Diabetic Foot Files

June is Wound Healing Awareness Month (WHAM)! Join us in raising awareness, advancing education, and improving outcomes for patients with wounds—because every wound deserves the chance to heal. Celebrate Wound Healing Awareness Month (WHAM) this June with the American Board of Wound Management (ABWM) and take the next step in your wound care career with 25% off your first certification application- https://abwmcertified.org/promo/

👟✨ 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.

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“The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds

“The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds

In this episode Dr. G, a podiatrist and limb-salvage advocate, debunks the common practice of soaking diabetic and ischemic foot wounds. She explains how warm water and salts cause maceration, strip t...

24 Tammi 26min

Comfort Over Closure: Managing Wounds at End of Life

Comfort Over Closure: Managing Wounds at End of Life

Dr. G explains how wound care changes in hospice: the focus shifts from closure and aggressive treatments to comfort, pain relief, odor and exudate control, and preserving patient dignity. The episode...

23 Tammi 13min

It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles

It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles

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. ...

22 Tammi 23min

Pink but Perilous: Why Color Doesn’t Mean Healing

Pink but Perilous: Why Color Doesn’t Mean Healing

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 out...

22 Tammi 13min

Stop Leaving the Pinky Toe: Why Incomplete TMA Amputations Fail

Stop Leaving the Pinky Toe: Why Incomplete TMA Amputations Fail

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 ...

20 Tammi 24min

Questions That MUST Be Asked Before the Cut: 12 Questions to Ask Before Any Amputation

Questions That MUST Be Asked Before the Cut: 12 Questions to Ask Before Any Amputation

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 amput...

19 Tammi 22min

Size Matters- Size Is King: How Accurate Wound Measurement Saves Limbs

Size Matters- Size Is King: How Accurate Wound Measurement Saves Limbs

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 tech...

18 Tammi 28min

Auto Amputation and Demarcation- When the Body Cuts You Off: Understanding Auto-Amputation

Auto Amputation and Demarcation- When the Body Cuts You Off: Understanding Auto-Amputation

In this episode Dr. G explains auto-amputation — when severely ischemic tissue becomes irreversibly necrotic, the immune system walls it off (demarcation), and the dead segment desiccates and may spon...

18 Tammi 22min

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