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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:

The Silent Finisher: Morganella in Diabetic Foot Ulcers Dec 16, 2025

Show notes

Dr. G breaks down Morganella morganii — a gram-negative, urease-producing opportunist that appears in late-stage diabetic foot ulcers when tissue is necrotic, hypoxic, and antibiotic-weakened.

The episode covers its origin, why it thrives in alkaline, chronic wounds, typical clinical signs, diagnostic pitfalls in polymicrobial cultures, intrinsic resistances (eg, ampicillin), treatment priorities like deep cultures, targeted antibiotics, aggressive debridement, and vascular assessment.

Stenotrophomonas Maltophilia in Diabetic Foot Ulcers Dec 16, 2025

Show notes

Episode decoding Stenotrophomonas maltophilia — a water-associated, multi-drug resistant bacterium that thrives in hospital plumbing and chronic diabetic foot ulcers. Learn how it forms biofilm, resists many antibiotics, and presents as a chronic non-healing wound that often requires targeted therapy (trimethoprim-sulfamethoxazole), aggressive debridement, and ecosystem-based care.

We cover reservoirs and transmission, diagnostic tips (deep tissue culture, susceptibility testing), prevention strategies (sterile irrigation, avoid unnecessary broad-spectrum antibiotics, moisture control, early culturing) and why this quiet organism is a marker of chronicity and limb-threatening risk.

The Shape-Shifters of Diabetic Feet: Proteus mirabilis & vulgaris Unveiled Dec 12, 2025

Show notes

Dr. G dives into the Proteus genus—Proteus mirabilis and Proteus vulgaris—explaining their history, swarming behavior, urease-driven alkalinization, virulence factors, and why diabetic foot ulcers provide the perfect environment for these pathogens.

The episode covers clinical clues (strong ammonia odor), diagnostic differences, biofilm-driven resistance, treatment priorities (sharp debridement, systemic antibiotics, pH control, and topical agents), and case examples including osteomyelitis and crystal formation.

The Red Invader: Serratia marcescens and Diabetic Foot Ulcers Dec 11, 2025

Show notes

In this episode of Diabetic Foot Files we explore Serratia marcescens — a red-pigment producing, opportunistic gram-negative bacterium that can rapidly worsen diabetic foot ulcers. We cover its history, microbiology and virulence, clinical clues (including the telltale pink drainage on dressings), diagnostic tips, and culture-directed treatment strategies.

The episode also reviews wound care approaches to disrupt biofilm, antibiotic options guided by sensitivities, prevention steps for clinics and patients, and real-world case examples to help clinicians protect limbs and improve outcomes.

Levine vs Essen: The Right Way to Swab Diabetic Foot Ulcers Dec 10, 2025

Show notes

Dr. D breaks down two standardized swab techniques—the Levine and the Essen rotary methods—and explains why proper wound cleansing and pressure-based sampling are critical to getting accurate cultures. Learn step-by-step instructions, common mistakes to avoid, and when to use each method for diabetic foot ulcers.

This episode highlights evidence comparing each technique to deep tissue biopsy, real clinical case examples, and practical tips to reduce false negatives, detect anaerobes, and improve patient outcomes.

BKA Explained: Surgery, Choices, Rehab & What Comes Next Dec 09, 2025

Show notes

In this episode of Diabetic Foot Files we walk through below‑knee amputation (BKA): why it’s performed, how surgeons select the level, and the step‑by‑step surgical technique including flap design, vascular and nerve management, and bone handling.

We discuss risks of delaying surgery, post‑op care and staged rehabilitation, pain and phantom limb strategies, and the key questions patients and families should ask when facing a BKA.

Clinically accurate, compassionate, and practical—this episode helps patients and caregivers understand when BKA can be life‑saving and how to prepare for recovery and return to function.

The Business of Amputations -Follow the Money: Why Hospitals Profit from Amputations Dec 09, 2025

Show notes

This episode explores how healthcare reimbursement incentives make amputations far more profitable than months of limb salvage and wound care for patients with diabetic foot disease.

It explains the reimbursement differences, who benefits financially, why wound care programs struggle to stay open, and practical questions patients should ask to protect their limbs.

When Can I Get My Foot Wet? Wounds, Pools & Hot Tubs Explained Dec 04, 2025

Show notes

This episode of Diabetic Foot Files explains when and how it’s safe to expose dressings, incisions, ulcers or amputation sites to water — covering showers, baths, pools, beaches and hot tubs.

Learn why uncontrolled moisture causes maceration, slower healing and infections (Pseudomonas, MRSA, Vibrio), and get practical prevention tips: use professional waterproof protectors or sponge baths, keep dressings dry, wait until sutures are out and there’s no drainage for 48–72 hours, and always get explicit clearance from your provider before swimming or bathing.

Dating While Healing: Confidence, Intimacy with an active diabetic foot ulcer or post amputation Dec 02, 2025

Show notes

This episode explores the human side of diabetic foot ulcers and how they affect dating, self‑image, and intimacy. Dr. G blends medical facts, psychology, practical tips (what to wear, safe positions, disclosure scripts), and patient stories to help listeners date confidently while healing.

Topics include the science of wound odor and drainage, mobility and fashion hacks, timing and scripting disclosure, low‑mobility date ideas, safe intimacy practices, and rebuilding identity after amputation—aimed at empowering patients and partners.

When Pets Meet Diabetic Wounds: Hidden Risks You Need to Know Nov 26, 2025

Show notes

In this episode of Diabetic Foot Files Dr. G explores how pets can contaminate diabetic wounds, the common zoonotic bacteria involved (Pasteurella, Capnocytophaga, Staphylococcus species, Pseudomonas, Bartonella, fungi), why dog licking is a medical emergency, and typical signs of infection to watch for.

The episode also covers recommended antiseptics and antibiotics, practical home prevention strategies (pet-free dressing areas, hand hygiene, laundering, grooming), and clear red flags when to seek emergency care.

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