Yeah, sugar is like a quick signal that tricks your brain into thinking it’s a reward, so it skews the patterns you’re trying to read in a patient. In practice, that means patients often over‑estimate how much they’re eating or how well they’re sticking to a diet, so the data you collect is biased. It can also create a feedback loop where a sweet snack makes them feel better temporarily, so they ignore long‑term health goals. When I see that in a chart, I double‑check food logs, ask about cravings, and set up realistic, small changes that keep the brain engaged without that sugary hijack. It’s all about realigning the pattern the body actually needs.