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Diabetic Foot Files

Health & Wellness

Latest episode

151 episodes

It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles
1/22/2026 | 23 mins.
This episode reframes limb salvage as a marathon, not a miracle—arguing that persistent, team-based care prevents many unnecessary amputations and protects patients' lives, function, and dignity.

Dr. G explains the scale of the problem, why amputations are often a system failure, and the five pillars of successful limb salvage: persistence, consistency, knowledge, team-based care, and patient empowerment. Key principles include vascular assessment before amputation, offloading, infection control, and timely referrals.

The episode calls for ethical decision-making, better access to modern wound care tools, and patient advocacy: slow, consistent medicine over rushed amputations, and second opinions when limb salvage options haven’t been explored.
Pink but Perilous: Why Color Doesn’t Mean Healing
1/22/2026 | 13 mins.
In this episode, a clinician explains why a pink wound isn’t always healing and why exposed tendon makes a wound high-risk and potentially limb-threatening.

Takeaways: wound size and depth predict outcomes more than color; exposed tendon risks desiccation, infection, and functional loss; chronic wounds need reassessment and a new plan if they don’t improve within weeks.
Stop Leaving the Pinky Toe: Why Incomplete TMA Amputations Fail
1/20/2026 | 24 mins.
Dr. G explains why leaving the fifth digit after other forefoot amputations creates biomechanical imbalance, increased lateral pressure, and recurrent ulcers. He reviews the muscle and tendon changes that drive varus/supination bias and lateral overload.

The episode covers when a full transmetatarsal amputation (TMA) is preferable, the importance of adjunct procedures like Achilles tendon lengthening, and post-op management including orthotics, AFOs, rocker soles, and rehabilitation to restore balanced gait and prevent reulceration.
Questions That MUST Be Asked Before the Cut: 12 Questions to Ask Before Any Amputation
1/19/2026 | 22 mins.
This episode explains why limb salvage is a philosophy, not just a procedure, and gives the essential questions patients and clinicians must ask before consenting to a lower-extremity or digital amputation.

Topics include global amputation rates and mortality, distinguishing infection from ischemia, the importance of vascular assessment and revascularization, diagnosing and treating osteomyelitis, proper offloading and advanced wound-care strategies, and assessing metabolic healing capacity.

The host also covers when amputation is lifesaving, alternatives to amputation, informed consent, and practical steps to ensure a thorough, multidisciplinary approach to preserving limbs when possible.
Size Matters- Size Is King: How Accurate Wound Measurement Saves Limbs
1/18/2026 | 28 mins.
This episode explains why precise wound sizing—length, width, depth, surface area, volume, undermining and tunneling—is the most important metric in wound care. Dr. G covers practical measurement techniques, common mistakes, and devices to improve consistency.

Key takeaways: always document depth, use disposable rulers and sterile probes, measure baseline and weekly (pre/post debridement), and escalate care if size doesn’t reduce sufficiently within weeks. Size changes, not vibes, predict healing and limb 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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