body weight’ but I don’t know if that is correct for someone with diabetes. How much protein do I actually need per day? Why does an Indian-style diet often end up low in protein compared to Western diets? 

If I can’t meet my target from food, can I use protein powder safely without raising my sugars? If yes, how many scoops per day is sensible, and what should I check on the label?

Endocrinologist Answers

Dr. Rajesh Moganti
MBBS, MD (General Medicine), DM (Endocrinology)EndocrinologistView Profile

For most adults, the minimum generally accepted protein target is about 0.8 g per kg body weight per day. That is the current Recommended Dietary Allowance (RDA) and appears in kidney guidelines and diabetes-CKD consensus statements as the “normal” protein intake for adults, including those with diabetes and stable kidney function. [1,2,5] 

How Much Protein Do People With Diabetes Need? Vegetarian Options and Powders

However, if the real issue is muscle loss and you are doing resistance training, multiple expert groups conclude that 0.8 g/kg/day is often not enough:

  • The PROT‑AGE Study Group and other geriatric nutrition experts recommend 1.0-1.2 g/kg/day for most adults over 65 to preserve muscle and function, and 1.2-1.5 g/kg/day in older adults with illness or high risk of malnutrition, provided kidney function allows it.experts.

  • Reviews on protein and aging similarly argue that ≥1.2 g/kg/day may be optimal for older adults, especially with exercise.[5]

So a practical clinic approach is:

  • Minimum (most adults): about 0.8 g/kg/day

  • Muscle protection / some resistance training: 1.0-1.2 g/kg/day

  • Higher targets (frailty, older age, illness, rehab): 1.2-1.5 g/kg/day, individualized and only if kidney function is adequate

How Much Protein Do People With Diabetes Need?

If you have chronic kidney disease (CKD) stages G3-G5 (not on dialysis), major diabetes-kidney guidelines (ADA-KDIGO) recommend around 0.8 g/kg/day and do not support pushing much higher routinely, because of theoretical risk of faster kidney decline. That caveat is crucial in diabetes, where early CKD is common and often silent.[1] 

Table 1: Your daily protein target by body weight

(Choose your goal column based on your situation and kidney status.)

Body weight

Minimum 0.8 g/kg/day

Muscle focus 1.0 g/kg/day

Resistance training 1.2 g/kg/day

50 kg

40 g/day

50 g/day

60 g/day

60 kg

48 g/day

60 g/day

72 g/day

70 kg

56 g/day

70 g/day

84 g/day

80 kg

64 g/day

80 g/day

96 g/day

90 kg

72 g/day

90 g/day

108 g/day

If your kidney function is normal, and you are actively training and trying to regain muscle, the 1.0-1.2 g/kg/day column is usually reasonable to aim for.

If you have diabetes with CKD (G3-G5, not on dialysis), most consensus guidance keeps you around 0.8 g/kg/day, and any move above that should be done with your nephrologist/endocrinologist.kidneyfoundation.[1,2] 

Why many Indian‑style diets end up low in protein

This is not “India vs West” as a value judgment-it is about plate structure and staples.

A typical Indian vegetarian plate often has:

  • A large cereal base (rice, roti, poha, upma).

  • A smaller portion of dal or pulses.

  • Plenty of vegetables (excellent for fibre and micronutrients, but not very protein‑dense).

  • Dairy sometimes, but often in modest amounts.

Large national datasets back this up:

  • ICMR‑NIN “What India Eats” shows that cereals and millets contribute nearly half of all protein intake in both rural and urban India, with pulses, milk, eggs and flesh foods contributing much less than recommended.

  • MOSPI “Nutritional Intake in India” reports that while average protein intake per capita is around 59 g/day, 51-60% of this protein comes from cereals in urban and rural populations respectively.

Two practical consequences:

  1. Protein percentage of calories stays modest. When most of your calories come from cereals and oils, total protein as a % of energy tends to be low, even if grams/day look acceptable on paper.

  2. Protein quality and per‑meal dose are often weak. You might eat just a small katori of thin dal at lunch and dinner. Daily totals may hover near 0.8 g/kg/day, but you rarely hit a meaningful 25-30 g dose per meal, which is the level at which muscle protein synthesis responds optimally in adults.[5] 

That is why many Indian patients who start resistance training feel they are eating “enough” yet still fall short of effective protein intake.

The two rules that actually build or preserve muscle

Rule 1: Total protein per day matters

If your daily total is too low, you will not maintain or build muscle, no matter how clever the timing. The first step is to reach your g/kg/day target.

Rule 2: Protein per meal matters

Muscle protein synthesis works best when protein is distributed across the day, not all crammed into one meal.[5]

A practical pattern for many adults:

  • Aim for 25-35 g of protein at 2-3 meals.

  • Plus a high‑protein snack if needed.

This is a clinical pattern, not a rigid rule, but it stops you from having “just 5-7 g” of protein in multiple meals and expecting muscle change.

How to increase protein on a mostly vegetarian diet

Vegetarian diets can absolutely meet higher protein targets, but they require intentional planning.

High‑impact vegetarian protein sources

Think of these as your main “engine” foods:

  • Milk, curd (yogurt), Greek yogurt, paneer.

  • Soy foods: tofu, soy chunks, tempeh, edamame.

  • Pulses and legumes: lentils, chickpeas, rajma, chole, black gram.

  • Eggs if you are ovo‑vegetarian.

Supporting but not primary protein sources:

  • Higher‑protein grains (oats, quinoa).

