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Diabetic Foot Files

Health & Wellness

Latest episode

206 episodes

Acute on Chronic: What the term really means for you and your wound
04/14/2026 | 23 mins.
In this episode Dr. G explains “acute on chronic” in diabetic foot care — when a long-standing ulcer or osteomyelitis suddenly deteriorates into an aggressive, limb- or life-threatening infection.

He outlines common triggers (trauma, ischemia, new organisms, high glucose), the red flags to watch for (increased pain, purulent drainage, erythema, gas, bullae, systemic signs), and key diagnostics and treatments (labs, MRI, bone biopsy, antibiotics, debridement, vascular assessment, and possible surgery).

Practical prevention tips are highlighted: offloading, regular debridement, strict glycemic control, vascular optimization, and close monitoring to catch flares early and reduce the risk of amputation.
Who Do You See First? Night Shift Decisions for Diabetic Foot Ulcers
04/13/2026 | 27 mins.
Dr. G breaks down how to prioritize diabetic foot consults at 1:30 a.m., focusing on recognizing life‑threatening vs limb‑threatening problems. Learn the red flags of systemic infection—fever, tachycardia, hypotension, altered mental status, and tachypnea—and why early recognition matters.

This episode explains key labs and imaging (lactate, procalcitonin, CBC, CRP, ESR, blood cultures, x‑ray/MRI), how to suspect osteomyelitis and critical limb ischemia, and when to call surgery or vascular teams.

Practical takeaways: prioritize sepsis and necrotizing infections first, trend markers like lactate and procalcitonin, and act quickly—time is tissue, tissue is limb, limb is life.
Fascia: The Silent Highway of Foot Infections
04/12/2026 | 7 mins.
This episode explores the fascia — the continuous connective tissue network beneath the skin — and explains how it can guide healing or rapidly transmit infection in the diabetic foot.

Learn the key anatomy (superficial, deep, and plantar fascia), how diabetes alters fascia through glycation, warning signs of dangerous infections like necrotizing fasciitis, and surgical importance for drainage and debridement.

Prevention tips include glycemic control, pressure offloading, early infection treatment, and mobility/stretching to maintain fascia health.
Diabetic Foot Files: The Hidden Math Behind Every Ulcer
04/11/2026 | 9 mins.
Dr. G breaks down the epidemiology of diabetic foot disease, explaining who is affected, where it occurs, and why. He highlights key global figures — over 500 million people with diabetes and up to 25% developing a foot ulcer — to show this is a widespread, preventable problem.

Important facts: ulcers frequently recur (up to 40% within one year), most amputations (about 85%) are preceded by a foot ulcer, and outcomes vary widely by healthcare access and region.

Prevention is possible with routine foot screening, patient education, proper footwear, glycemic control, early treatment, and multidisciplinary care; future tools like AI and wearable sensors aim to shift care from reactive to predictive.
Spring Foot Risks: Beat Blisters Before They Become Amputations
04/10/2026 | 17 mins.
Dr. G explains why Limb Loss Awareness Month matters and why spring increases diabetic foot risks. Increased activity, moisture, and seasonal changes create a perfect storm for blisters, fungal and bacterial infections (like Staph and Pseudomonas), and delayed healing. Learn daily foot checks, proper footwear, moisture control, and when to seek podiatric care to prevent ulcers and amputations.

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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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