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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:

Offload First: The Antidote to Neuropathic Plantar Ulcers Nov 07, 2025

Show notes

In this episode Dr. G explains why offloading — removing pressure from the ulcer site — is the single most important intervention for neuropathic plantar diabetic foot ulcers. He reviews evidence and guidelines that favor non-removable total contact casts, practical offloading options, and how to integrate offloading into a full treatment plan.

Key points include screening and treating infection and ischemia, sharp debridement, ensuring patient adherence through non-removable devices, and using adjunctive therapies when appropriate. The episode emphasizes multidisciplinary care, patient education, and frequent monitoring to optimize healing.

Please Grow for Me: The Photosynthesis of Diabetic Wound Healing Oct 30, 2025

Show notes

Dr. G examines how growth factors act as fertilizers, and how oxygen and light therapies function like sunlight and air to revive chronic diabetic foot ulcers. He explains key molecules (EGF, PDGF, VEGF, FGF, TGF‑β), the problem of growth factor resistance in diabetes, and bedside treatments including PRP, topical/recombinant growth factors, topical and hyperbaric oxygen, and photobiomodulation.

Using clinical anecdotes and a “please grow for me” theme, the episode surveys current approaches and emerging technologies (smart dressings, nanoparticle delivery, adaptive LED devices) for actively cultivating wound healing.

Feed Me, Seymour: The Metabolic Appetite of Diabetic Wounds Oct 30, 2025

Show notes

Dr. G explores how wound healing is an active metabolic process — what wounds need (calories, protein, oxygen, vitamins and minerals), how hyperglycemia and malnutrition stall repair, and a case where nutritional repletion spurred granulation within 14 days.

The episode emphasizes checking nutrition labs, optimizing protein and micronutrients, controlling glucose, and using a multidisciplinary team to prevent complications and amputation.

Diabetic Foot Abscesses: When Pus Hides Beneath the Skin Oct 27, 2025

Show notes

This episode of Diabetic Foot Files explains how abscesses form in diabetic feet, why they can develop quickly and silently, and the importance of identifying fluctuance, pain, odor, and signs of deeper infection.

We cover pathophysiology, common pus types (including MRSA), recommended imaging, incision and drainage principles, antibiotic choices, aftercare, and prevention tips for people with diabetes.

The Vampire's Cure: Why Bleeding Can Mean Healing Oct 24, 2025

Show notes

In this Halloween edition of Diabetic Foot Files, Dr. G blends vampire lore with wound-care science to show how blood can signal healing—not horror. The episode covers the history linking myths to medicine, the stages of hemostasis, and why controlled bleeding during debridement often means viable tissue and good perfusion.

Practical tips include debridement methods, when to seek vascular clearance, managing anticoagulants and bleeding disorders, moisture balance, offloading strategies, and therapies like hyperbaric oxygen. A quick Q&A reinforces key takeaways for clinicians and patients.

Don't Stop Early: Why Finishing Antibiotics Saves Feet Oct 20, 2025

Show notes

Dr. Gabrielle Hutcheson -Donaldson explains why completing prescribed antibiotic courses is critical for diabetic foot infections: early symptom relief doesn’t mean the infection is gone, and stopping treatment can lead to resistant bacteria, osteomyelitis, sepsis, or even amputation.

The episode also covers when to take antibiotics with or without food, common food and drug interactions (dairy, iron, antacids, alcohol, blood thinners, contraceptives), and practical tips for patients and clinicians — always finish the course, don’t share or save antibiotics, and ask your pharmacist if unsure.

Speak Wound Fluently: Foundations of Diabetic Foot Ulcer Terminology Oct 14, 2025

Show notes

Dr. G returns to the foundation of diabetic limb salvage, explaining essential ulcer terminology—erosion, partial/full-thickness ulcers, tunneling, undermining, exudate types, wound bed tissue, biofilm, and signs of infection—and how to measure and document them.

Clear, accurate wound language improves diagnosis, care coordination, coding, and outcomes; this episode includes practical examples and a sample documentation template to help clinicians speak wound fluently.

Tiny Ring, Big Risk: Porokeratosis on the Diabetic Foot Oct 10, 2025

Show notes

Dr. G explains porokeratosis — a ring-like skin disorder that can masquerade as a callus or wart and cause pain, ulceration, and even malignant change on diabetic feet. The episode covers what porokeratosis looks like, why people with diabetes are at higher risk of complications, and when to biopsy.

Practical advice includes daily foot checks, avoid self‑debridement, early offloading and specialist referral, medical and procedural treatment options, and the importance of glycemic and vascular care to prevent recurrence and severe outcomes.

Forgotten Feet: Diabetes Behind Bars/The Incarcerated Oct 09, 2025

Show notes

Dr. G (Woon Picasso) exposes the hidden crisis of diabetic foot disease in prisons: its prevalence, the resource and policy barriers that lead to missed checks and preventable amputations, and the moral and legal imperative to provide care.

The episode outlines practical, low-cost prevention and treatment steps—intake screening, annual and monthly checks, proper footwear, telemedicine, wound kits, offloading, and urgent referral pathways—urging nonjudgmental, consistent care to save limbs and lives.

Silver Nitrate: The Secret Weapon Against Hypergranulation Oct 08, 2025

Show notes

Dr. G explains how silver nitrate works as a quick, low-cost chemical cautery for treating hypergranulation ("proud flesh") in diabetic and other chronic wounds, outlining the mechanism, application steps, and the expected gray discoloration.

He summarizes benefits—rapid control of excess granulation, antimicrobial action, and minor hemostasis—along with key cautions such as pain, staining, tissue damage, and contraindications (infected wounds, exposed bone), and offers practical tips for safe, sparing use.

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