Diabetic Foot Files

Diabetic Foot Files
  • 5.0 (3)
  • Medicine
  • Updated Daily

👟✨  We’ve teamed up with DARCO to bring you 25% off the POGO shoe! Want to stay active, reduce pressure, and help prevent ulcers before they begin? Visit darcodirect.com/product/pogo/ and use our exclusive code FootFiles25 at checkout to save 25% off your pair. 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  Follow us on TikTok @diabetic.foot.files -https://www.tiktok.com/@diabetic.foot.files?_r=1&_t=ZS-986cXIoucTK   Instagram @DiabeticFootFiles -https://www.instagram.com/diabeticfootfilespodcast?igsh=MXBzbXhjdmJnYjNyMw%3D%3D&utm_source=qr  for exclusive clips, clinical pearls, behind-the-scenes content, and the latest updates.

  1. 2d ago

    LIMB Watch Series: Dr. Lady DeJesus DPM, FACFAS, DABPM, CWSP- Saving Soles: Minimally Invasive Breakthroughs in Diabetic Limb Salvage

    LIMBWatch Series | Dr. Paula DeJesus DPM, FACFAS, : The Future of Limb Salvage Through Minimally Invasive Surgery In this episode of the LIMBWatch Series on Diabetic Foot Files  sits with Dr. Lady Paula DeJesus DPM, FACFAS, DABPM, CWSP— a triple board‑certified podiatric surgeon and Section Chief at Yale New Haven Health Greenwich Hospital Dr. Dejesus shares her remarkable journey into podiatric medicine and discusses the clinical decision-making behind complex diabetic foot infections, osteomyelitis, peripheral arterial disease, and limb preservation. She explains how minimally invasive surgical techniques are transforming diabetic limb salvage, including innovative approaches to treating calcaneal osteomyelitis while avoiding major amputations such as minimally invasive techniques like Avedis suction curettage. The conversation also explores the importance of multidisciplinary care, early vascular assessment, biomechanics, patient compliance, advanced imaging, regenerative medicine, and the compassionate communication needed to help patients understand amputation risk without losing hope. Whether you’re a podiatrist, wound care clinician, vascular specialist, student, or simply passionate about preventing amputations, this episode is filled with practical clinical pearls and inspiring insights from one of today’s leaders in limb salvage. In this episode you’ll learn: When to escalate from conservative care to surgery The role of vascular assessment in limb preservation Why biomechanics is often the missing piece in wound healing Modern approaches to diabetic foot osteomyelitis How minimally invasive surgery is changing limb salvage The value of multidisciplinary teams in reducing amputations Strategies for improving patient compliance and communication Clinical lessons every young limb salvage specialist should know In this episode of Limb Watch, — shares real-world limb preservation strategies, including skin substitutes, and the importance of revascularization for diabetic foot infections. Diabetic Foot Files is dedicated to advancing diabetic foot care, wound healing, and amputation prevention through conversations with world-renowned experts in limb salvage.

  2. 4d ago

    Who Owns the Toe? The hidden battle over responsibility, accountability, and limb salvage

    Dr. G examines how diabetic toes and ulcers are rarely just wounds but visible warnings of neuropathy, poor circulation, infection, and gaps in care. She asks who is responsible for protecting the foot — the patient, primary care, podiatry, vascular, infectious disease, surgery, or nursing — and how fragmented referrals and delayed access can lead to a cascade ending in amputation. The episode also explains hospital handling of amputated tissue, patients’ rights to their removed parts, and the future of limb preservation through surveillance technologies and coordinated responsibility to prevent avoidable loss.

  3. 5d ago

    Edge Trenching: Turning a Wound’s Cliff into a Healing Ramp

    This episode introduces edge trenching, a novel debridement technique developed by Dr. Igor Melnichuk that targets dysfunctional wound edges (epibolies, hyperkeratosis, rolled or fibrotic margins) to create a biologically active transition zone and promote epithelial migration. It explains the procedure, proposed mechanisms, clinical use—especially in diabetic plantar ulcers—how trenches are created and repeated, and emphasizes that edge trenching must be part of comprehensive care addressing perfusion, infection control, offloading, and underlying causes.

  4. 5d ago

    Vascular Insights with Dr. Giulia Baldazzi MD, vascular surgery fellow and PhD candidate from Italy 🇮🇹: Healing begins with circulation

    Dr. Giulia Baldazzi, a vascular surgeon, fellow and phd candidate researcher, shares her journey from UCSF to Italy and explores advances in perfusion assessment, revascularization, and limb preservation for diabetic foot care. She discusses diagnostic innovations (PAT, MaxCORE, NIRS), the importance of early vascular referral and multidisciplinary teams, and practical strategies to prevent amputations and improve healing.

