Nitroglycerin Paste: The Tiny Rescue That Reopens Blood Flow
In this episode of Diabetic Fit Files, Dr. G explains how topical nitroglycerin paste works as a vasodilator to improve microcirculation and rescue threatened skin flaps, ischemic digits, and compromi...
26 Maj 16min
System Sundays: NO GUTS, NO GLORY: Microbiome, Diabetes, and Wound Healing
This episode explains how the gut microbiome — an internal ecosystem of bacteria, fungi, and viruses — regulates inflammation, immunity, metabolism, and wound healing, and how diabetes disrupts that b...
24 Maj 26min
Salvage Saturdays; Sound Waves That Heal: Shockwave Therapy for Diabetic Foot Ulcers
On this episode of Salvage Saturdays, Dr. G explores extracorporeal shockwave therapy — the use of focused sound waves to stimulate healing in diabetic foot ulcers. We review its history from lithotri...
23 Maj 23min
Forgotten Infection Friday: Mucormycosis in a Diabetic Patient
Case study of a 58-year-old man with uncontrolled type 2 diabetes (A1C 12.4) who developed a rapidly progressive left foot ulcer after stepping on a nail. Despite antibiotics, the wound became black, ...
22 Maj 21min
When a Skin Flap Fails: Spot the Early Signs Before It’s Too Late
This episode explains how and why skin flaps die, focusing on the early warning signs, differences between arterial insufficiency and venous congestion, and the underlying microvascular physiology. It...
20 Maj 22min
S.A.V.E T.H.E. F.A.S.C.I.A: Rapid Recognition Protocol for Necrotizing Fasciitis
In this episode we introduce "Save the Fascia," a clear, stepwise mnemonic to help clinicians recognize necrotizing fasciitis early and act urgently. It outlines warning signs, diagnostic steps, and t...
17 Maj 40min
Medically Stable? The Dangerous Misuse in Diabetic Foot Discharges
Dr. G examines how the phrase "medically stable for discharge" is often misapplied to diabetic foot patients, sometimes with dangerous consequences. He explains why diabetic foot infections can be dec...
16 Maj 23min
Breath Is Healing: Preventing Post-Op Complications with Incentive Spirometry
Dr. G explains why the simple incentive spirometer is more than a bedside toy: it forces deep breaths, prevents atelectasis, improves oxygenation, and reduces post-operative pulmonary complications. T...
15 Maj 12min
