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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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

Wheelchair Wounds: How Sitting Can Cause Diabetic Foot Ulcers

Wheelchair Wounds: How Sitting Can Cause Diabetic Foot Ulcers

This episode explores why wheelchair-bound diabetic patients are at high risk for foot ulcers despite not walking. It explains how static pressure, neuropathy, contractures, and poor positioning conce...

17 Tammi 27min

Talking Dirty With Me - Wound Care Edition- The Clinically Candid Wound-Care Language That Saves Limbs

Talking Dirty With Me - Wound Care Edition- The Clinically Candid Wound-Care Language That Saves Limbs

Dr. G breaks down essential wound-care terminology and explains why precise medical language matters for diagnosis, treatment, and communication with colleagues. The episode covers types of cell death...

17 Tammi 33min

The Black Toe Manifesto -Black Toe, Big Stakes: How to Save Limbs — Ischemia vs Embolism vs Cholesterol Emboli

The Black Toe Manifesto -Black Toe, Big Stakes: How to Save Limbs — Ischemia vs Embolism vs Cholesterol Emboli

This episode explains why a "black toe" is usually a sign of systemic vascular failure and breaks down the three main causes—chronic digital ischemia, acute arterial embolism, and blue-toe (cholestero...

15 Tammi 30min

Diabetic Foot Care in Pregnancy: Treating Two Lives at Once

Diabetic Foot Care in Pregnancy: Treating Two Lives at Once

Dr. G explains how pregnancy alters diabetic foot care and why you must treat maternal and fetal risks together. This episode covers stricter glucose targets in pregnancy, safest imaging (ultrasound, ...

15 Tammi 24min

Wound Farm: When Healthcare Rewrites the Rules

Wound Farm: When Healthcare Rewrites the Rules

This episode uses George Orwell's Animal Farm as an allegory to examine how healthcare systems can prioritize profit, rules, and convenience over equitable wound care. Dr. G explains how delays, denia...

15 Tammi 22min

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