Managing Increased Appetite and Blood Sugar Concerns After Stress - Internal Medicine

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Diabetes, excessive eating?


Hello Doctor, I experienced autonomic nervous system dysfunction a while ago, which caused a loss of appetite.
Now that my symptoms have improved, I find myself eating a lot.
Today, I skipped breakfast, had a bowl of fried chicken rice for lunch, half a bento box for dinner (half a bowl of rice and mostly vegetables), two sandwiches, and three packs of French pastries.
I often eat because it's readily available and I get cravings.
At the end of August, my fasting blood sugar was 95.
Is it possible for it to become abnormal within two months? I've been eating too many sweets lately.
How can I lower my blood sugar? I'm very worried about developing diabetes.
Thank you, Doctor.

Youyou, 10~19 year old female. Ask Date: 2022/10/24

Dr. Hong Yuanbin reply Internal Medicine


Hello, diabetes is usually caused by a combination of long-term dietary habits, reduced physical activity, and genetics.
It is not typically caused by short-term dietary changes.
The main concern with short-term overeating is actually obesity.
It is recommended to practice dietary moderation and engage in regular exercise for control.
Additionally, you may want to discuss with your autonomic nervous system specialist whether medication adjustments or management are appropriate.
Thank you for your question.

Reply Date: 2022/10/24

More Info


Managing increased appetite and concerns about blood sugar levels, especially after experiencing stress and autonomic nervous system dysregulation, is a common issue that many individuals face. It’s great to hear that your symptoms have improved, but it’s understandable to be concerned about your eating habits and their potential impact on your blood sugar levels.

Firstly, let’s address your current eating patterns. It appears that you have shifted from a state of reduced appetite to one where you are consuming larger quantities of food, particularly high-calorie and possibly high-sugar foods. This can happen as your body adjusts back to a more normal state after a period of stress. Stress can significantly impact appetite regulation, and once the stressor is alleviated, it’s not uncommon for individuals to experience increased cravings or a heightened appetite.

Regarding your blood sugar levels, a fasting blood sugar of 95 mg/dL is within the normal range, as normal fasting blood glucose levels are typically between 70 and 99 mg/dL. However, it’s important to note that blood sugar levels can fluctuate based on various factors, including diet, physical activity, stress, and overall health. If you have been consuming a lot of sweet foods and high-carbohydrate meals, it is possible that your blood sugar levels could trend upward, especially if this eating pattern continues.

To manage your blood sugar levels effectively, consider the following strategies:
1. Balanced Diet: Focus on a balanced diet that includes a variety of foods. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. This will help stabilize your blood sugar levels and provide essential nutrients.

2. Portion Control: Be mindful of portion sizes, especially when it comes to high-calorie and high-sugar foods. It may help to use smaller plates or bowls to prevent overeating.

3. Regular Meals: Try to eat regular meals and snacks throughout the day to prevent extreme hunger, which can lead to overeating. Aim for three balanced meals and two healthy snacks daily.

4. Limit Sugary Foods: Reduce your intake of sugary snacks and beverages. Instead, opt for healthier alternatives like fruits, nuts, or yogurt when you feel the urge to snack.

5. Stay Hydrated: Sometimes, thirst can be mistaken for hunger. Ensure you are drinking enough water throughout the day.

6. Physical Activity: Incorporate regular physical activity into your routine. Exercise can help lower blood sugar levels and improve insulin sensitivity. Aim for at least 150 minutes of moderate aerobic activity each week, along with strength training exercises.

7. Monitor Your Blood Sugar: If you have access to a blood glucose monitor, consider checking your blood sugar levels regularly, especially after meals. This can help you understand how different foods affect your blood sugar and make necessary adjustments.

8. Stress Management: Since stress can impact both appetite and blood sugar levels, consider incorporating stress-reducing activities into your daily routine, such as mindfulness, yoga, or deep-breathing exercises.

If you continue to experience increased appetite or have concerns about your blood sugar levels, it may be beneficial to consult with a healthcare professional or a registered dietitian. They can provide personalized guidance and support based on your specific health needs.

In summary, while your current blood sugar level is within the normal range, it’s essential to be proactive about your eating habits and lifestyle choices to maintain healthy blood sugar levels and prevent potential issues in the future. By focusing on a balanced diet, portion control, regular meals, and physical activity, you can effectively manage your appetite and blood sugar concerns.

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