9 Señales de ALERTA en los PIES Que Podrían INDICAR DIABETES — No las Ignores
Peripheral neuropathy affects 50% of all people with diabetes during their lifetime. The 2026 ADA Standards of Care report that it is present in 78% of cases of foot ulcers. And a 2024 study in Scientific Reports confirmed that it is the strongest independent risk factor for amputation. Your feet are the first to know when your glucose has been out of control for months. Before your doctor. Before your blood tests. In this video, I'll show you 9 signs your feet send you when diabetes is taking hold in your body. Each sign comes with the exact biological mechanism, an analogy to make it easy to understand, and what to do about it. I start with the most subtle and end with the most silent and dangerous of all. The 9 signs: feet that have stopped sweating (autonomic neuropathy), thick, yellowed nails without fungus (vascular damage to the nail bed), frequent nighttime cramps (damaged motor nerves + electrolyte imbalance), wounds that don't heal in more than 10 days (narrowed blood vessels don't deliver repair materials), a sensation of walking on cotton or sand (loss of proprioception due to large nerves), temperature differences between areas of the foot (asymmetrical cold = blocked artery, localized heat = infection or Charcot foot), changes in skin color on the feet and ankles (detectable 18 months before diagnosis), tingling that disappears and becomes completely silent (a dead nerve is worse than a painful nerve), and hair loss on the feet and legs (a visible marker of advanced peripheral vascular disease). I've included the story of Don Venancio, who had 4 signs for 3 years without knowing he was diabetic, and the 60-second check protocol that can save your foot. 📚 REFERENCED EVIDENCE: • Scientific Reports (2024) — Neuropathy: Strongest independent risk factor for amputation in diabetes • ADA Standards of Care 2026 — Peripheral sensory neuropathy present in 78% of ulcers; neuropathy + trauma + deformity in 63% • ADA Standards of Care 2025 — Structured preventive care reduces ulcers and amputations by up to 50% • Mayer Institute (2026) — 50% of people with diabetes develop peripheral neuropathy; up to 50% are asymptomatic • Journal of the American Academy of Dermatology — Skin changes detectable 18 months before diabetes diagnosis • ADA 2026 — Signs of autonomic neuropathy: Changes in sweating, dry and cracked skin on extremities • Marvel Podiatry (2026) — Early signs: Color change in toes (blue, purple, black); cold feet as an indicator of flow Reduced ⚠️ This video is for educational purposes only. It does not constitute medical advice. If you have 3 or more of these signs, request a fasting glucose and glycated hemoglobin (HbA1c) test this week. #DiabeticFoot #Over60 #SignsOfDiabetes

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