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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Masked Threats: Microvascular Collapse, Gait Compensation, and Silent Biofilms

Masked Threats: Microvascular Collapse, Gait Compensation, and Silent Biofilms

Dr. G investigates a diabetic foot ulcer that appears routine but reveals multiple hidden causes: microvascular ischemia, compensatory gait mechanics, biofilm infection, immune suppression, static pre...

24 Huhti 10min

Unequal Step,Unequal Time, Unequal Limbs: How Bias and Systems Drive Diabetic Amputations

Unequal Step,Unequal Time, Unequal Limbs: How Bias and Systems Drive Diabetic Amputations

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...

23 Huhti 28min

Opportunistic Parasites in Diabetic Foot Ulcers

Opportunistic Parasites in Diabetic Foot Ulcers

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 p...

22 Huhti 18min

Rocker‑Bottom Revelation: Decoding Charcot Neuroarthropathy

Rocker‑Bottom Revelation: Decoding Charcot Neuroarthropathy

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 fract...

21 Huhti 16min

Diabetic Foot Forensics: Reading Ulcers Like a Crime Scene

Diabetic Foot Forensics: Reading Ulcers Like a Crime Scene

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 ...

19 Huhti 26min

Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing

Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing

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 ...

18 Huhti 15min

Utopia vs Reality: The War Between What Should Be… and What Is

Utopia vs Reality: The War Between What Should Be… and What Is

This episode contrasts two worlds: in Utopia, AI-powered early detection and immediate offloading prevent pressure injuries, infections, and amputations; in Reality, ignored calluses and delayed care ...

17 Huhti 18min

CAM Boots and the Hidden PE Risk

CAM Boots and the Hidden PE Risk

Dr. G explains how CAM boots, while essential for offloading diabetic foot ulcers, can promote venous stasis and lead to deep vein thrombosis (DVT) and pulmonary embolism (PE). The episode covers the...

17 Huhti 16min

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