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Diabetic Foot Files

Health & Wellness

Latest episode

214 episodes

Unequal Step,Unequal Time, Unequal Limbs: How Bias and Systems Drive Diabetic Amputations
04/23/2026 | 28 mins.
Dr. G explains how bias, delayed care, and limited resources can turn a diabetic foot ulcer into an amputation, disproportionately affecting Black, rural, and low-income patients.

The episode outlines the clinical timeline of limb loss, systemic failures (insurance, access, and specialty shortages), and practical steps to save limbs: urgent vascular assessment, early specialist referral, and community-focused solutions.
Opportunistic Parasites in Diabetic Foot Ulcers
04/22/2026 | 18 mins.
Dr. G explores how parasites — from fly larvae (myiasis) to scabies and rare nematodes — exploit diabetic foot ulcers, why these wounds create ideal niches, and how to recognize, diagnose, and treat parasitic involvement alongside bacterial co-infections.

The episode contrasts harmful uncontrolled infestations with controlled maggot therapy, outlines clinical signs and diagnostic steps, and reviews treatments (mechanical removal, ivermectin, albendazole, permethrin) and prevention through proper wound care and hygiene.
Rocker‑Bottom Revelation: Decoding Charcot Neuroarthropathy
04/21/2026 | 16 mins.
This episode explains how Charcot (rocker‑bottom) foot develops in diabetes: loss of protective sensation, repetitive microtrauma, neurovascular changes and an inflammatory cascade cause midfoot fractures, ligament failure and arch collapse.

It covers history, staging, biomechanics, key clinical signs (hot, swollen, painless foot and >2°C temperature difference), imaging and treatment options from total contact casting to reconstruction, plus prevention tips like daily checks, early offloading and glycemic control.
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.

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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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