In theory, yes - although on the McDougall plan it's extremely unlikely, unless you're taking on large amounts of legumes, or tofu/tempeh/seitan, or manufactured isolated plant protein products like isolated soy or wheat protein burgers (not part of McDougall program anyway). Or if you have serious kidney damage or kidney vulnerabilities already. See:
https://www.drmcdougall.com/misc/2003nl ... rotein.htmNuts being very high protein, and large consumption of these, I suppose also could do it as well given their relative high protein content: but these are an Amber food in the program, and not meant for anything other than light, moderate consumption.
Sad by the way your doctor previously was actively recommending Paleo, with incorrect understanding of diabetes it seems. Feel free to then write concerns (not necessarily complaint) about this to their governing body. I say this because many doctors have obviously been totally indoctrinated by industry, the drug companies or misguided medical tutors from the past still, in addition to any self-justification of their own habits if present. They deserve the chance to change their practise, if ignorant.
If you want to put anything in writing, obviously feel free to put in links to Dr McDougall's work, and/or the likes of Neal Barnard's, Dean Ornish's etc.
You're not trying to hurt yourself - just the opposite! Well done for making the change.
"All people are made alike - of bones and flesh and dinner. Only the dinners are different.”
Gertrude Louise Cheney