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    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.

    Advertise

    Copyright: © Copyright 2025 All rights reserved.

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    Latest Episodes:
    Unequal Step,Unequal Time, Unequal Limbs: How Bias and Systems Drive Diabetic Amputations Apr 22, 2026
    Show notes

    Dr. G explains how bias, delayed care, and limited resources can turn a diabetic foot ulcer into an amputation, disproportionately affecting Black, rural, and low-income patients.

    The episode outlines the clinical timeline of limb loss, systemic failures (insurance, access, and specialty shortages), and practical steps to save limbs: urgent vascular assessment, early specialist referral, and community-focused solutions.


    Opportunistic Parasites in Diabetic Foot Ulcers Apr 21, 2026
    Show notes

    Dr. G explores how parasites — from fly larvae (myiasis) to scabies and rare nematodes — exploit diabetic foot ulcers, why these wounds create ideal niches, and how to recognize, diagnose, and treat parasitic involvement alongside bacterial co-infections.

    The episode contrasts harmful uncontrolled infestations with controlled maggot therapy, outlines clinical signs and diagnostic steps, and reviews treatments (mechanical removal, ivermectin, albendazole, permethrin) and prevention through proper wound care and hygiene.


    Rocker‑Bottom Revelation: Decoding Charcot Neuroarthropathy Apr 20, 2026
    Show notes

    This episode explains how Charcot (rocker‑bottom) foot develops in diabetes: loss of protective sensation, repetitive microtrauma, neurovascular changes and an inflammatory cascade cause midfoot fractures, ligament failure and arch collapse.

    It covers history, staging, biomechanics, key clinical signs (hot, swollen, painless foot and >2°C temperature difference), imaging and treatment options from total contact casting to reconstruction, plus prevention tips like daily checks, early offloading and glycemic control.


    Diabetic Foot Forensics: Reading Ulcers Like a Crime Scene Apr 19, 2026
    Show notes

    Dr. G explains how diabetic foot ulcers act like timelines or crime scenes, revealing the sequence of pressure, neuropathy, ischemia and infection that caused them.

    The episode walks through forensic clues—callus, tissue color, exudate, depth and location—how to classify wounds, recognize biofilm and when to involve vascular care, debridement and offloading.

    Emphasis is placed on prevention, early detection, and combining investigation with treatment to predict outcomes and prevent amputations.


    Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing Apr 18, 2026
    Show notes

    Dr. G explains hemoconcentration — when low plasma volume makes blood thicker — and why it matters for diabetic foot care. The episode covers how dehydration, diuretics, hyperglycemia, and immobility raise hematocrit and BUN/Cr ratio, reducing microvascular perfusion, slowing wound healing, increasing infection and clot risk, and sometimes causing pre-renal azotemia.

    Learn how to recognize hemoconcentration (elevated hemoglobin/hematocrit, high BUN/Cr), prevent it with hydration, glucose control, and mobility, and why reversing it can restore perfusion and improve outcomes for non-healing diabetic ulcers.


    Utopia vs Reality: The War Between What Should Be… and What Is Apr 17, 2026
    Show notes

    This episode contrasts two worlds: in Utopia, AI-powered early detection and immediate offloading prevent pressure injuries, infections, and amputations; in Reality, ignored calluses and delayed care lead to deep diabetic foot ulcers and high amputation risk.

    The host explains why early screening, patient education, affordable offloading, multidisciplinary teams, and policy changes are essential to collapse the gap between the ideal and what actually happens, emphasizing that timely execution — not lack of knowledge — drives outcomes.


    CAM Boots and the Hidden PE Risk Apr 16, 2026
    Show notes

    Dr. G explains how CAM boots, while essential for offloading diabetic foot ulcers, can promote venous stasis and lead to deep vein thrombosis (DVT) and pulmonary embolism (PE). The episode covers the pathophysiology from immobilization to clot, key risk factors in diabetes, and the clinical red flags to never ignore.

    Practical guidance includes risk stratification (Wells and Caprini scores), diagnostic steps (D‑dimer, venous duplex, CT pulmonary angiography), and prevention strategies such as ankle/calf exercises, compression where appropriate, pharmacologic prophylaxis, vascular referral, and clear patient education on PE symptoms.


    Small Wound, Severe Pain: Recognizing Sickle Cell Foot Ulcers Apr 15, 2026
    Show notes

    Dr. G explains how sickle cell disease causes rigid, sickled red blood cells that block microvasculature, producing severe pain and tissue ischemia that can lead to foot ulcers.

    The episode covers pathophysiology, triggers of vaso-occlusive crises, screening and confirmatory tests (including hemoglobin electrophoresis), and how sickle cell ulcers differ from diabetic and venous ulcers.

    Clinical pearls include pain disproportionate to wound appearance, common ulcer locations (around the malleoli), higher infection and osteomyelitis risk (notably Salmonella), and the need for gentle debridement, oxygenation, hydration, infection control, and multidisciplinary care.


    Acute on Chronic: What the term really means for you and your wound Apr 14, 2026
    Show notes

    In this episode Dr. G explains “acute on chronic” in diabetic foot care — when a long-standing ulcer or osteomyelitis suddenly deteriorates into an aggressive, limb- or life-threatening infection.

    He outlines common triggers (trauma, ischemia, new organisms, high glucose), the red flags to watch for (increased pain, purulent drainage, erythema, gas, bullae, systemic signs), and key diagnostics and treatments (labs, MRI, bone biopsy, antibiotics, debridement, vascular assessment, and possible surgery).

    Practical prevention tips are highlighted: offloading, regular debridement, strict glycemic control, vascular optimization, and close monitoring to catch flares early and reduce the risk of amputation.


    Who Do You See First? Night Shift Decisions for Diabetic Foot Ulcers Apr 13, 2026
    Show notes

    Dr. G breaks down how to prioritize diabetic foot consults at 1:30 a.m., focusing on recognizing life‑threatening vs limb‑threatening problems. Learn the red flags of systemic infection—fever, tachycardia, hypotension, altered mental status, and tachypnea—and why early recognition matters.

    This episode explains key labs and imaging (lactate, procalcitonin, CBC, CRP, ESR, blood cultures, x‑ray/MRI), how to suspect osteomyelitis and critical limb ischemia, and when to call surgery or vascular teams.

    Practical takeaways: prioritize sepsis and necrotizing infections first, trend markers like lactate and procalcitonin, and act quickly—time is tissue, tissue is limb, limb is life.


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