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Diabetic Foot Files — Health & Fitness
Diabetic Foot Files

THE DIABETIC FOOT FILES HAS A NEW HOME!

The brand-new Diabetic Foot Files website is LIVE!

Welcome to the digital home of everything diabetic foot, wound care, limb salvage, and beyond. From the latest podcast episodes and expert conversations to LIMBWatch, educational content, and resources for the limb-salvage community — it’s all coming together in one place.

www.diabeticfootfiles.com

Whether you’re a clinician, researcher, student, patient, advocate, or simply passionate about saving limbs — there’s a place for you here.

Listen.
Learn.
Think beyond the wound.
Save the limb. Change the life.

Welcome to the next chapter of Diabetic Foot Files.

👟✨ We’ve teamed up with DARCO to bring you 25% off the POGO shoe! Want to stay active, reduce pressure, and help prevent ulcers before they begin? Visit darcodirect.com/product/pogo/ and use our exclusive code FootFiles25 at checkout to save 25% off your pair.

Welcome to the Diabetic Foot Files Podcast and the LIMBWatch series — where diabetic foot surveillance, wound intelligence, prevention science, and limb preservation come together. I’m Dr. G / Dr. WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson, podiatrist and wound care specialist, and I’m here to educate, empower, and guide you through the evolving world of diabetic foot care.

From wound healing and pressure injuries to surveillance systems and amputation prevention, we break down the science, challenge the myths, and share strategies that help save limbs and improve lives. Whether you’re a patient, caregiver, clinician, or healthcare professional, this is your destination for diabetic foot education, prevention, and preservation.

So let’s dive in — because when you take care of your feet, they take care of you.
LIMBWatch: Surveillance Before Salvage- World Leaders in LIMB Salvage

Follow us on TikTok @diabetic.foot.files –https://www.tiktok.com/@diabetic.foot.files?_r=1&_t=ZS-986cXIoucTK

Instagram @DiabeticFootFiles –https://www.instagram.com/diabeticfootfilespodcast?igsh=MXBzbXhjdmJnYjNyMw%3D%3D&utm_source=qr for exclusive clips, clinical pearls, behind-the-scenes content, and the latest updates.

Copyright: © Copyright 2025 All rights reserved.

Latest Episodes:

When Pain Speaks: Decoding Diabetic Foot Alerts Mar 30, 2026

Show notes

Dr. G explains how pain is a survival message — not just discomfort — and breaks down types of diabetic foot pain, what they commonly indicate (neuropathy, infection, ischemia, or bone involvement), and which symptoms are red flags.

Learn why a lack of pain can be dangerous, how to interpret changes in pain, and the simple daily checks and actions diabetics should take to catch problems early and prevent serious complications.

Failure to Thrive in Diabetic Ulcers -When a Wound Means Systemic Collapse: Mar 27, 2026

Show notes

This episode explains "failure to thrive" in adults with diabetes — a multifactorial clinical syndrome where poor nutrition, inflammation, and chronic disease prevent wound healing.

It reviews warning signs, key lab markers (albumin, prealbumin, CRP, A1c), and a practical multidisciplinary approach — nutrition, glycemic control, infection management, vascular care, and mobilization — to reverse the cycle and improve outcomes.

The Cost of Healing- Medicine Isn’t Blind: How Coverage and Cash Shape Diabetic Wound Outcomes Mar 25, 2026

Show notes

In this episode Dr G examines how the healthcare system—not just clinical decisions—affects diabetic wound outcomes, highlighting how insurance rules, financial barriers, transportation and approval delays can lead to infection, osteomyelitis and even amputations. She shares real patient stories and examples of denied imaging and approvals that changed outcomes.

Her takeaways: prioritize early specialist (especially vascular) care and prevention, speak up about financial limits, use community resources, and push for system changes to expand preventive coverage and reduce approval delays so money doesn’t decide who heals.

Don't Drive on It: Why Diabetic Foot Ulcers and Cars Don't Mix Mar 21, 2026

Show notes

This episode makes one simple point: do not drive on a diabetic foot ulcer or while wearing a cam boot, post‑op shoe, or with an uncovered ulcer. It explains the biomechanics of pedal use, how repetitive pressure, shear, and impaired sensation worsen wounds, and how driving can delay healing or lead to deep infection and amputation.

