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Diabetic Foot Files

Health & Wellness

Latest episode

211 episodes

Diabetic Foot Forensics: Reading Ulcers Like a Crime Scene
04/19/2026 | 26 mins.
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
04/18/2026 | 15 mins.
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
04/17/2026 | 18 mins.
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
04/17/2026 | 16 mins.
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
04/16/2026 | 14 mins.
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.

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About Diabetic Foot Files

Big news! 👟✨ We’ve teamed up with DARCO to bring you 25% off the POGO shoe? Want to keep walking strong and prevent ulcers before they start? 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—the show where real stories, latest research, and essential tips to help prevent diabetic foot complications. I’m Dr. G / Dr WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson and as a podiatrist and wound care specialist . I’m here to educate, empower, and guide you through the world of diabetic foot care. From wound healing to amputation prevention, we’ll break down the facts, bust the myths, and share life-saving strategies. Whether you’re a patient, caregiver, or healthcare professional, this podcast is your go-to resource for healthier feet and a better quality of life. So let’s dive in—because take care of your feet, because the take care of you

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