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Q. After recovering from COVID-19, I feel hungry even after eating meals. Why?

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jul 18, 2021

Hi doctor,

I got COVID-19 three months back and currently, I have an awkward hunger feeling even after taking meals. I have tired eyes, headaches, and weakness. I checked my sugar level. Kindly go through my attached reports. Even today, I checked my fasting level at home and it was 110 mg/dL. But still, I am feeling the same. I checked my post-prandial levels and it was around 140 mg/dL. I have the same symptoms. I have uric acid of 7.4 mg/dL. Kindly suggest. Please mention whether my report suggests that I have diabetes. If yes, please suggest some measures. Please mention whether these symptoms occur due to insulin levels or high uric acid levels. If yes, please suggest a medication. Please mention whether it is a post covid complication and if yes, please suggest some measures. Kindly go through my covid antibody levels and suggest whether I need vaccination now or later.

#

Hi,

Welcome to icliniq.com.

Good day. Thanks for your query. You do not have diabetes right now but your fasting sugar are higher than normal and we call it impaired fasting sugar which is borderline diabetes. You do not need to take any medication but you need to have some lifestyle modifications. Diabetes has many complications so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eyes for retinopathy. While having a derranged urine albumin creatinine ratio in the kidneys, kindly check your feet. Lifestyle modification is the best treatment for diabetes. Take a low carbohydrate diet without any added sugar.

Do not take sugary juices. Avoid taking bread, rice, pasta, and potatoes. If you cannot stop, atleast take them as little as possible. Take more vegetables salads and fibers. Take fruits only as a sweet dish. Do not take mango grapes and bananas. Do not take an apple for more than a piece. Take strawberries and other berries along with peach apricot and small amounts of plums. Intermittent Fasting also helps to control diabetes. You can fast for 16 hours like taking dinner at 7 pm and do not eat anything after that. On the next day, you can take breakfast at 11 am. During fasting just drink water and green tea without sugar.

You can extend fasting to 24 hours then 36 hours as your body adopts. You can do fasting two times a week or as you feel comfortable. It helps to control your sugar. Drink more water. Sleep well. Do exercise and do walking for atleast 30 to 40 minutes daily. The more, you practice these things, the better will be your control. Check your sugar frequently. Your fasting target should be less than 100 mg/dL. After two hours of eating, it should be around 140 mg/dL. HBA1c (Glycated hemoglobin) is on target and it should not be above 5.7.

You can take vaccination for covid whenever you want and plan. It is a post covid symptom that is prolonging in some patients and it will be fine after following the above-mentioned lifestyle modifications. You can take medications for it as well. You can take Evion 400 (Vitamin E) tablet once daily, Ubicar tablet (Coenzyme Q-10 and Levocarnitine) once daily, Zincovit (multivitamin) one tablet daily. Continue taking medicines for a month. If any issues let me know. You do not need to take medication for high uric acid. It is not due to it. Check your sugar after a month of following lifestyle modifications. Thanks.


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