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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Hypoxia vs Ischemia: The Vital Difference for Diabetic Foot Healing

Hypoxia vs Ischemia: The Vital Difference for Diabetic Foot Healing

This episode explains the crucial difference between hypoxia (low oxygen that can trigger repair) and ischemia (lack of blood flow that deprives tissue of oxygen, nutrients, and immune cells), and how...

12 Juli 18min

The Oxygen Thermostat: HIF‑1α and Diabetic Wound Healing- The Wound Healing Protein You Probably Never Heard Of

The Oxygen Thermostat: HIF‑1α and Diabetic Wound Healing- The Wound Healing Protein You Probably Never Heard Of

Dr. G explains how hypoxia‑inducible factor 1 alpha (HIF‑1α) acts as the cell's oxygen sensor and coordinator of wound repair, why diabetes disrupts its signaling, and how that impairment stalls heali...

11 Juli 22min

Forgotten Infection Friday: Tranq Wounds- Xylazine Damage — When a Veterinary Sedative Destroys Human Tissue

Forgotten Infection Friday: Tranq Wounds- Xylazine Damage — When a Veterinary Sedative Destroys Human Tissue

This episode explains how xylazine ("tranq"), a veterinary sedative now found in the illicit drug supply, is causing severe, fast-progressing wounds and infections when mixed with fentanyl. It reviews...

10 Juli 16min

LIMBWatch Series: Reinventing Hydrotherapy—Jason Ayer, RN’s Topical Oxygen-Powered Approach to Limb Salvage

LIMBWatch Series: Reinventing Hydrotherapy—Jason Ayer, RN’s Topical Oxygen-Powered Approach to Limb Salvage

In this episode of Limb Watch Series with Diabetic Foot Files, host interviews Jason Ayers, a wound care RN and inventor of a topical oxygen hydrotherapy kit that combines warmed antimicrobial cleansi...

7 Juli 47min

The Foot- Liver Connection: The Hidden Link: How Liver Health Shapes Diabetic Foot Healing

The Foot- Liver Connection: The Hidden Link: How Liver Health Shapes Diabetic Foot Healing

In this episode of Diabetic Foot Files Dr. G explores the overlooked foot–liver connection: how liver metabolism, protein synthesis, clotting, and inflammation influence wound healing, infection risk,...

6 Juli 40min

Does Your Morning Coffee Delay Diabetic Foot Ulcer Healing?

Does Your Morning Coffee Delay Diabetic Foot Ulcer Healing?

This episode traces coffee’s journey and asks whether daily caffeine affects diabetic foot ulcer healing. It summarizes the science on how caffeine influences blood vessels, sleep, blood sugar, inflam...

4 Juli 22min

Top 10 Holiday Emergencies Every Person with Diabetes Should Know and how to Stay out of the ER this Independence Day- Protect Your Feet This July 4th — Diabetic Holiday Safety Tips

Top 10 Holiday Emergencies Every Person with Diabetes Should Know and how to Stay out of the ER this Independence Day- Protect Your Feet This July 4th — Diabetic Holiday Safety Tips

Dr. G outlines simple, practical tips to prevent common Independence Day emergencies for people with diabetes, covering barefoot risks, fireworks and grill burns, blisters that become ulcers, blood su...

3 Juli 18min

Positive vs. Negative Surgical Margins- Every Millimeter Matters: Surgical Margins in Diabetic Limb Salvage

Positive vs. Negative Surgical Margins- Every Millimeter Matters: Surgical Margins in Diabetic Limb Salvage

In this episode of Diabetic Foot Files Dr. G explains why surgical margins in diabetic foot surgery — especially with osteomyelitis — directly affect recurrence, healing, and the risk of further amput...

2 Juli 24min

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