Hello sir Please be advised Sir the sugar content is alarmingly high I think probably you are having continuous episode of hypoglycemia And diabetic ketoacidosis They are all complications of high sugar Iam suggesting some precautions to be taken Take some sugar atleast half an hour layering form of candy or toffee Take plenty of fruits Avoid direct sugar intake Also please get following tests done Fasting and post prandial sugar Hbaic Echo Pet scan Immediately share the reports with your concerned physician Probably change of medication is required Hopefully you recover soon Regards
If my sugar is alarmingly high then I must be having hyperglycemia and not hypoglycemia as you’ve mentioned, excessive hunger happened in hypoglycemia which is not present in my case.
Hello sir Thanks for kind response See as per my clinical experience, Definitely hypoglycemia or low blood sugar gives these type of symptoms. It seems in your case probably medications are either not working properly by first controlling blood sugar and then rapidly due to marked insulin resistance,the blood sugar level increases. Or there can be chances of higher basal metabolic rate which is characterized by weak insulin and excess tsh hormone. That is why iam Telling you to please get fresh tests like fasting and post prandial sugar level along with hbA1C and tsh level, so that exact etiology is clear and best medications are prescribed Thanks
Your hunger pangs are not from low sugar, but from insulin resistance + recent psychiatric drug changes. Solution: Optimize diabetes meds (consider SGLT2/GLP-1), adjust psychiatric medicines to non–appetite-stimulating ones, add high-protein/fiber diet. This will reduce appetite, improve sugar, and stabilize mood.
Your persistent hunger despite normal-to-high sugars may be due to medication side effects, anxiety, or poor glucose utilization linked to long-term diabetes. Stopping or changing psychiatric medicines on your own can worsen both anxiety and appetite control. Please consult your endocrinologist and psychiatrist together for proper evaluation and treatment.
Hello pradeep ji Dubinor (SGLT2 inhibitor effect) which causes glucose loss in urine+ Pantocid DSR (faster gastric emptying) can be caused of your hunger pangs
Kindly check if your hunger pangs matches the timing of medication change? Add more protein + fiber in each meal -slows gastric emptying & reduces hunger.
Prefer low glycemic index carbs (oats, whole wheat, brown rice, dals).
Small, frequent meals may reduce hunger spikes.
If timing match i would suggest you to go back pmyour treating physician and tell him to revert to old medication
Excessive hunger when you’re a diabetic on medication can be quite frustrating, and it’s understandable why you’d attribute it to changes in your medication. It’s possible that the medication adjustments might be playing a role, but there are several other factors to consider. Metformin (part of Glimy M1) can sometimes cause gastrointestinal issues including increased appetite, though it typically causes a decrease. The addition of Dubinor could influence insulin production or glucose utilization, impacting appetite. The fairly elevated blood sugar levels in the ranges you’ve mentioned might also contribute; when sugars run high, the body sometimes misinterprets energy needs, leading to hunger pangs. Stress and anxiety can also impact appetite, sometimes leading to increased hunger.
Addressing this requires a close look at your medication regimen and lifestyle. Ensure you’re taking Glimy M1 and other diabetes medications exactly as prescribed to help manage your blood sugar. You might consider discussing with your doctor whether Dubinor is the right choice for your situation given your symptoms. Adjustments or alternative therapies might be considered. In terms of managing hunger, focus on a balanced diet high in fiber and protein which can help regulate your appetite and maintain stable blood sugar levels. Regular, small meals might be more manageable and keep hunger at bay.
Additionally, lifestyle factors such as regular exercise (even light daily walks), stress management techniques, and adequate sleep have profound impacts on blood glucose control and overall well-being. Since your anxiety has been worsening, addressing this with your healthcare provider could also help manage hunger. Also, given your readings, it’s crucial to have a regular follow-up with your clinician to consider any necessary adjustments to your diabetes management plan. If symptoms persist or worsen, or if you’re ever concerned about your blood glucose levels, seek prompt medical evaluation to prevent possible complications.
