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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:

10 Habits Every Person with Diabetes Needs Sep 23, 2026

Show notes

This episode of Diabetic Foot Files shares ten practical habits to prevent serious foot problems and limb loss in people with diabetes. The host emphasizes vascular assessment as the top priority and walks through daily foot checks, never ignoring small wounds, checking shoes, wearing proper footwear, protecting feet from heat, avoiding home surgery and soaking, taking toenails seriously, knowing personal risk, and having an action plan for problems.

Listeners will learn simple, actionable steps to spot issues early, seek prompt professional care, and preserve mobility and quality of life.

Silent Signals: Thirst, Fatigue, and the Diabetes You Didn’t Know You Had Sep 22, 2026

Show notes

Dr. G explains how type 2 diabetes can develop quietly and describes common but often overlooked early signs — persistent thirst and urination, fatigue, blurry vision, recurrent infections, slow-healing cuts, numbness in the feet, increased hunger, and unexplained weight loss.

The episode also covers how diabetes is diagnosed (A1C, fasting glucose, and glucose tolerance tests), who should be tested, when high blood sugar becomes an emergency, and why regular screening and early detection matter to prevent serious complications.

When Clinical Inertia Sinks Diabetic Foot Care Sep 21, 2026

Show notes

Dr. G uses the giraffe-in-quicksand metaphor to show how clinical inertia and tunnel vision quietly worsen diabetic foot ulcers. Clinical inertia isn't doing nothing—it’s doing too little: repeating dressings, documenting instead of investigating, or delaying referrals.

She outlines four types of inertia (diagnostic, therapeutic, referral, cognitive), stresses multidisciplinary care, and gives clinical pearls: "stable" ≠ healing, always reassess diagnoses, address blood flow, infection, nutrition, and adherence, and prioritize curiosity, humility, and collaboration to prevent limb loss.

Who Deserves It and Who Needs It- Denied, Delayed, or Dismissed: Medical Necessity, Prior Auth, and Equity in Diabetic Foot Treatment Sep 20, 2026

Show notes

In this episode Dr. G explains how medical necessity and insurance rules affect diabetic foot care, limb salvage, and amputation prevention.

You’ll learn what "medically necessary" really means, how prior authorization and denials work, what to include in an appeal or medical necessity letter, and the clinical consequences of delays.

The episode also highlights health equity—how socioeconomic barriers change access to care—and encourages patients and clinicians to advocate, document clearly, and explore appeal options to protect limbs and lives.

Saving the Limb: How PICC Lines Fit into Diabetic Foot Treatment Sep 19, 2026

Show notes

This episode explains what a PICC line is (Peripherally Inserted Central Catheter), how it delivers prolonged antibiotics, and why it is not automatically required for every diabetic foot infection.

Dr. G covers when a PICC makes sense, the importance of source control and multidisciplinary care, the risks and warning signs to watch for, and how patient involvement and infectious disease guidance determine duration and route of therapy.

Forgotten Infection Friday: The Hidden Danger of Pyomyositis Sep 18, 2026

Show notes

Dr. G discusses pyomyositis — a deep skeletal muscle infection that can occur in people with diabetes, how it differs from cellulitis, its stages, common causes, typical pathogens, diagnostic steps including MRI and labs, and the importance of source control, imaging, and vascular assessment.

Key takeaways: the visible ulcer may be only the surface of a deeper infection, early recognition and imaging are critical, and management often requires both antibiotics and surgical drainage plus attention to offloading and vascular status.

Pyroptosis: The Loud Cell Death Fueling Diabetic Foot Ulcers Sep 17, 2026

Show notes

Dr. G explains pyroptosis — an inflammatory form of programmed cell death driven by inflammasomes, caspase‑1, and gasdermin D — and how its pore‑forming, cytokine‑releasing shutdown can amplify inflammation.

The episode explores how pyroptosis affects keratinocytes, fibroblasts, and macrophages in diabetic foot ulcers, potentially preventing healing by keeping danger signaling active, and why balancing this response matters for recovery.

NPO Explained: What ‘Nothing by Mouth’ Means for People with Diabetes Sep 16, 2026

Show notes

This episode explains what NPO (nil per os) means, why clinicians use it to reduce aspiration risk during anesthesia or procedures, and why it’s more complex for people with diabetes.

Key points include glucose monitoring every 2–4 hours, tailored insulin and medication plans, risks from gastroparesis, and the importance of asking the care team specific questions about allowed intake and medication adjustments.

PECULIAR PODIATRY Series : #001- The Case of the Purple Toe Sep 15, 2026

Show notes

Dr. G introduces Peculiar Podiatry with a deep dive into the "purple toe"—a visual clue that can mean anything from a simple bruise to dangerous arterial or venous problems, infection, or neuropathy, especially in people with diabetes.

This episode explains how to evaluate timing, pain, pulses, position changes, and when urgent vascular or emergency care is needed.

Fight Fire with Fire: Capsaicin for Diabetic Foot Pain Sep 14, 2026

Show notes

Dr. G explores how capsaicin, the active compound in chili peppers, can reduce burning neuropathic pain by overactivating and desensitizing pain-sensing nerves.

The episode explains that capsaicin is not a cure for diabetic neuropathy or a treatment for ulcers, notes differences between low‑dose creams and the 8% prescription patch, and highlights safety precautions (apply only to intact skin, avoid eyes/mucous membranes, and have trained clinicians administer high‑dose patches).

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