Diabetic Foot Files - TopPodcast.com

View Top 200 Chart

Back to Rankings Page

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:

Diabetes and Disability Series- Part 2- Will I Lose My Job? The Hidden Work Fears of Diabetic Foot Ulcers Jun 29, 2026

Show notes

This episode explores how diabetic foot ulcers affect not just health but work and identity. Dr. G explains common patient fears about income, insurance, and being seen as unreliable, and how employers usually evaluate function, safety, and attendance rather than diagnosis alone.

Learn practical advice on medical documentation, workplace accommodations, timing of work restrictions, and the importance of clear communication to protect both the patient’s health and long-term employment.

Diabetes and Disability Series- Part 1 : Do I Qualify & How Long Will I Be Out of Work Jun 28, 2026

Show notes

Dr. G dives into the complex reality of disability for people with diabetic foot ulcers — explaining why a diagnosis alone doesn’t determine disability, how occupation, ulcer characteristics, infection, blood flow, blood sugar, pressure, offloading, nutrition, and smoking affect healing, and why return-to-work decisions focus on function rather than timelines.

This episode emphasizes empathetic communication, accurate documentation, realistic expectations, and the difference between temporary and permanent disability, offering a clear view of why healing varies and how clinicians and patients can work together toward recovery.

Rewind the Journey: The Preventability Index in Diabetic Limb Salvage Jun 27, 2026

Show notes

Dr. G explores the "Preventability Index," a framework for replaying a patients timeline to identify missed opportunities that could have prevented a diabetic foot ulcer or amputation. He explains the five domains of the index—structural deformity, skin integrity, infection burden, vascular reserve, and time to intervene—each scored 010; higher totals indicate greater preventability.

The episode emphasizes prevention through early detection, foot exams during routine visits, patient education, timely vascular and infection evaluation, and offloading. Dr. G stresses that the index is not for blame but for quality improvement and patient advocacy to reduce avoidable limb loss.

Forgotten Infection Friday — Nocardia: The Weakly Acid‑Fast Impostor Jun 26, 2026

Show notes

A 62-year-old man with poorly controlled diabetes presented with weeks of cough, weight loss, night sweats, and cavitary lung lesions initially suspected to be tuberculosis or malignancy. Sputum TB tests were negative and symptoms progressed.

Bronchoscopic lung biopsy showed branching gram‑positive filaments that were weakly acid‑fast, consistent with Nocardia species. Nocardia commonly infects immunocompromised hosts, can disseminate to the brain, and is often mistaken for TB, fungal infection, or cancer. Diagnosis relies on modified acid‑fast stain, prolonged cultures, or molecular testing.

Treatment requires prolonged antibiotic therapy (commonly TMP‑SMX), sometimes IV agents for severe disease, and early recognition in diabetic or immunosuppressed patients is critical to prevent dissemination.

The Hair Test One of the Simplest Clues in Limb Salvage Jun 25, 2026

Show notes

Imagine a patient with no complaints whose foot hair has vanished. This episode explains the "hair test"—how absent hair on the toes and feet can be an early bedside clue to poor circulation, peripheral arterial disease, and limb-threatening ischemia in people with diabetes.

It reviews hair follicle biology, how reduced blood flow interrupts hair growth, associated skin and nail changes, limitations of the sign (aging, genetics, friction, shaving), and practical next steps including pulse exam, Doppler, ABI/toe pressures, and vascular referral. Hair is a quick clue, not a diagnosis.

Nystatin Uncovered: Why It Heals Some Foot Fungi and Fails Others Jun 24, 2026

Show notes

This episode of Diabetic Foot Files dives into nystatin: its history, how it kills Candida, and why it often works for moist, macerated toe-web infections but fails against dermatophyte-caused athlete's foot.

Dr. G explains the importance of delivery method (powder vs. cream/ointment), diabetic risk factors like moisture and hyperglycemia, and practical prevention tips for patients.

The episode also covers real-world issues such as supply shortages and cost, plus effective OTC alternatives and when to seek professional evaluation.

Zaynich: A New Weapon Against MDR Gram-Negatives Jun 23, 2026

Show notes

In this episode of Diabetic Foot Files, Dr. G explores Zaynich (cefepime + ZD-bactam), a newly FDA-approved IV antibiotic designed to overcome multi-drug resistant gram-negative infections. He explains the drug's dual-target mechanism, its potential role in limb salvage for severe diabetic foot infections, common side effects, dosing, current FDA indications, and when to involve infectious disease specialists.

Listeners will learn why this combination may be a game-changer for difficult-to-treat infections, the importance of antibiotic stewardship, and practical considerations for use in wound care and limb salvage scenarios.

Sarcopenia & Diabetic Foot Ulcers: Why Muscle Matters Jun 21, 2026

Show notes

This episode explains sarcopenia—the progressive loss of skeletal muscle—and how diabetes accelerates it, increasing risk of poor mobility, delayed wound healing, and higher mortality in patients with diabetic foot ulcers.

Dr. G reviews the causes (insulin resistance, inflammation, ubiquitin–proteasome activity), clinical signs and tests, and practical treatments including resistance training, protein/leucine supplementation, vitamin D, and tighter glycemic control to preserve muscle and improve outcomes.

To Masquelet or Not to Masquelet? Masquelet Magic: How an Induced Membrane Saves Limbs Jun 20, 2026

Show notes

This episode explains the Masquelet (induced membrane) technique — a two-stage reconstructive approach where infected bone is removed, an antibiotic-loaded PMMA spacer is placed to control infection and induce a vascular membrane, and weeks later the spacer is removed and the membrane-filled cavity is packed with bone graft to regenerate bone.

We cover the science of the induced membrane, antibiotic selection, how diabetes and poor blood flow affect membrane quality, and the technique's role and limitations in diabetic limb salvage.

Forgotten Infection Friday: Ecthyma Gangrenosum — The Rapidly Deadly Black Lesion Jun 19, 2026

Show notes

This episode explains ecthyma gangrenosum: a rapidly evolving, black necrotic skin lesion most classically caused by Pseudomonas aeruginosa invading blood vessels. It covers the pathophysiology, stages of progression, risk factors (immunocompromise, neutropenia, diabetes), and how it differs from ordinary diabetic foot ulcers.

Key takeaways: urgent tissue biopsy and cultures for diagnosis, prompt broad-spectrum IV antibiotics and surgical debridement for source control, and early recognition to prevent sepsis, limb loss, and death.

Related Podcasts