Opinion:
The prolonged hunger pangs that persist even after eating, despite having normal
fasting blood sugar (FBS),
HbA1c, CBC, and
thyroid levels, could be indicative of an underlying issue. Here are some potential reasons and considerations:
1. Reactive hypoglycemia: Although your FBS and HbA1c levels are within the normal range, you may be experiencing reactive hypoglycemia, where blood sugar levels drop too low a few hours after eating, causing increased hunger.
2. Gastroparesis: This condition involves delayed stomach emptying, which can lead to a feeling of fullness or hunger even after eating due to the slow digestion of food.
3. Leptin resistance: Leptin is a hormone that regulates appetite and energy balance. Resistance to leptin can cause persistent hunger, even when caloric intake is adequate.
4. Psychological factors: Stress, anxiety, or disorders like binge eating disorder can sometimes contribute to a disrupted sense of hunger and satiety.
5. Medication side effects: Certain medications, such as corticosteroids, antidepressants, or certain
diabetes medications, can increase appetite and hunger sensations.
6. Nutrient deficiencies: Deficiencies in certain vitamins, minerals, or proteins can sometimes lead to increased hunger, even after eating a sufficient amount of food.
Next Steps:
1. Consult with a gastroenterologist or an endocrinologist to further evaluate your condition and rule out any underlying medical causes, such as reactive hypoglycemia, gastroparesis, or hormonal imbalances.
2. Your healthcare provider may recommend additional tests, such as a mixed-meal tolerance test, gastric emptying study, or hormone level assessments, to identify the root cause of your persistent hunger.
3. If psychological factors are suspected, seeking the help of a mental health professional or a dietitian specializing in eating disorders may be beneficial.
4. Review your current medication list with your doctor to determine if any of your medications could be contributing to increased hunger.
5. Consider keeping a detailed food diary to track your hunger levels, portion sizes, and the types of foods you consume, as this can help identify potential triggers or patterns.
6. Incorporate more high-fiber, protein-rich, and nutrient-dense foods into your diet to promote satiety and prevent nutrient deficiencies.
While persistent hunger can be frustrating, it is essential to identify and address the underlying cause to manage this condition effectively and promote overall well-being. With proper evaluation and treatment, the hunger pangs can be alleviated, and you can achieve a more balanced appetite and nutritional intake.