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Diabetic Foot Files

Diabetic Foot Files
Diabetic Foot Files
Latest episode

372 episodes

  • Diabetic Foot Files

    LIMBWatch Series: Dr. Sukoff, Dr. Hanley & Dr. Warren - LIMBWatch: From Chronic Wound to Limb Preservation — The Science Behind Lavior

    08/24/2026 | 41 mins.
    Episode Summary

    In this episode of LIMBWatch, we go beyond the wound itself to explore the science, clinical challenges, and innovations shaping the future of limb preservation.

    We are joined by the team behind Lavior, including biomedical scientist and Chief Scientific Officer Dr. David Warren, wound care and hyperbaric medicine specialist Dr. Hanley, wound care podiatrist Dr. Sukoff, and National Sales Director Ashlyn Tapley.

    The conversation explores how Lavior was inspired by the healing properties of Inula viscosa, a medicinal plant with centuries of traditional use, and how the company developed a bioengineered hydrogel designed to address key challenges in chronic wound healing.

    We dive into the inflammatory phase of wound healing, antimicrobial and anti-inflammatory activity, bioactive compounds, wound-bed preparation, diabetic foot ulcers, surgical wounds, burns, pressure injuries, venous ulcers, and other complex wounds. The discussion also examines how Lavior is being used alongside negative pressure wound therapy, collagen, alginate, skin substitutes, PRP, total contact casting, and other wound-care modalities.

    Importantly, this episode goes beyond any single product. We discuss the fundamentals that remain critical to limb preservation: early intervention, vascular assessment and revascularization when necessary, meticulous wound-bed preparation, infection and biofilm management, moisture balance, and—perhaps most importantly—offloading.

    The episode also explores where wound care may be headed over the next decade, including new Lavior formulations incorporating collagen and calcium alginate, and the growing need for clinicians who understand chronic wounds and amputation prevention.

    And in one of the episode’s most memorable moments, Dr. Hanley shares a powerful message for people living with diabetes:

    “You can either have diabetes, or it can have you.”

    From the science of chronic inflammation to the human impact of amputation, this episode asks an essential LIMBWatch question:

    How early can we intervene—and what can we do differently to preserve the limb before the wound becomes a life-changing event?

    Episode Description

    Chronic wounds don’t just threaten skin—they can threaten mobility, independence, quality of life, and ultimately the limb.

    In this episode of LIMBWatch, we sit down with the Lavior team to explore a different approach to chronic wound healing and limb preservation.

    We discuss the science behind Lavior’s Inula viscosa-derived technology, its proposed antimicrobial and anti-inflammatory properties, the role of chronic inflammation in stalled wounds, and how the product is being incorporated into the management of diabetic foot ulcers and other complex wounds.

    We also tackle the clinical realities that matter beyond any dressing: early intervention, wound-bed preparation, vascular status, offloading, infection control, and multidisciplinary limb-salvage care.

    From diabetic foot ulcers and surgical wounds to ischemic wounds, pressure injuries, burns, and difficult-to-heal wounds, this conversation examines where innovation may fit into modern wound care—and where the fundamentals of limb preservation remain non-negotiable.

    Because saving a limb doesn’t start at amputation. It starts much earlier.

    🎙️ LIMBWatch | Diabetic Foot Files

    This episode is for educational purposes and does not constitute medical advice or an endorsement of any specific product. Clinical decisions should be based on individual patient assessment and the available evidence.
  • Diabetic Foot Files

    Copper: A Surprising Possible Ally in Diabetic Foot Ulcer Healing

    08/23/2026 | 27 mins.
    In this episode of Diabetic Fit Files Dr. G explores how the trace element copper affects diabetic foot ulcers at the cellular and molecular level.

    Topics include copper's roles in angiogenesis, collagen cross-linking via lysyl oxidase, fibroblast signaling, antimicrobial and anti-biofilm effects, and the promise of controlled copper delivery systems like hydrogels and nanoparticles.

    The episode stresses that copper is multifunctional but not a standalone cure: clinical healing depends on addressing vascular, mechanical, and infectious factors as part of a comprehensive limb-salvage approach.
  • Diabetic Foot Files

    Reflexes, Tuning Forks & Monofilaments: Inside the Diabetic Foot Exam

    08/22/2026 | 27 mins.
    This episode breaks down the neurological exam of the diabetic foot, explaining reflexes, vibration testing, monofilament assessment, proprioception, pinprick and temperature testing, and the autonomic changes that lead to dry skin and fissures.

    It shows how different nerve fibers produce paradoxical symptoms, why loss of protective sensation causes silent injuries and ulcers, and why podiatry, vascular assessment and offloading are essential for limb preservation.
  • Diabetic Foot Files

    “I Have a Diabetic Foot Ulcer… But I Don’t Have Insurance. Now What?”

    08/21/2026 | 17 mins.
    This episode explains what to do if you have a diabetic foot ulcer and no health insurance, stressing that you should not ignore the wound or try to self-treat. It covers signs of infection, the need for vascular checks and offloading, and when to seek emergency care.

    It also outlines practical options for uninsured patients—community health centers, sliding-fee clinics, hospital charity care—and simple home measures to protect the foot while you arrange professional evaluation.
  • Diabetic Foot Files

    SMAPs: Rethinking Antimicrobials for Diabetic Foot Care

    08/19/2026 | 21 mins.
    This episode explores SMAPs — synthetic mimics of antimicrobial peptides — and how they use membrane-targeting chemistry to kill bacteria differently from conventional antibiotics.

    It covers the science behind facial amphiphilicity, selectivity versus toxicity, challenges like biofilms and stability, and the potential role of SMAPs as future adjunctive topical therapies for diabetic foot ulcers, while emphasizing they remain experimental and not yet clinical standard of care.
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About 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.
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