After I was diagnosed with diabetes, I took oral hypoglycemic medication and paid close attention to my diet, eating only 4-5 taels of staple food every day, so that my blood sugar was well controlled and my blood sugar was within the normal range in many tests. Recently, I often feel “hungry” and weak. Some colleagues say I have a hypoglycemic reaction and need to eat more, is that really true? In the treatment of diabetes, dietary control is the basic therapy, and the use of hypoglycemic drugs is the main means of lowering blood sugar to delay and stop the complications of diabetes. However, in the process of active diet and medication control, patients may eat too little or induce hypoglycemic reactions due to the strong effect of glucose-lowering drugs. Therefore, if you experience hunger, panic, general weakness and dizziness during the treatment of diabetes, you should pay attention to whether it is a hypoglycemic reaction and go to the hospital to test your blood sugar to find out whether it is caused by low blood sugar. If the patient often feels hungry and the blood sugar test is not abnormal, we should consider whether the feeling of hunger is related to excessive dietary control and whether there are any unreasonable problems in dietary structure. If there are these problems, we should make good dietary adjustment, and the principles include: ① Staple food is the main source of calories for the body, and should not be eaten too little. The daily amount of staple food should be calculated according to the nature of work, labor intensity and weight of the individual. Generally speaking, the daily amount of staple food for light manual workers is about 300-400g (6-8 taels), and for heavy manual workers, it should be more than 500g per day. The total daily diet should be divided into 4-5 meals, with one meal every 3-4 hours during the day and a small amount of additional meals 1-2 hours before bedtime, which can avoid the problem of postprandial hyperglycemia and the phenomenon of “hunger panic”. This can avoid the problem of high blood sugar after meals and the phenomenon of “hunger pangs”. ③ Do not just eat vegetarian, but a combination of meat and vegetables. Pay attention to the control of animal fat but not less vegetable oil, lean meat and fish and shrimp can also eat some appropriate, which can slow down the gastric emptying speed, to avoid the feeling of hunger from time to time. ④Eat more vegetables at meals, and eat some fruits with low sugar content after meals to increase the “feeling of fullness”. ⑤If oral hypoglycemic drugs and insulin are used in combination or when labor is heavy, patients need to keep some candy, cookies and sugary drinks around, so that they can eat one or two cookies and drink a few sips of drinks once they feel hungry, which can reduce hunger and avoid “hunger panic” and prevent inducing hypoglycemic reactions.