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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.

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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

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Copyright: © Copyright 2025 All rights reserved.

Latest Episodes:

Vinegar to the Rescue: Acetic Acid Protocols for Stubborn Wound Infections Nov 25, 2025

Show notes

Dr. G examines acetic acid (medical vinegar) as a low-cost, evidence-based treatment for multi-drug-resistant Pseudomonas aeruginosa in diabetic foot ulcers. The episode explains the bacterium's virulence and biofilm behavior, how acetic acid works (pH lowering, membrane and biofilm disruption), recommended concentrations (0.25–1%), application methods, safety precautions, and clinical outcomes.

Listeners receive concise, practical guidance including soak times, treatment duration, and cautions for exposed bone, plus case examples and why acetic acid is a valuable, accessible tool for limb salvage and resource-limited settings.

Elective Surgery & Diabetes: What Your Surgeon Isn't Telling You Nov 25, 2025

Show notes

Dr. Gabrielle Hutchinson-Donaldson explains when elective foot surgery is appropriate for people with diabetes, the key green and red flags to consider, and what must be included in valid informed consent.

Learn how to prevent and manage post-operative wounds—what to do if an incision opens, steps for offloading, testing, imaging, pathology, and when to seek a wound care or limb salvage specialist to avoid infection, osteomyelitis, or amputation.

Blame the Patient: Why It’s Not Your Fault- And Why Doctor Must Do Better Nov 24, 2025

Show notes

In this episode of Diabetic Foot Files the host exposes why patients with diabetic wounds are often unfairly blamed and explains how system gaps, provider bias, and limited training cause poor outcomes.

Learn what thorough wound investigation looks like, what patients can and cannot control, and how both clinicians and patients can advocate for better, evidence-based limb preservation.

Surgical Site Infections - Incision to Infection: The Truth About Diabetic Foot SSIs and How to Stop Them Nov 24, 2025

Show notes

Dr. G explains why people with diabetes are far more vulnerable to surgical site infections — covering neuropathy, poor blood flow, high blood sugars, immune dysfunction, and common pathogens that colonize incisions.

The episode reviews high-risk foot procedures, signs of infection, and evidence-based prevention: preoperative optimization, vascular assessment, strict glucose control, meticulous surgical technique, incisional hygiene, strict offloading, and early intervention.

Key takeaway: most diabetic surgical site infections are preventable with careful patient selection, close follow-up, and responsible wound care — because every incision in a diabetic deserves special attention to avoid serious complications.

Holiday Heel: How Calcaneal Fractures Break Your Season Nov 19, 2025

Show notes

In this episode Dr. G explains “holiday heel” — calcaneal (heel) fractures that spike during the holidays from ladder falls, slips and carrying heavy decorations. Learn the common mechanisms, key exam findings (plantar bruising, Mulder’s sign, inability to bear weight), and why diabetics are at higher risk due to neuropathy, poor bone quality, and slower healing.

Dr. G covers emergency concerns such as compartment syndrome, diagnostic steps including x-ray and CT, immediate management (non‑weightbearing, splinting, ER evaluation), expected recovery, and diabetic-specific complications. The episode finishes with clear prevention tips: ladder safety, proper footwear, clearing hazards, checking blood sugar, and delegating risky tasks.

Thanksgiving Survival Guide for Diabetic Feet: Eat, Protect, Prevent Nov 19, 2025

Show notes

This episode offers a concise Thanksgiving survival plan for people with diabetes: which foods help or harm wound healing, how to manage blood sugar before and after the meal, and which holiday habits raise ulcer risk.

Learn practical tips on protective footwear, offloading during long cooking or shopping days, burn and fall prevention, and when to inspect feet or seek urgent care.

Simple, actionable advice on what to eat, what to avoid, blood glucose targets and monitoring times, and immediate steps to take if you notice redness, drainage, or swelling.

Mercury Retrograde & The Reopened Ulcer: Unfinished Business, Cosmic Chaos, Biomechanics, and How to Stop the Cycle Before It Ends in Amputation Nov 17, 2025

Show notes

Dr. G uses the Mercury Retrograde analogy to explain why diabetic foot ulcers often recur, covering medical and mechanical causes like osteomyelitis, unresolved pressure, neuropathy, scar tissue, and poor footwear. He outlines common hotspot locations, signs of underlying bone infection, and why healed skin remains fragile.

The episode emphasizes immediate reassessment for reopened wounds, essential tests (cultures, labs, X-ray/MRI), and proven prevention: timely offloading (TCC, boots, custom orthotics), footwear adjustments, surgical fixes when needed, daily foot checks, moisturizing, and close follow-up to stop the cycle and avoid amputation.

Being in A Situationship with Your Diabetic Foot Ulcer: breaking the toxic cycle Nov 17, 2025

Show notes

Dr. G compares diabetic foot ulcers to a "situationship"—a pattern of ignoring early warning signs, inconsistent care, and delayed follow-up that lets small wounds become serious. This episode explains how ulcers can appear suddenly, linger, and then worsen if not treated promptly.

Dr. G covers the red flags (swelling, drainage, odor, persistent callus), the essentials of assessment and treatment (debridement, culture, x-ray, vascular checks, offloading), and clear prevention steps: daily foot checks, strict follow-up, glucose control, avoiding barefoot/pressure, and proper footwear. The takeaway: don’t ignore small problems—early action prevents complications and amputations.

Cutting the Culprit: How Removing a Peroneus Brevis Saved a Leg Nov 17, 2025

Show notes

Dr. G returns with a real-world diabetic foot case about exposed tendons, focusing on the peroneus brevis. This episode explains why exposed tendons resist healing, when tendon excision is necessary (infection, necrosis, persistent biofilm, or lack of granulation), and the trade-offs between biomechanics and limb salvage.

Practical tips covered include keeping exposed tendons moist, immobilization, fenestration, serial debridement, use of grafts or scaffolds, and postoperative rehabilitation including bracing and physical therapy. The episode emphasizes that saving the limb often means removing structures that prevent wound closure.

Why I believe Winter Time is Gas Gangrene Season- Frost, Flesh and Fermentation: A Deep Dive into Cold Weather Clostridial Infections Nov 17, 2025

Show notes

Dr. G returns to Diabetic Foot Files to explain why winter can increase the risk of aggressive diabetic foot infections, including gas gangrene. She reviews how cold-induced vasoconstriction, reduced oxygen, cracked skin, and warm boot environments create anaerobic conditions that favor Clostridium species.

The episode covers warning signs to watch for—severe pain, discoloration, crepitus, foul odor, and systemic toxicity—along with recommended diagnostics (X-ray, CT/MRI, labs) and urgent treatments such as surgical debridement, IV antibiotics, and hyperbaric oxygen.

Practical prevention tips are shared: daily foot checks, moisturize safely, keep footwear dry and rotated, avoid direct heat, maintain circulation, and follow up promptly with your clinician. The message: stay vigilant this winter and seek immediate care for suspicious wounds.

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