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)

POGO By DARCO: The Future of Diabetic Footwear

POGO By DARCO: The Future of Diabetic Footwear

In this special episode of Diabetic Foot Files, host Dr. G engages in an insightful discussion with Riley Sernica, the Vice President of Product Development at Darco .Together, they explore the innova...

23 Feb 21min

The Foot First: How Podiatrists Spot Vascular Disease Before Anyone Else

The Foot First: How Podiatrists Spot Vascular Disease Before Anyone Else

This episode explains why podiatrists are often the first clinicians to detect peripheral arterial disease in diabetic patients, describing common signs—shiny skin, hair loss, delayed capillary refill...

22 Feb 14min

Lidocaine: Not as Harmless as a Gel — What Every Wound Care Patient Should Know

Lidocaine: Not as Harmless as a Gel — What Every Wound Care Patient Should Know

Dr. G explains how lidocaine works, why its chemistry matters, and how too much—especially on open, inflamed, or diabetic wounds—can cause serious central nervous system and cardiac toxicity. The epis...

21 Feb 25min

Not One-Size-Fits-All: How to Use (and Avoid Misusing) the Unna Boot

Not One-Size-Fits-All: How to Use (and Avoid Misusing) the Unna Boot

Dr. G breaks down the Unna boot: its origin, ingredients (zinc oxide, glycerin, gelatin), and how its semi‑rigid, inelastic compression helps venous stasis ulcers. He compares Unna boots to modern mul...

20 Feb 26min

Limb Salvage for All: Dr. Tom Hardiman DPM on Access, healthcare inequity , and Prevention

Limb Salvage for All: Dr. Tom Hardiman DPM on Access, healthcare inequity , and Prevention

Dr. Tom Hardiman DPM draws on decades of experience in podiatry and limb salvage to reveal how systemic inequities and barriers to care drive preventable amputations in people with diabetes. He explai...

18 Feb 44min

When Missing Toes Burn: Phantom Limb Pain in Diabetic Amputees

When Missing Toes Burn: Phantom Limb Pain in Diabetic Amputees

Dr. G explores phantom limb pain in amputees—what it feels like, how it differs from residual stump pain, and the multi-level mechanisms (peripheral nerves, spinal cord, brain prediction errors) that ...

17 Feb 24min

Marjolin's Ulcer: When a Chronic Wound Turns Cancerous

Marjolin's Ulcer: When a Chronic Wound Turns Cancerous

Dr. G explains Marjolin ulcer, a form of squamous cell carcinoma that can arise in long-standing, chronically inflamed or scarred wounds—especially diabetic foot ulcers—and why early recognition matte...

12 Feb 11min

Radiation Dermatitis Explained: How X‑Rays Damage Skin and What to Do

Radiation Dermatitis Explained: How X‑Rays Damage Skin and What to Do

This episode reviews radiation dermatitis — its history, how ionizing radiation creates free radicals and double‑strand DNA breaks, and which skin cells are damaged (basal stem cells, keratinocytes, e...

11 Feb 8min

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