Neuropatia diabética. Aprenda como reduzir sua dor e tratar a causa do problema.

Link to join the 60-DAY CHALLENGE to reverse type 2 diabetes: https://lp.tipo2.com.br/DESAFIOYT 🎥 Diabetic Neuropathy: how it arises, why it hurts, at what blood glucose level it starts, and how to treat it Do you feel tingling, numbness, burning, shocks, or pain in your feet and legs? These may be signs of diabetic neuropathy, one of the most common complications of type 2 diabetes — and one that often begins even before diagnosis. In this video, I explain clearly, didactically, and based on the official guidelines of the Brazilian Diabetes Society (SBD): 👉 how diabetic neuropathy arises 👉 from what blood glucose levels nerve damage begins 👉 why symptoms such as pain, burning, and shocks appear 👉 how neuropathy evolves over the years 👉 what really works to treat, relieve pain, and protect nerves 🔍 What you will learn 🧠 How diabetes damages nerves • Excess glucose entering the neuron • Formation of toxic substances (sorbitol, AGEs, oxidative stress) • Reduced blood flow to the nerves • Damage to myelin (nerve insulation) • Progressive death of nerve fibers ➡️ Neuropathy doesn't appear suddenly: it's a consequence of years of elevated blood glucose. 📉 At what blood glucose level does neuropathy begin? ❗ Damage can begin even in pre-diabetes. • Blood glucose between 110–125 mg/dL can already cause damage to fine fibers. • HbA1c above 5.7–6.0% for years increases the risk. • The risk increases significantly when: – Fasting blood glucose greater than 126 mg/dL – Post-meal glucose greater than 180–200 mg/dL – HbA1c greater than 7% maintained over time. ⚡ Why does neuropathy hurt? You will understand the phases of diabetic neuropathy: • Initial phase: tingling, burning, stabbing pains • Neuropathic pain: shocks and deep pain • Advanced phase: loss of sensation (most dangerous phase) ➡️ When the pain disappears, the risk increases, as the patient stops feeling wounds. 🩺 What the Brazilian Diabetes Society (SBD) guidelines say ✔️ Every patient with type 2 diabetes should be screened from diagnosis ✔️ Neuropathy can be silent ✔️ Glycemic control is the central pillar of treatment 🏃‍♂️ Treatment that really works • Blood glucose control • Regular physical exercise • Weight loss • Blood pressure and lipid control 💊 For neuropathic pain: • Duloxetine • Pregabalin • Gabapentin ⚠️ Opioids are not routinely recommended. 💊 Supplements with evidence: • Vitamin B12 (especially for those using metformin) 🎯 Final message Diabetic neuropathy is not inevitable. When you treat the cause — high blood sugar — it's possible to reduce pain, improve nerve function, and protect your quality of life. 👉 Watch until the end and subscribe to the channel for more content about type 2 diabetes, blood sugar, and diabetes complications. 00:00 Introduction to the problem 02:09 How does diabetic neuropathy develop? 07:59 Stages of diabetic neuropathy 10:56 How to treat diabetic neuropathy? 14:22 Supplements and medications for diabetic neuropathy 16:32 Let's improve your blood sugar together! Phone number for scheduling an appointment for type 2 diabetes treatment: 034 99164 2707 or click this link to speak directly on WhatsApp: https://wa.me/5534991642707 Join our WhatsApp channel and receive all the materials that will greatly help you control your glucose! https://whatsapp.com/channel/0029Vb5m... 👍 Like, share, and subscribe so you don't miss the next videos about health, nutrition, and prevention! Dr. Victor Miranda Sports and Exercise Medicine Physician at the Hospital do Servidor Público Estadual de São Paulo. Website: https://www.tipo2.com.br/ CRM SP 179240 RQE 87992 CRM MG 67670 RQE 87992