Sleep
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With an account, you can revise, criticize, and comment on ideas.Adhere to standard sleep hygiene. That will help you fall asleep in a reasonable time (<30mins?) and get a healthy 7-8 hours.
If I had a large dinner only two hours before attempting sleep, the trouble to fall asleep seems about the same as if I have an empty stomach, or any other degree of fullness on that continuum.
Diet isn't ruled out just by comparing a large dinner with an empty stomach before bed.
You've said that you often put off eating and struggle to eat as much as you intend to. If you're regularly under-eating or going long stretches without food, that may be keeping adrenaline and cortisol elevated into the evening, making it harder to wind down, fall asleep and stay asleep.
That could also explain why you're physically tired but still mentally alert and able to keep working at night.
https://youtu.be/boWSKR7OrUw?t=627&si=V4UOiSZym6i0ZhjO
From 10:27 onwards, this video goes over a variety of diet related elements that affect sleep. Might be useful.