Numbness, cramps, and tingling in feet and hands

Your foot falls asleep on the couch and you blame it on your posture.

Another day you notice tingling in your hands upon waking up, or a cramp in your calf in the middle of the night.

Almost always, it is nothing. But when it repeats for months, it deserves a better question than "it must be circulation."

The peripheral nervous system is the longest wiring in the body. The nerves that reach your toes are almost a meter long, and they are usually the first to give signals when something goes wrong.

Here is the interesting nuance: you don't need to have a diabetes diagnosis.

In a German population study with nearly four hundred adults, half with diabetes and the other half without it, they looked for signs of neuropathy using a questionnaire and a screening exam.

28% of those who had diabetes tested positive, around 11-13% of those who only had impaired glucose, and 7% of those who had normal glucose.

It is a snapshot with a small sample, not a follow-up. It does not prove that glucose causes the damage, and the difference between impaired and normal glucose was small. But it suggests that the problem appears before diagnosis.

Another finding from the same study: a wide waist was associated with neuropathy regardless of age and diabetes. Belly fat shows up again where you least expect it.

And there are other common causes that your doctor can rule out: vitamin B12 deficiency, thyroid problems, alcohol, a compressed nerve in the wrist.

That is why persistent tingling is not a symptom to be treated with patience. It is a symptom to be investigated.

Your body gives warnings at the extremities. Listen to it there.

Your 1% improvement for today.

If you have had recurrent tingling or cramps for more than three months, write it down on your phone with the date and time of day, and discuss it with your doctor so they can consider checking your glucose and vitamin B12 levels.

This is what I cover in the Longevity Workshop and Private Longevity WhatsApp Group: In the Longevity Workshop I teach you how to read signs like tingling, and in the WhatsApp group we resolve your questions every day.

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