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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:

Pinky Toe Peril: Why Fifth Metatarsal Ulcers Threaten Limbs Sep 10, 2025

Show notes

A focused look at fifth metatarsal ulcers in diabetic patients — why they form, how the peroneus brevis and lateral biomechanics drive injury, and the clinical strategies to heal and prevent recurrence.

Monckeberg Sclerosis: The Silent Vascular Threat in Diabetic Feet Sep 10, 2025

Show notes

This episode explains Monckeberg ("Mockingbird") sclerosis—a medial arterial calcification common in diabetes and chronic kidney disease—how it stiffens arteries without narrowing the lumen, and why it can make ABI results falsely reassuring.

Learn how to spot the classic railroad-track calcifications on x-ray, which vascular tests to use instead (toe-brachial index, duplex ultrasound, TcPO2), and why multidisciplinary care and optimized medical management are essential.

The episode covers practical steps for diagnosis, monitoring, and treatment planning to prevent delayed care and improve limb salvage outcomes in diabetic foot patients.

Diabetic Foot Wound Culture- Amputation Isn’t Inevitable: Changing Diabetic Foot Care Culture Sep 08, 2025

Show notes

This episode explores how the current culture around diabetic foot ulcers drives unnecessary amputations and presents a practical, evidence-based roadmap to change it.

Dr. G outlines the data supporting multidisciplinary care, step-by-step clinical checklists for rapid triage and management, system-level referral pathways, and patient engagement strategies to make major amputation rare.

Tiny Messengers, Big Hope: Can Exosomes Heal Diabetic Foot Ulcers? Sep 08, 2025

Show notes

Dr. G explores exosomes—small, cell‑derived vesicles—and how they may accelerate diabetic foot ulcer healing by modulating inflammation, promoting angiogenesis, boosting cell proliferation, and improving matrix remodeling. Strong and consistent animal data show faster closure and better vascularity, and early human trials are beginning.

Yet important hurdles remain: standardization of sources and isolation, scalable GMP manufacturing, long‑term safety monitoring, and regulatory approval. If validated, exosome products could become powerful adjuncts to standard wound care like debridement, offloading, infection control, and vascular optimization.

Numbing the Pain: Essential Foot Blocks for Diabetic Debridement & Amputation Sep 05, 2025

Show notes

Episode walkthrough of local anesthesia for diabetic foot procedures: why blocks are essential even in neuropathic patients, how infection changes pain perception, and the physiology and practical reasons to use anesthesia.

Concise techniques and tips for ankle, digital, posterior tibial, saphenous, sural, superficial and deep peroneal blocks, recommended local anesthetic volumes and durations, key risks (vascular puncture, toxicity, ischemia), and when to avoid or modify blocks to protect limb perfusion.

When Dressings Attack: Allergic Reactions in Diabetic Foot Care Sep 03, 2025

Show notes

This episode explains how dressings can cause irritant or allergic contact dermatitis in diabetic foot ulcers, how to tell the difference from infection, and the red flags to watch for.

Dr. G covers immediate management (remove the culprit, gentle cleansing, topical steroids, antihistamines), safer dressing alternatives (silicone-based, non-adhesive, latex-free, and antiseptic options), and prevention strategies like patch testing and peri-wound skin care.

Why Your Everyday Painkiller Might Stall Diabetic Wound Healing Sep 01, 2025

Show notes

Dr. G explains how common NSAIDs (ibuprofen, naproxen, celecoxib, etc.) can interfere with the wound-healing process in people with diabetes by blocking prostaglandins, delaying fibroblast recruitment, reducing angiogenesis and collagen deposition, and increasing TNF-alpha—leading to stalled ulcers and higher infection risk.

The episode reviews safer pain-management alternatives (acetaminophen, topical agents, neuropathic medications, physical therapy, supplements) and gives practical clinical advice: avoid long-term NSAID use for chronic diabetic wounds, educate patients, and use team-based strategies to protect healing while treating pain.

Diabetic FootFiles Wound Draft 2025: Building the Ultimate Limb Salvage Team Sep 01, 2025

Show notes

Dr. G hosts the First Annual Diabetic FootFiles Wound Draft, using an NFL-draft theme to rank the essential members and therapies of a winning wound care team — from podiatrists and vascular surgeons to nurses, offloading devices, hyperbaric oxygen, and biologics.

The episode stresses coordinated multidisciplinary care, patient compliance, and avoiding ineffective home remedies to maximize healing and preserve limbs.

Healing is in Your DNA- I Don't Force Skin to Grow — We Remove What Stops It Aug 28, 2025

Show notes

Dr. G explains that the body already knows how to heal skin — wound care specialists don’t force growth, they remove barriers like dead tissue, biofilm, poor circulation, pressure, and systemic issues so natural healing can proceed.

The episode covers key treatments (debridement, infection control, vascular intervention, offloading, and nutrition) and emphasizes realistic hope: remove the obstacles and the body will often heal itself.

Ozone Therapy: A Breath of Hope for Diabetic Foot Ulcers Aug 27, 2025

Show notes

Dr. Gexplores ozone therapy as an adjunctive treatment for diabetic foot ulcers, explaining what ozone is, how it’s applied (bagging, ozonated water and oils, systemic methods), and the mechanisms that may aid healing—antimicrobial action, improved oxygenation, biofilm disruption, growth factor stimulation, and better microcirculation.

The episode reviews clinical evidence, safety concerns (notably inhalation risk and regulatory status), global use, and future directions, and emphasizes combining ozone with gold-standard care like debridement, offloading, vascular optimization, and glucose control.

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