One of the core reasons people with diabetes feel hungrier relates to how glucose is processed:
- Both type 1 and type 2 diabetes involve insulin dysfunction.
- This means that glucose often remains in the bloodstream rather than entering cells for energy.
- As a result, even when blood sugar levels are high, your cells may be starved for fuel.
- This cellular ‘energy deficit’ is interpreted as a signal to eat more, triggering hunger despite recent meals, called polyphagia, or excessive hunger.
Additionally, insulin exerts an anorexigenic effect on the brain, meaning it suppresses appetite. But in type 2 diabetes, this system is altered, and the brain becomes resistant to insulin signals. In type 1 diabetes, there is extremely low insulin, so appetite suppression can’t take place.
Therefore, when these signals are impaired, your body may continue to drive hunger despite adequate energy stores.