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 raise hematocrit and BUN/Cr ratio, reducing microvascular perfusion, slowing wound healing, increasing infection and clot risk, and sometimes causing pre-renal azotemia.

Learn how to recognize hemoconcentration (elevated hemoglobin/hematocrit, high BUN/Cr), prevent it with hydration, glucose control, and mobility, and why reversing it can restore perfusion and improve outcomes for non-healing diabetic ulcers.

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Avsnitt(100)

Limb Watch: Every Wound Has A Clock

Limb Watch: Every Wound Has A Clock

In this episode Dr. G introduces Limb Watch, a simple framework to recognize early warning signs of diabetic foot disease before they become emergencies. She explains why small changes—warmth, redness...

8 Maj 10min

From Tuberculosis to Toes: Building a System That Stops Amputations

From Tuberculosis to Toes: Building a System That Stops Amputations

This episode compares tuberculosis control strategies to diabetic foot ulcer care, showing how a public-health system transformed TB from a deadly epidemic into a controllable disease and how similar ...

7 Maj 17min

The Magic Words in Woundcare- Words That Save Limbs: The Hidden Language of Diabetic Wound Care

The Magic Words in Woundcare- Words That Save Limbs: The Hidden Language of Diabetic Wound Care

This episode examines how medical language shapes urgency, triage, and outcomes in diabetic wound care. It explains key terms—like limb-threatening infection, critical limb ischemia, osteomyelitis, ne...

7 Maj 14min

THE GEOGRAPHY OF AMPUTATION”  Why Your Chances of Keeping a Leg Depend on Where You’re Born

THE GEOGRAPHY OF AMPUTATION” Why Your Chances of Keeping a Leg Depend on Where You’re Born

In this episode Dr. G explores how where a person lives can determine whether a diabetic foot ulcer heals or leads to amputation. Using real-world examples, he explains how limited access to podiatry,...

7 Maj 29min

H2 Therapy: Could Hydrogen Help Save Diabetic Feet?

H2 Therapy: Could Hydrogen Help Save Diabetic Feet?

In this episode Dr. G explores molecular hydrogen (H2) — the smallest molecule with surprising biological effects — and how its selective antioxidant and anti-inflammatory actions might improve wound ...

6 Maj 19min

Hidden in the Waves: Vibrio, Pseudomonas and the Dangers of Water to Diabetic Ulcers

Hidden in the Waves: Vibrio, Pseudomonas and the Dangers of Water to Diabetic Ulcers

This episode explains how common water sources — oceans, lakes, rivers, pools, hot tubs and aquariums — can introduce dangerous microbes into diabetic foot wounds, including Vibrio, Aeromonas, Pseudom...

26 Apr 20min

Amputated Spirit: The Hidden Loss of Integrity in Diabetic Limb Care

Amputated Spirit: The Hidden Loss of Integrity in Diabetic Limb Care

Dr. G explores how diabetic limb salvage is not only about preventing physical amputation but also about protecting the clinician’s and patient’s integrity and will to fight. He warns that system dela...

25 Apr 18min

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 Apr 10min

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