Craving Chocolate Snacks: Is It Hunger or a Health Concern? - Family Medicine

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I've been craving snack chocolate?


Hello Doctor, recently I've been craving snacks, especially chocolate, consuming about two to three bags a day.
I'm not sure if it's hunger or just a craving.
At the end of August, I had a health check-up, and my urine glucose was negative, with a fasting blood glucose level of 95 mg/dL.
In July and August, I experienced gastrointestinal discomfort, which resulted in low cholesterol and nutritional levels, and I also noticed a significant weight loss.
I only started eating snacks again after my gastrointestinal issues improved, and I haven't had them for quite a while, approximately the entire month of September.
I'm worried this might indicate diabetes.
Thank you, Doctor.

Ling, 10~19 year old female. Ask Date: 2022/10/03

Dr. Lin Zhebin reply Family Medicine


Hello: Based on your description, your main issue seems to be having a good appetite but experiencing weight loss.
In addition to considering diabetes, given your age, it is also important to consider the possibility of hyperthyroidism.
For diabetes testing, in addition to fasting blood glucose, glycated hemoglobin (HbA1c) can also be checked.
However, since both your urine glucose and fasting blood glucose results are normal, the likelihood of diabetes is low.
Nonetheless, it is still recommended that you consult with a family medicine physician or an endocrinologist for further evaluation.

Reply Date: 2022/10/03

More Info


Craving chocolate snacks can be a common experience, but when it becomes excessive, it raises questions about whether it is simply hunger or a potential health concern. Based on your description, it seems that you have been consuming two to three packs of chocolate snacks daily for the past month, which is a significant increase in your intake. You mentioned that you had a health check-up at the end of August, where your urine glucose was negative, and your fasting blood sugar was 95 mg/dL, which is within the normal range. However, you also noted that you had gastrointestinal discomfort in July, which led to low cholesterol and nutritional levels, as well as noticeable weight loss.

The craving for chocolate snacks could stem from several factors. First, after a period of gastrointestinal issues, your body may be seeking quick sources of energy, which chocolate provides due to its sugar and fat content. This could explain why you are experiencing cravings after a time of restriction. Additionally, chocolate, particularly dark chocolate, contains compounds that can stimulate the release of endorphins, leading to a temporary mood boost. This might make you reach for chocolate snacks more often, especially if you are feeling low or fatigued.

Regarding your concern about diabetes, the tests you underwent indicate that you are not currently showing signs of diabetes. A fasting blood sugar level of 95 mg/dL is considered normal, and the absence of glucose in your urine further supports this. However, it is essential to monitor your eating habits and overall health, especially if you notice continued cravings or changes in your weight.

It is also worth considering other potential causes for your cravings. Emotional factors, such as stress or anxiety, can lead to increased cravings for comfort foods like chocolate. If you find that your cravings are linked to emotional states, it might be helpful to explore healthier coping mechanisms or seek support from a mental health professional.

In terms of your nutritional status, since you mentioned that your cholesterol and other nutritional levels were low, it is crucial to ensure you are consuming a balanced diet that includes a variety of nutrients. While chocolate can be enjoyed in moderation, relying on it as a primary source of energy or comfort may not be the best approach for your overall health. Instead, consider incorporating whole foods, such as fruits, vegetables, whole grains, and lean proteins, which can provide sustained energy and essential nutrients.

If your cravings persist or worsen, or if you experience any other concerning symptoms, it would be wise to consult with a healthcare professional. They can provide further evaluation and guidance tailored to your specific situation. Additionally, if you are worried about your weight loss or any underlying health issues, a visit to a healthcare provider can help address these concerns and ensure you are on the right track to maintaining your health.

In summary, while craving chocolate snacks can be a normal response to dietary changes and emotional states, it is essential to consider the broader context of your health. Monitoring your intake, focusing on a balanced diet, and seeking professional advice if needed can help you manage your cravings and maintain your overall well-being.

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