Nitroglycerin Paste: The Tiny Rescue That Reopens Blood Flow

Nitroglycerin Paste: The Tiny Rescue That Reopens Blood Flow

In this episode of Diabetic Fit Files, Dr. G explains how topical nitroglycerin paste works as a vasodilator to improve microcirculation and rescue threatened skin flaps, ischemic digits, and compromised grafts. The episode covers its mechanism (nitric oxide release), clinical indications, historical background, and why it can help in diabetic wound care.

Key clinical pearls and cautions are summarized, including when it may help, common side effects (headache, hypotension), major contraindications (concurrent PDE-5 inhibitors, severe hypotension, anemia), and why it should never replace urgent surgical intervention when needed.

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Episoder(365)

SMAPs: Rethinking Antimicrobials for Diabetic Foot Care

SMAPs: Rethinking Antimicrobials for Diabetic Foot Care

This episode explores SMAPs — synthetic mimics of antimicrobial peptides — and how they use membrane-targeting chemistry to kill bacteria differently from conventional antibiotics. It covers the scien...

19 Aug 21min

LIMBWatch Series: Dr. Shilpa Rajan Mulki- Look at Your Feet Before You Sleep: Saving Limbs in Resource-Limited Settings

LIMBWatch Series: Dr. Shilpa Rajan Mulki- Look at Your Feet Before You Sleep: Saving Limbs in Resource-Limited Settings

🎙️ Diabetic Foot Files: Limb Watch with Dr. Shilpa Rajan Mulki What if some amputations could be prevented simply by recognizing the warning signs sooner? In this episode of Diabetic Foot Files: Limb...

17 Aug 48min

The Toe That Killed Jack Daniel: The Untold Medical Story

The Toe That Killed Jack Daniel: The Untold Medical Story

A man who built a global whiskey empire may have been felled not by drink or duel but by a small foot injury that turned infected. This episode examines the legend of Jack Daniel’s toe, the historical...

16 Aug 36min

Understanding Undermining- Unseen, unexpected and unforgiving : The Truth Behind “Doctor Made My Wound Bigger” — Understanding Undermining

Understanding Undermining- Unseen, unexpected and unforgiving : The Truth Behind “Doctor Made My Wound Bigger” — Understanding Undermining

This episode explains undermining in diabetic foot ulcers—how tissue destruction can extend beneath intact skin, why wounds may appear larger after debridement, and what that means for healing. We cov...

15 Aug 19min

Teeth in the Tide- When the Ocean Bites: Barracuda Strike and Diabetic Foot Danger

Teeth in the Tide- When the Ocean Bites: Barracuda Strike and Diabetic Foot Danger

In this episode Dr. G recounts a surprising barracuda bite that exposes the challenges of marine injuries, especially for people with diabetes. The episode explains how sharp lacerations, contaminatio...

15 Aug 22min

Forgotten Infection Friday- Madura Foot: The Silent, Years-Long Infection Hiding in Plain Sight

Forgotten Infection Friday- Madura Foot: The Silent, Years-Long Infection Hiding in Plain Sight

This episode reviews Madura foot (mycetoma), a chronic implantation infection characterized by long-standing swelling, multiple sinus tracts, and visible ‘‘grains.’p> There are two main types — eumyce...

15 Aug 33min

LIMBWatch Series: Dr. Andrew JM Boulton, MD, DSc (Hon), FACP, FICP, FRCP-The Man Who Changed Diabetic Foot Care Dr. Andrew Boulton on Neuropathy, Prevention & Saving Limbs Worldwide

LIMBWatch Series: Dr. Andrew JM Boulton, MD, DSc (Hon), FACP, FICP, FRCP-The Man Who Changed Diabetic Foot Care Dr. Andrew Boulton on Neuropathy, Prevention & Saving Limbs Worldwide

Welcome to LIMBWatch — the global movement dedicated to protecting limbs, preventing amputations, and transforming the future of diabetic foot care. In this landmark episode, we welcome one of the wor...

10 Aug 46min

Antimicrobial ≠ Antibiotic: Antimicrobial Doesn’t Mean Antibiotic

Antimicrobial ≠ Antibiotic: Antimicrobial Doesn’t Mean Antibiotic

This episode clarifies the difference between antimicrobials (agents that act against a range of microorganisms) and antibiotics (drugs that specifically target bacteria), and explains related terms l...

9 Aug 22min

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