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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:

Insurance Made Me Switch Doctors- Don't Lose Your Care: How to Switch Doctors Without Risking Your Diabetic Foot Treatment Feb 06, 2026

Show notes

Dr. G explains clear, practical steps for patients who must change doctors because of insurance, moving, or provider network shifts. Learn the 48‑hour plan: the five questions to ask your insurer, how to get bridge support and targeted medical records, tips for booking and choosing the right specialist, and the BRAN questions to use at your first visit.

The episode also covers emergency guidance (when to go to the ER), your HIPAA rights to access records, red flags to avoid in a new doctor, and a concise checklist to make the transition safe and effective.

Medical Malpractice with Dr. Lawyer- Dr Guy Regev MD JD - When Medicine Meets Malpractice: Protecting Patients and Providers Feb 05, 2026

Show notes

In this episode of Diabetic Foot Files, Dr. G interviews Dr. Guy Regev MD JD , a physician-attorney specializing in medical malpractice, to explore how diagnostic delays, documentation, delayed referrals, and systemic failures can lead to preventable harm. They discuss patient advocacy, red flags for both patients and clinicians, documentation tips, and practical questions patients should ask before surgery.

This conversation focuses on accountability, safety, and education—aimed at protecting limbs and lives by teaching both patients and providers how to recognize and prevent errors before they reach the courtroom.

ER Triage Secrets: Saving Limbs and Lives in Diabetic Foot Emergencies Feb 04, 2026

Show notes

This episode traces how battlefield triage shaped modern emergency medicine and applies those principles to diabetic foot care in the ER. Dr. G explains time-sensitive threats — sepsis, necrotizing infection, acute limb ischemia, compartment syndrome, and Charcot neuropathy — and walks through focused exams, vital labs, essential imaging, dressing choices, and when to escalate to vascular, podiatry, or surgery.

Learn practical triage questions, documentation tips, and high-yield pitfalls to avoid so urgent diabetic foot problems are recognized early and treated appropriately.

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When Patients Give Up: Learned Helplessness and Diabetic Foot Care Feb 03, 2026

Show notes

This episode explains how learned helplessness develops in patients with diabetic foot ulcers, the classic experiments and brain changes behind it, and how healthcare systems can unintentionally create it.

Dr. G reviews practical strategies for reclaiming patient control—micro‑wins, clear plans, visible progress, and team‑based care—and addresses clinician burnout and system fixes to improve limb salvage outcomes.

When Metabolism Fails the Foot: Insulin Resistance, Hypertension & Non‑Healing Ulcers Feb 01, 2026

Show notes

In this episode of Diabetic Foot Files Dr. G traces diabetic foot ulcers upstream to metabolic causes: insulin resistance and chronic hyperinsulinemia drive sodium retention, sympathetic overactivity, RAS activation and endothelial dysfunction that produce microvascular collapse and poor wound healing.

Learn why clean-looking wounds still won’t close, how to target root causes (lifestyle, medications, supplements, and team-based care), and why limb salvage starts with restoring metabolism and vascular health—not just surface treatment.

Iodine Isn't the Enemy: Debunking the Cytotoxic Myth Feb 01, 2026

Show notes

This episode explains where the belief that iodine is "cytotoxic" came from, contrasting old in vitro lab studies with real-world wound biology. It outlines how povidone‑iodine (a slow‑release formulation) controls infection and biofilm, and why infection can be worse for healing than controlled iodine use.

It also compares iodine to isopropyl alcohol, showing alcohol is more damaging to open wounds, and gives practical takeaways for managing infected or critically colonized diabetic foot ulcers.

Myiasis Explained: How Flies Target Wounds and How to Prevent Infestation Jan 30, 2026

Show notes

This episode explains myiasis (maggot infestation of wounds): how and why flies lay eggs in wounds, the lifecycle from egg to adult fly, risk factors (especially in diabetes), clinical signs, complications like infection, and urgent management steps.

It also covers prevention strategies, differences between medical (sterile) maggot therapy and wild infestations, and practical advice on when to seek immediate medical care.

When Skin Sends SOS: Understanding the Kennedy Terminal Ulcer Jan 28, 2026

Show notes

This episode explains the Kennedy terminal ulcer: a sudden, rapidly progressing sacral wound often seen near end of life, and how it overlaps with pressure injury and skin failure concepts.

Dr. G discusses the underlying physiology (perfusion collapse, inflammation, microthrombi), the role diabetes plays in lowering tissue reserve, clinical recognition, management focused on comfort and dignity, and the importance of clear documentation and family communication.

Felt Padding 101: The Low-Tech Offload That Heals Diabetic Foot Ulcers Jan 27, 2026

Show notes

In this practical episode Dr. G shows how felt padding — an adhesive-backed wool or synthetic material cut to create a pressure "donut" — can redistribute plantar pressure and promote healing of diabetic foot ulcers.

He covers why offloading matters, supplies and step-by-step application, clinical evidence, a real case demonstrating substantial pressure reduction and healing, and common pitfalls with troubleshooting tips.

Key takeaways: felt padding is affordable, customizable and effective when paired with proper footwear and monitoring; replace regularly and watch for skin breakdown or shifting.

Fusidic Acid — The Quiet Staph Assassin Jan 26, 2026

Show notes

In this episode Dr. G explores fusidic acid — an antibiotic isolated from the Fusidium fungus — its unique mechanism blocking elongation factor G, and why it became a powerful tool against Staphylococcus aureus in skin and wound infections.

Dr. G covers clinical uses (topical creams, oral and IV when combined with rifampicin ), availability issues in the U.S., and why stewardship matters: short-term topical use only, culture-guided therapy, and avoidance of prolonged monotherapy to prevent rapid resistance.

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