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Diabetic Foot Files

Health & Wellness

Latest episode

191 episodes

Don't Drive on It: Why Diabetic Foot Ulcers and Cars Don't Mix
03/21/2026 | 19 mins.
This episode makes one simple point: do not drive on a diabetic foot ulcer or while wearing a cam boot, post‑op shoe, or with an uncovered ulcer. It explains the biomechanics of pedal use, how repetitive pressure, shear, and impaired sensation worsen wounds, and how driving can delay healing or lead to deep infection and amputation.

The host outlines clinical consequences, practical alternatives (medical transport, rideshare, caregivers, vehicle modifications, telemedicine), and actions clinicians can take (education, documentation, consent). The episode stresses honest communication and realistic plans to protect limbs while preserving independence.
How The Primary Intelligence App Empowers Patients
03/19/2026 | 36 mins.
Join Diabetic Foot Files as Dr. Asha Zimmerman MD , a transplant surgeon who left practice to develop the primary intelligence app which is geared towards informing patients about their health and wellness. Dr Zimmerman discusses Primary Intelligence, an AI-driven app designed to inform patients before doctor visits, improve screening and prevention, and enhance patient–provider communication.

Learn how AI can support early identification of complications, empower patient advocacy, and potentially expand access to evidence-based care while keeping clinicians in the loop.

You can learn more about the Primary Intelligence App at

https://www.primaryintelligence.ai
Vascular Lifeline with Dr. Jay Patel- PAD and How Endovascular Care Saves Diabetic Feet
03/18/2026 | 47 mins.
Dr. Jay Patel joins Diabetic Foot Files to explain peripheral arterial disease (PAD) in diabetes, from screening and imaging to cutting-edge endovascular treatments that restore blood flow and enable wound healing. He discusses why diabetics often develop below-the-knee disease, the role of neuropathy, and practical first-line care including smoking cessation, supervised exercise, and statins.

The episode emphasizes early vascular referral for non-healing wounds or rest pain, outlines outpatient endovascular options and recovery, and shares real-world limb salvage success—underscoring that timely diagnosis and revascularization can prevent amputation and improve quality of life.

More with Dr. Jay Patel at

https://texaseva.com/about-us/dr-jay-patel/
When Infection Meets the Mind: Antibiotics, Psych Meds & the Diabetic Foot
03/18/2026 | 23 mins.
This episode explores how diabetic foot infections, psychiatric medications, and certain antibiotics can interact to cause delirium, psychosis, serotonin syndrome, and other neuropsychiatric effects. It reviews high‑risk antibiotic classes (fluoroquinolones, cefepime, metronidazole, linezolid), common drug‑drug risks, and clinical red flags.

Learn practical management strategies: review all medications, check renal and metabolic status, involve psychiatry and infectious disease, choose safer antibiotic alternatives when needed, monitor vital signs and QTc, and prioritize communication and trust to protect both mind and limb.
The Fragile Bridge: Transitional Offloading After a Diabetic Foot Ulcer
03/17/2026 | 17 mins.
In this episode of Diabetic Foot Files we break down transitional offloading — the critical, fragile phase after a diabetic foot ulcer closes when reintroducing pressure too quickly can reopen wounds.

We cover the physiology of healed tissue, the biomechanics of pressure, a phased protocol (strict offloading, protected weight bearing, custom orthotics, then monitored full activity), case examples, and modern tools like pressure mapping and smart insoles.

Key takeaways: gradual pressure reintroduction, proper footwear and orthotics, daily foot inspections, and ongoing multidisciplinary follow-up to reduce high recurrence risk.

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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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