  • Nuts and seeds (almonds, peanuts, flax, chia) - excellent but calorie‑dense, not enough alone.

For people with diabetes, soy, paneer, tofu, Greek yogurt are particularly useful because they are protein‑dominant, not carb‑dominant.

Table 2: Approximate protein from common vegetarian foods

(Numbers are rounded, for planning only; brands and recipes vary.)

Food portion

Approx. protein

250 ml cow’s milk

~8 g

200 g curd/yogurt

~8-10 g

200 g Greek yogurt (plain)

~15-20 g

Paneer 100 g

~18-20 g

Tofu 100 g

~10-15 g

Soy chunks 30 g dry (cooked)

~15-17 g

Cooked dal (thick) 1 cup

~12-18 g

Cooked chickpeas/rajma 1 cup

~14-16 g

Mixed nuts 30 g (small handful)

~5-7 g

If dal is very watery and the portion is small, the true protein intake may be far lower than patients assume.

Do you need protein powder?

Honest medical answer: protein powder is a tool, not a must.

It becomes useful when:

  • Your target is high (1.0-1.2+ g/kg/day).

  • Your appetite is low.

  • You have little time/ability to prepare protein foods.

  • You are vegetarian and would otherwise need to eat excess calories or carbs to reach the target

For someone with diabetes, the main question is:

“Does this powder give me protein without dumping sugar into my diet?”

What to check on the label

Look for:

  • Protein per serving: usually 20-30 g per scoop is typical for whey/soy/isolates.

  • Added sugar: ideally 0 g or very low; watch for sucrose, glucose, corn syrup.

  • Total carbohydrate: keep lower if glucose control is tight; some powders have added maltodextrin.

  • Ingredients order: avoid products where sugar, glucose, maltodextrin, or cereal flours are high in the list.

  • Prefer “unsweetened” or “no added sugar” options if possible.

This is label logic, not brand endorsement.

How many scoops per day is reasonable?

It depends on the gap between:

  • Your daily protein target,

  • What you realistically get from food.

A rough process:

  1. Use Table 1 to set your g/day target.

  2. Add up approximate protein from your daily diet (using Table 2).

  3. See how many grams you are short.

Example:

  • 70 kg, resistance training = target ~84 g/day (1.2 g/kg)

  • Current diet gives ~50 g/day = gap of ~34 g

  • A typical scoop with 24 g protein can bridge most of that gap.

For many adults:

  • 1 scoop/day is a reasonable start.

  • 2 scoops/day can be used if the dietary gap is large and you tolerate it well.

  • More than 2 scoops is rarely necessary unless you have very high needs and limited food intake.

For diabetes, consider:

  • Taking the shake with a meal or as a planned snack.

  • Not piling it on top of an already high‑calorie, high‑carb day.

If weight loss is also a goal, protein powder should replace a lower‑protein snack or help you reduce cereal portions, not simply add calories.

What about kidney safety in diabetes?

  • If kidney function is normal, higher intake in the 1.0-1.2 (up to 1.5) g/kg/day range is generally acceptable in many adults, especially older adults with sarcopenia and on resistance training, according to geriatric nutrition groups.[4,5]

  • If you have diabetes with CKD, most ADA-KDIGO recommendations aim for around 0.8 g/kg/day, which is the general RDA, and do not support aggressive low‑protein diets below 0.8 g/kg/day or unsupervised high‑protein diets.[1,2]

Before you commit to a high‑protein plan, it is sensible to check:

  • Serum creatinine and eGFR (kidney filtration)

  • Urine albumin (albuminuria) or protein

These are standard tests in routine diabetes care.

A practical day plan for a vegetarian aiming for ~80-90 g/day

For a 70-75 kg person targeting ~1.1-1.2 g/kg/day:

  • Breakfast:

    • Greek yogurt bowl (200 g) + nuts.

    • Or paneer/tofu bhurji with a smaller cereal portion.

  • Lunch:

Thick dal (1 cup) plus a paneer/tofu side dish, plus vegetables.

  • Evening:

1 scoop protein shake (unsweetened) in water or milk (if calories allow).

  • Dinner:

Chickpeas/rajma (1 cup) plus curd or tofu, plus vegetables.

The “secret” is simply: at least two meals with a strong protein anchor, not just a tiny ladle of dal.

Why resistance training and protein must go together

  • Resistance exercise is the stimulus for muscle building.

  • Protein supplies the building blocks (amino acids).

Without adequate protein:

  • People often feel weak.

  • Have slower recovery.

  • Continue to lose muscle despite training, especially if they are also restricting calories (for weight or glucose control).

This pattern is common in diabetes and in older adults, which is why expert groups emphasize both exercise and ≥1.0 g/kg/day protein for preserving function.[4,5] 

Bottom line

  • Minimum protein for most adults is about 0.8 g/kg/day - this is also the usual target in diabetes and CKD guidance for many non‑dialysis patients.[1,2]

  • If you are losing muscle and doing resistance training, 1.0-1.2 g/kg/day is often a more realistic and evidence‑based target when kidney function is normal.experts.[4,5] 

  • Many Indian‑style diets are protein‑light and cereal‑heavy, with most protein coming from cereals, which are lower‑quality proteins compared with pulses, dairy, soy and animal protein.[6}

  • Protein powder is an optional tool, not a requirement. If used, choose low‑sugar, low‑carb formulations and count the grams into your total daily target, not on top of it.

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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.

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