Q. Does my blood sugar spiking after meals make it easier to gain weight? I'm curious about how blood sugar management relates to dieting.

In Traditional Korean Medicine (TKM), this condition is viewed as more than just a numerical blood sugar issue; it is interpreted as a state where the flow of Qi is stagnant, hindering smooth metabolism. This phenomenon is particularly severe in cases of 'Spleen Deficiency' (脾虛, bi-heo), where the digestive system's transport capacity is impaired, preventing nutrients from being efficiently converted into energy. This dysfunction leads to the accumulation of 'Phlegm-Fluid' (痰飮, dam-eum), which refers to stagnant waste products and unnecessary fluids in the body. When this interacts with 'Blood Stasis' (瘀血, eo-hyeol)—the stagnation of blood flow—metabolic speed drops significantly. This often results in a frustrating situation where one gains weight even while eating very little. Through clinical experience, it has been observed that clearing these internal obstructions is far more effective than mindless fasting. Of course, the mechanism of weight gain varies by individual constitution, and blood sugar responses differ. However, if you experience extreme drowsiness after meals or intense 'false hunger,' it is highly likely that your metabolic switch is turned off. For a precise diagnosis based on your specific constitution, a professional consultation is recommended.