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Feeling excessive hunger even after eating
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Endocrine & Hormonal Imbalances
Question #11050
45 days ago
157

Feeling excessive hunger even after eating - #11050

Pradeep Kumar Mishra

I'm a diabetic since last 15 years, I was on sompraz l, glimy m1, zomalis 50 and ambulax ethd for last 5 years with no issues.recently inJune my doctor changed some medicine and put me on Pantocid dsr,glimy m1, zomalis 50 , dubinor and feliz s plus,after taking these medicines for 15 days my anxiety worsen then I stopped feliz s plus and went back to etizolam .25 but nothing seems to work,then I started having hunger pangs which I thought due to low sugar but it's been two months and I am having hunger pangs despite my sugar level which is definitely not low but slightly on the higher side like 140- 150 fasting and 210- 220 pp,what is the cause and how to resolve it

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Doctors’ responses

Dr. Zahir Zolih
I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.
44 days ago
5

Hello Pradeep,

The most probable cause of your sudden anxiety and hunger pangs is the introduction of multiple new medications that affect serotonin levels (Feliz S Plus and Dubinor), leading to adverse effects and potential interaction. Some people gets tolerated with in 15 days. In your case if you are not getting tolerated then may go for some alternative way to control anxiety

The higher blood sugar levels are likely contributing to the false hunger signals.

So Please schedule that appointment with your doctor immediately and reconsider the treatment

With regards Dr.Zahir Zolih S

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

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

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Pradeep Kumar Mishra
Client
44 days ago

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.

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

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

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

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.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
43 days ago
5

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.

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
43 days ago
5

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

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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.

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