I fell hunger after every 30 minutes after eating and this is ruining my diabetes control which I was maintaining since 1988. what to do?

[kanaujiavijay]

Is this hunger is diabetes related or it is gastro problem?

[rsridhar220962]

You might be having high level of serum Triglyceride. Kindly check your lipid profile and confirm. Diabetic medicines do divert Blood Glucose to Liver; thereby liver converts un-utilized glucose to triglyceride. The ratio of TG:HDL-C indicates level of IR -(Insulin Resistance) Insulin Sensitivity is inversely proportional to IR. I feel you might be having high TG and Low HDL-C.

[kanaujiavijay in reply to rsridhar220962]

Thanks sridhar, i remember that yes this was the case when I got my lipid profile checked about a year ago but this perennial hunger I started feeling now since last 1 month. and also since it produces lots of wind when I am not taking anything immediately. I am also taking Famotidine 40mg after dinner and pantop before breakfst daily once but no avail. My trigliceride-HDL ratio was abnormal now it might have gone worse but cholestrol level was well within limits. Is there any way to control it?

[rsridhar220962 in reply to kanaujiavijay]

What you have not got treated, is giving you problem now. Kindly leave your list of food habits including quantity of water consumed. Smoking will 200% increases TG. Also leave your complete lipid profile. Let us not just say that "my cholesterol is under control or I do not have cholesterol". Let us be specific on numbers. No body in the world talks of TG: HDL-C ratio (except me): but you have already said it is abnormal.

Please have open mind; your problem is curable.

[shrisamarth Volunteer in reply to rsridhar220962]

Dr. Mercoca always mention on his site about TG/HDL ratio. We have been discussing here even more imp. cardiac markers which you don't.

[kanaujiavijay in reply to rsridhar220962]

My ratio is 5.1. and it is since last 4 years! LDL concentration is normal but HDL concentration is low than recomended. My ECG is also coming abnormal What is the remedy sir?

[rsridhar220962 in reply to kanaujiavijay]

I think now that your problem is due excitation. You are producing too much peptic acid, which leads to increased hunger. Your adrenalin is over producing hormone making your system acidic. Kindly cool your-self mentally. Try to acknowledge the situation and try not to respond to climate immediately. Take time to study.

[norreal in reply to kanaujiavijay]

kanaujiavijay: Perhaps more advanced cardio logical probes.

[kanaujiavijay in reply to rsridhar220962]

Dear sridharji. I got hold of my lipid profile report of Apollo hospital on 28-01-2013. Numbers as below:

SGPT-26, SGOT-20, Cholestrol-149, Creatinine-0.8, HDLc-26, LDL-c-86, TG-221, fasting glucose-113, PPG with Glycomet-GP-1-235. All are in mg/dl except SGOT&SGPT. This might have worsened as I was on low fat diet as usual. I am non smoking 59 yr male.Please advise your diet schdule I will follw ditto and then get my lipids tested again and put the results to forum. Regards.

[atma]

In my case it was purely diabetic hunger. this was my major problem in life. I coud not even sleep at night because of extreme hunger. I have to get up several times in the night to eat. the more roti sabji eat the more my food carving. Doctors given me pills nothing worked like domiz etc. Then I slowly started following the lchf diet. By form peoples help and reading now I am perfectly okey after so many years of appetite problem. Just lchf diet try for one week and see result.

[rsridhar220962]

Suppression of hunger is also a part of Diabetic management.

Satiation is caused by serotonin (an eicosanoid produced by brain), in conjunction with liptin and insulin. Inadequate production of serotonin leads to frequent increased appetite. In most of cases, T2DM is managed with control of Lipid profile; but in this case we may need to address the brain also. But this kind of problem is easily solved.

Normally any diabetic will carve for sweet; if he / she is prevented in taking any sweet and he / she is tempted to have one, we could see spike in his / her sugar level without he / she consuming sweet. Here the brain plays key role in control of sugar.

Any treatment of T2DM should include this part of analysis.

[ayu30]

I heard in one sermon we have got at least 4 kinds of Agni - Jathar, Kaama, Krodha and Vairagya. Jathar Agni develops for the body that releases lot of enzymes and acids to create hunger. Moreover hunger is never due to medication or any disease except the food in-taking habits. Many of us suffer due to the habit of taking munching snacks in between meals. Once it enters the habit attitude, regularly Jathat flames carving for hunger. In such a case we should not satisfy with any food items or even juices. Practice taking drinking water to fill the hunger. Gradually, the habit subsides. Water can be taken during night or day without bothering to brush the teeth or washing the mouth. This system I followed after listening Naturopathy. Of course I did not have the problem of 30 minutes but I had the problem of 60 or 90 minutes. Further triggers are from mind try to return the triggers the manner I follow. Suppose, I get untimely hunger, I auto suggest I am on travel on a train with out Pantry Car and it will take next 1 hour or so get eatables on a station platform. The trigger goes back and returns after a hour or so. There may be other examples such as you are in a meeting or cooking food takes more time etc. There must be change in the alibis lest our fickle mind may not accept same excuse at all times. Taking drinking water many a times solves such hunger problems.

