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)

Acute on Chronic: What the term really means for you and your wound

Acute on Chronic: What the term really means for you and your wound

In this episode Dr. G explains “acute on chronic” in diabetic foot care — when a long-standing ulcer or osteomyelitis suddenly deteriorates into an aggressive, limb- or life-threatening infection. He ...

14 Apr 23min

Who Do You See First? Night Shift Decisions for Diabetic Foot Ulcers

Who Do You See First? Night Shift Decisions for Diabetic Foot Ulcers

Dr. G breaks down how to prioritize diabetic foot consults at 1:30 a.m., focusing on recognizing life‑threatening vs limb‑threatening problems. Learn the red flags of systemic infection—fever, tachyca...

13 Apr 27min

Fascia: The Silent Highway of Foot Infections

Fascia: The Silent Highway of Foot Infections

This episode explores the fascia — the continuous connective tissue network beneath the skin — and explains how it can guide healing or rapidly transmit infection in the diabetic foot. Learn the key a...

12 Apr 7min

Diabetic Foot Files: The Hidden Math Behind Every Ulcer

Diabetic Foot Files: The Hidden Math Behind Every Ulcer

Dr. G breaks down the epidemiology of diabetic foot disease, explaining who is affected, where it occurs, and why. He highlights key global figures — over 500 million people with diabetes and up to 25...

11 Apr 9min

Spring Foot Risks: Beat Blisters Before They Become Amputations

Spring Foot Risks: Beat Blisters Before They Become Amputations

Dr. G explains why Limb Loss Awareness Month matters and why spring increases diabetic foot risks. Increased activity, moisture, and seasonal changes create a perfect storm for blisters, fungal and ba...

10 Apr 17min

Under Pressure: How Hyperbaric Oxygen Can Save Diabetic Limbs

Under Pressure: How Hyperbaric Oxygen Can Save Diabetic Limbs

Dr. G explores hyperbaric oxygen therapy (HBOT) for diabetic foot care — how breathing 100% oxygen under increased pressure boosts tissue oxygenation, promotes angiogenesis, improves immune function, ...

9 Apr 21min

Invisible Fire: How Free Radicals Destroy the Diabetic Foot

Invisible Fire: How Free Radicals Destroy the Diabetic Foot

This episode explains how free radicals (ROS and RNS) drive tissue damage and delayed healing in diabetic foot ulcers, covering their sources, detection, and effects on cells, blood flow, nerves, and ...

8 Apr 22min

Nighttime Oxygen Debt: How Sleep Apnea Halts Wound Repair

Nighttime Oxygen Debt: How Sleep Apnea Halts Wound Repair

This episode explains how obstructive sleep apnea (OSA) can cause repeated nighttime oxygen drops that impair wound healing in people with diabetic foot ulcers, creating chronic inflammation, poor col...

6 Apr 20min

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