  5. 6d ago

    Forgotten Infection Friday- The Great Pretender: Actinomycosis Masquerading as Diabetic Foot Infection

    Actinomycosis is a rare, slow-growing filamentous gram-positive bacterial infection that can mimic cancer, tuberculosis, or chronic diabetic foot infections by producing woody fibrosis, interconnected sinus tracts, and characteristic yellow "sulfur" granules. Diagnosis requires deep tissue biopsy and careful anaerobic culture or histology; treatment is prolonged high‑dose penicillin (or alternatives if allergic) often combined with surgical drainage and debridement.

  6. Jul 23

    Liquid Biopsies: The Future of Diabetic Foot Care

    In this episode of Diabetics with Files, Dr. G explains liquid biopsies — blood tests that detect cell-free DNA and other molecular signals — and how they work. We explore how this technology could help detect infection early, identify harmful inflammation, predict a wound’s healing potential, and personalize treatment for diabetic foot ulcers. The episode also covers current limitations — cost, access, standardization, and need for clinical validation — and explains that liquid biopsies would complement, not replace, clinical exams and imaging. Ultimately, liquid biopsies could shift wound care from reactive to predictive and improve limb salvage in the future.

  7. Jul 22

    Exudative tax- When Wounds Become Protein Vampires: The Hidden Drain

    This episode explains how chronic wounds—especially heavily exudative and diabetic ulcers—act like metabolic drains, leaking proteins, growth factors, immune cells, electrolytes, and calories and impairing the body’ s ability to heal. Listen for signs of protein loss (low albumin, persistent drainage, weight/muscle loss, delayed healing) and practical strategies to fight back: infection control, offloading, appropriate compression, nutrition optimization, and closing the wound to stop the ongoing resource loss.

  8. Jul 20

    LIMBWatch Series: Dr. David Alper, DPM-Beyond the Operating Room: The Legislative Fight to Save Limbs

    LIMBWatch | Dr. David B. Alper – The Policy Behind Preventing Amputations Why are so many lower extremity amputations still happening when the majority could be prevented? In this powerful episode of LIMBWatch, Dr. Gabrielle Hutcheson sits down with nationally recognized limb preservation advocate Dr. David B. Alper, DPM, to explore the critical intersection of healthcare policy, reimbursement, advocacy, and limb salvage. Drawing on decades of clinical experience and legislative leadership, Dr. Alper explains why preventing amputations requires more than excellent medicine—it requires changing the healthcare system itself. Together, they discuss the barriers clinicians face in obtaining early diagnostic testing, advanced wound care therapies, diabetic footwear, vascular imaging, and emerging technologies that could dramatically reduce limb loss. Dr. Alper also shares ongoing legislative efforts to improve access to care, simplify insurance requirements, expand diabetic foot protection programs, and strengthen multidisciplinary collaboration. The conversation highlights the importance of early detection of peripheral artery disease (PAD) and chronic limb-threatening ischemia (CLTI), the role of advocacy organizations, and why clinicians, patients, and policymakers must work together to shift healthcare from reacting to amputations toward preventing them. In this episode, you'll learn: Why an estimated 85% of diabetic-related amputations may be preventable The policy barriers limiting early PAD and CLTI diagnosis How insurance reimbursement influences limb salvage decisions Why diabetic footwear, vascular imaging, and preventative screening remain underutilized The importance of multidisciplinary limb preservation teams How clinicians and patients can become advocates for legislative change Practical clinical pearls for identifying high-risk patients before limb loss occurs Whether you're a podiatrist, vascular specialist, wound care clinician, primary care provider, healthcare administrator, policymaker, or patient advocate, this episode offers valuable insight into how policy decisions directly impact patient outcomes—and what can be done to change the future of limb preservation. Because saving limbs starts long before the operating room—it starts with education, early intervention, and advocacy.

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Ratings & Reviews

5
out of 5
3 Ratings

About

👟✨  We’ve teamed up with DARCO to bring you 25% off the POGO shoe! Want to stay active, reduce pressure, and help prevent ulcers before they begin? Visit darcodirect.com/product/pogo/ and use our exclusive code FootFiles25 at checkout to save 25% off your pair. 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  Follow us on TikTok @diabetic.foot.files -https://www.tiktok.com/@diabetic.foot.files?_r=1&_t=ZS-986cXIoucTK   Instagram @DiabeticFootFiles -https://www.instagram.com/diabeticfootfilespodcast?igsh=MXBzbXhjdmJnYjNyMw%3D%3D&utm_source=qr  for exclusive clips, clinical pearls, behind-the-scenes content, and the latest updates.

Information

  • Creator
    Diabetic Foot Files
  • Years Active
    2025 - 2026
  • Episodes
    349
  • Rating
    Clean
  • Copyright
    © Copyright 2025 All rights reserved.
  • Show Website
    Diabetic Foot Files