[rsridhar220962]

I have proved in more than 1000 cases where the mid-night hunger is because of High TG and Low HDL-C.

He himself had agreed to this point in his case some years ago. He had not mentioned about mid-night hunger but says he had high TG and low HDL.

As you rightly mentioned, unless we know the actual profile, I am unable to go beyond discussion. Since I had not personally answered you. I will try to respond point-wise raised;

1) Hunger could be because of Thyroid problem- Thyroid problem itself is due to Cholesterol imbalance . He mentions that the cholesterol in in range failing to mention the value.

2) Hunger cannot be due to hyperglycemia; but due to excess insulin present. Here again TG:HDL indicates presence of insulin.

3) Here the concept of Glycemic value has no relevance because in 24 hour period, our body is going to get entire glucose even from complex carb. So the incidence (hunger after 1/2 hour) can happen only once; on the first day; subsequently it should vanish.

4) The time for checking PPBS given between 1.5 hrs to 2.0 hrs, is based on the fact the half-life period of insulin.

5) Our satiation feeling produced by serotonin, leptin and insulin is valid only for glucose mechanism; it fails in fructose or / glucose diverted to liver (due to some diabetic medicines).

In sufficient data from the member to reason out the real cause.

[kanaujiavijay]

I have shown it to a diabetologist and as per him this hunger is not due to hypoglycemia but due to hyper but he says because it this started has happeing just about a month and during this period i was on tour to a firtiliser(chemical) industry, it may be due to change in place, environment and the food. Normaly, once the steady state and stable condition is disturbed, then it may take about two weeks to come back to normal. He has prescribed to continue same dose of medicine Glycomet GP-1 twice daily 1/2 hr before B/F and Dinner and for frequent hunger he says it may be gastritis problem and prescribed Gelusil syrup.

[kanaujiavijay]

I have posted my meeting with the dibetologist.

[rsridhar220962]

The difference between T1DM & T2DM is presence of Insulin and Glucose together in later and Presence of only glucose in first case. The ratio of TG:HDL is an indication of insulin present; that is it. But never tells you how much actually insulin is present.

The best way to reduce this is, by taking virgin omega 3 (bitter - free Flaxseed oil) and nearly 100 grams of (dry weight) plant protein.

Virgin Bitter-free Flaxseed Oil will reduce TG while plant proteins will increase HDL. With two acting together, we find the ratio is getting reduced faster.

Here one condition is that we should try to administer Virgin Flaxseed Oil in such a way that we would be reducing TG without apparent increase in fasting blood glucose.

Secondly when you have hyperglycemia, getting into ketonogenesis is not possible. Ketonogenesis needs starvation.

[norreal]

Quite an elaborate reply Indiacratus. Wonder if the hunger feeling can be purely psychological?

[kanaujiavijay]

But sir my hunger problem is getting worsened and i am forcibly compelling my self and avoiding food for the fear of hypergycemia. But then tummy is becoming wind bag and I am not able to concentrate on anything due to this acute gas problem. It appears that my burning sensation in stomach / hunger is not related to gastric as Gelusil, Famotidine, and Pantop is becoming totally ineffective but, whether the hunger due to TG: HDL may cause this formation of gas and inflamation in stomach?

[rsridhar220962]

Please check for 1/2 life for proinsulin from this reference:

link.springer.com/chapter/10.1007%2F978-3-642-74610-9_9

Since I am thinking is faster I am unable to write all my thinking that fast. You might be aware that Proinsulin gives C-peptide which in turn delivers Insulin.

I will address your other points a bit later, as I am busy with a few patients.

[kanaujiavijay]

My BMI is well maintained and never gone overweight after I was detected diabetic. Before that I was obese but it down to normal within three months from 84 to 68Kgs in 1991,when I resorted to no direct sugar, rice and potato diet with 3 km brisk walking. My diabetes also got controlled and I was not taking any medicine till 2008, when I took new project assignment in Orissa. This was the first greenfield project of my life and I had given my everything even routine and food habits. Though, I still managed to maintain my weight between 67-69 kgs but no routine and full of tension. Form 2008 end I was no more able too maintain my bs without meds. Started first by taking euglucon half mornig evening. Within 6monthseuglucon 1 tab bd. After nine months Amaryl M1 BD after six month Januvia100 od along with Amartl M1. The I experienced lots of blisters on my lower leg and back.Januvia stopped since Feb 2013 and also left the job as it was not suiting my health. Since then I was running on Glycomet GP-1 bd and it was under control till lasst month when I reported to forum. Now along with glycomet GP1 doctor has given galvus50 once in the morning and ramipril once before bed. My weight is now 66kgsand height 5'6". Hope I have given all details. Regards.