Diabetic Foot Files

Diabetic Foot Files

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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- World Leaders in LIMB Salvage

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Episoder(369)

From Hippocrates to Gene Therapy: The Journey of Diabetic Peripheral Arterial Disease

From Hippocrates to Gene Therapy: The Journey of Diabetic Peripheral Arterial Disease

This episode of Diabetic Foot Files explores peripheral arterial disease (PAD) in people with diabetes — its history, how diabetes accelerates arterial damage, the biology behind impaired wound healin...

12 Sep 202514min

How Nicotine Silences Healing: The Diabetic Foot Risk

How Nicotine Silences Healing: The Diabetic Foot Risk

Dr. G explains how nicotine — from cigarettes, vapes, pouches, and nicotine replacement products — reduces blood flow, disrupts immune and cellular repair, and slows or worsens healing in diabetic foo...

11 Sep 202525min

Pinky Toe Peril: Why Fifth Metatarsal Ulcers Threaten Limbs

Pinky Toe Peril: Why Fifth Metatarsal Ulcers Threaten Limbs

A focused look at fifth metatarsal ulcers in diabetic patients — why they form, how the peroneus brevis and lateral biomechanics drive injury, and the clinical strategies to heal and prevent recurrenc...

11 Sep 202516min

Monckeberg  Sclerosis: The Silent Vascular Threat in Diabetic Feet

Monckeberg Sclerosis: The Silent Vascular Threat in Diabetic Feet

This episode explains Monckeberg ("Mockingbird") sclerosis—a medial arterial calcification common in diabetes and chronic kidney disease—how it stiffens arteries without narrowing the lumen, and why i...

10 Sep 202512min

Diabetic Foot Wound Culture- Amputation Isn’t Inevitable: Changing Diabetic Foot Care Culture

Diabetic Foot Wound Culture- Amputation Isn’t Inevitable: Changing Diabetic Foot Care Culture

This episode explores how the current culture around diabetic foot ulcers drives unnecessary amputations and presents a practical, evidence-based roadmap to change it. Dr. G outlines the data supporti...

8 Sep 202519min

Tiny Messengers, Big Hope: Can Exosomes Heal Diabetic Foot Ulcers?

Tiny Messengers, Big Hope: Can Exosomes Heal Diabetic Foot Ulcers?

Dr. G explores exosomes—small, cell‑derived vesicles—and how they may accelerate diabetic foot ulcer healing by modulating inflammation, promoting angiogenesis, boosting cell proliferation, and improv...

8 Sep 202515min

Numbing the Pain: Essential Foot Blocks for Diabetic Debridement & Amputation

Numbing the Pain: Essential Foot Blocks for Diabetic Debridement & Amputation

Episode walkthrough of local anesthesia for diabetic foot procedures: why blocks are essential even in neuropathic patients, how infection changes pain perception, and the physiology and practical rea...

5 Sep 202515min

When Dressings Attack: Allergic Reactions in Diabetic Foot Care

When Dressings Attack: Allergic Reactions in Diabetic Foot Care

This episode explains how dressings can cause irritant or allergic contact dermatitis in diabetic foot ulcers, how to tell the difference from infection, and the red flags to watch for. Dr. G covers i...

3 Sep 202511min

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