The host outlines clinical consequences, practical alternatives (medical transport, rideshare, caregivers, vehicle modifications, telemedicine), and actions clinicians can take (education, documentation, consent). The episode stresses honest communication and realistic plans to protect limbs while preserving independence.

How The Primary Intelligence App Empowers Patients Mar 19, 2026

Show notes

Join Diabetic Foot Files as Dr. Asha Zimmerman MD , a transplant surgeon who left practice to develop the primary intelligence app which is geared towards informing patients about their health and wellness. Dr Zimmerman discusses Primary Intelligence, an AI-driven app designed to inform patients before doctor visits, improve screening and prevention, and enhance patient–provider communication.

Learn how AI can support early identification of complications, empower patient advocacy, and potentially expand access to evidence-based care while keeping clinicians in the loop.

You can learn more about the Primary Intelligence App at

https://www.primaryintelligence.ai

Vascular Lifeline with Dr. Jay Patel- PAD and How Endovascular Care Saves Diabetic Feet Mar 18, 2026

Show notes

Dr. Jay Patel joins Diabetic Foot Files to explain peripheral arterial disease (PAD) in diabetes, from screening and imaging to cutting-edge endovascular treatments that restore blood flow and enable wound healing. He discusses why diabetics often develop below-the-knee disease, the role of neuropathy, and practical first-line care including smoking cessation, supervised exercise, and statins.

The episode emphasizes early vascular referral for non-healing wounds or rest pain, outlines outpatient endovascular options and recovery, and shares real-world limb salvage success—underscoring that timely diagnosis and revascularization can prevent amputation and improve quality of life.

More with Dr. Jay Patel at

https://texaseva.com/about-us/dr-jay-patel/

When Infection Meets the Mind: Antibiotics, Psych Meds & the Diabetic Foot Mar 17, 2026

Show notes

This episode explores how diabetic foot infections, psychiatric medications, and certain antibiotics can interact to cause delirium, psychosis, serotonin syndrome, and other neuropsychiatric effects. It reviews high‑risk antibiotic classes (fluoroquinolones, cefepime, metronidazole, linezolid), common drug‑drug risks, and clinical red flags.

Learn practical management strategies: review all medications, check renal and metabolic status, involve psychiatry and infectious disease, choose safer antibiotic alternatives when needed, monitor vital signs and QTc, and prioritize communication and trust to protect both mind and limb.

The Fragile Bridge: Transitional Offloading After a Diabetic Foot Ulcer Mar 16, 2026

Show notes

In this episode of Diabetic Foot Files we break down transitional offloading — the critical, fragile phase after a diabetic foot ulcer closes when reintroducing pressure too quickly can reopen wounds.

We cover the physiology of healed tissue, the biomechanics of pressure, a phased protocol (strict offloading, protected weight bearing, custom orthotics, then monitored full activity), case examples, and modern tools like pressure mapping and smart insoles.

Key takeaways: gradual pressure reintroduction, proper footwear and orthotics, daily foot inspections, and ongoing multidisciplinary follow-up to reduce high recurrence risk.

Unmasking Diabetic Autonomic Neuropathy Mar 15, 2026

Show notes

This episode explores diabetic autonomic neuropathy — the widespread nerve damage from chronic high blood sugar that affects the heart, gastrointestinal tract, bladder, sweat glands and more. It explains how this condition can cause silent heart attacks, resting tachycardia, orthostatic symptoms, gastroparesis, bladder and sexual dysfunction, and why diabetic foot ulcers may be a visible sign of deeper systemic disease.

We cover the main mechanisms (polyol pathway, AGEs, oxidative stress, microvascular ischemia), how clinicians diagnose it (heart rate variability, tilt-table, troponin, imaging), and practical prevention and management steps: tight glucose control, vascular care, blood pressure and cholesterol management, exercise, and multidisciplinary follow-up.

Bacterial Social Media: Quorum Sensing in Diabetic Foot Ulcers Mar 14, 2026

Show notes

Dr. G explains quorum sensing — the chemical "language" bacteria use to coordinate biofilm formation, virulence, and antibiotic resistance in diabetic foot ulcers.

He covers how biofilms form, why diabetic wounds favor them, the role of debridement, and emerging treatments (quorum sensing inhibitors, enzymes, bacteriophages, nanoparticles) to disrupt bacterial communication and improve healing.

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