Excessive hunger and anxiety and sugar

The recent changes in medication might be contributing to your increased anxiety and persistent hunger. Pantocid DSR (a proton pump inhibitor) and Dubinor are not directly known to cause these symptoms, but individual reactions can vary and might be affecting your metabolism or digestion. Your blood sugar readings, previously well-controlled, are now off. While Glimy M1 is a combination of glimepiride and metformin, which generally aids in lowering blood sugar by stimulating insulin release and improving insulin sensitivity, changes in appetite and energy needs can occur if your regimen or diet varies. Zomalis (vildagliptin) is used to stabilize blood glucose, but if your sugar levels fluctuate, it can prompt hunger signals due to the body’s regulatory response trying to correct perceived lows or highs.

Immediate strategies could include monitoring blood glucose more frequently to catch unexpected lows or highs before they become severe. Keeping a detailed food diary alongside glucose readings could highlight if certain foods or meal timings are contributing to these unexpected changes. Eating smaller, more frequent meals focused on low glycemic index carbohydrates and lean proteins might help stabilize blood sugar levels, diminishing hunger signals. Anxiety, a potential side effect of medication or a response to fluctuating glucose levels, often exacerbates symptoms by increasing cortisol which can further impact glucose metabolism. Discussing with your doctor about possibly adjusting the current medications to achieve better balance in your blood sugar and reviewing for any drug interactions could be wise. Comprehensive evaluation of your lifestyle factors, diet, and medication response might present areas to tailor management better suited for your current status. If your symptoms persist or worsen, it’s crucial to consult your healthcare provider promptly for further investigation and tailored adjustments.