Diabetic Foot Files

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

 THE DIABETIC FOOT FILES HAS A NEW HOME!  The brand-new Diabetic Foot Files website is LIVE!   Welcome to the digital home of everything diabetic foot, wound care, limb salvage, and beyond. From the latest podcast episodes and expert conversations to LIMBWatch, educational content, and resources for the limb-salvage community — it’s all coming together in one place.  www.diabeticfootfiles.com Whether you’re a clinician, researcher, student, patient, advocate, or simply passionate about saving limbs — there’s a place for you here.  Listen.  Learn.  Think beyond the wound.  Save the limb. Change the life. Welcome to the next chapter of Diabetic Foot Files.  👟✨  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. 17h ago

    Prediabetes: The Silent Signal You Can Change

    Prediabtes isn’t “ Almost Diabetes” . This episode explains how type 2 diabetes often begins years before diagnosis as prediabetes — a compensatory metabolic state where insulin resistance, pancreatic stress, liver overproduction of glucose, and visceral fat-driven inflammation quietly disrupt glucose control. You’ll learn the diagnostic thresholds (A1c 5.7–6.4%, fasting glucose 100–125 mg/dL, 2‑hour OGTT 140–199 mg/dL), why different tests can identify different people, who should be tested, and which clinicians to involve (PCP, endocrinologist, dietitian, diabetes prevention programs). The episode emphasizes prevention: lifestyle-based diabetes prevention programs can reduce progression, metformin is not automatic, and early action can change your metabolic trajectory — protecting overall health and reducing future foot and limb complications.

  2. 1d ago

    When the Limb Changes: A Deep Dive into Stump Shrinkage

    This episode explains what "stump shrinkage" really means—residual limb volume changes, edema, tissue remodeling, and how different amputation levels affect function and prosthetic fitting. It outlines practical management steps: compression and dressing strategies, wound and vascular monitoring, prosthetic planning, physical therapy, and the extra vigilance required for people with diabetes to protect the remaining limb and restore mobility.

  3. 2d ago

    Why Diabetic Foot Ulcers Can’t Finish the Job: The Microbial Clearance Problem

    This episode explores why some diabetic foot ulcers remain inflamed yet fail to clear microbes, distinguishing contamination, colonization, local infection, and clinical infection. It explains how immune dysregulation, neutrophil extracellular traps (NETs), macrophage dysfunction, biofilm, ischemia, hypoxia, neuropathy, and necrotic tissue create an ecosystem that prevents healing. The episode emphasizes that antibiotics alone are not enough: effective care requires assessing perfusion, offloading, debridement, glycemic and systemic management, targeted antimicrobials when indicated, and ongoing surveillance to change the wound trajectory.

  4. 3d ago

    Great Expectations in DFU: Micro Wins Matter: Motivation, Expectations, and Mental Health in Diabetic Wound Care

    Dr. G discusses realistic expectations for diabetic foot ulcer healing, explaining the medical factors that affect recovery—blood flow, infection control, offloading, nutrition, and time—and why instant results are unlikely. She contrasts routine wound healing with the emotional and practical challenges of limb salvage, emphasizes tracking progress with measurements and photos, celebrates small victories, and urges patients to seek mental-health support when needed.

  5. 4d ago

    Why You Can't Just Glue a Diabetic Foot Ulcer Closed

    In this episode Dr. G explains why tissue adhesives like cyanoacrylates (e.g., Dermabond) work well for clean, superficial, low‑tension wounds but are inappropriate for diabetic foot ulcers. Diabetic ulcers involve neuropathy, poor perfusion, infection risk, dead space, undermining and impaired healing biology that glues cannot fix. Key takeaways: adhesives only bond superficial skin edges and do not treat infection, necrosis, ischemia or structural problems; using glue can trap drainage and mask deeper issues; tissue glue may last days but is not a cure for complex diabetic wounds.

  6. 5d ago

    Dead Space in the Diabetic Foot: The Hidden Cavity That Stops Healing

    Dr. G explains what dead space is — a residual tissue cavity after tissue loss or separation in the diabetic foot — why it matters, and how it differs from abscesses, undermining, and tunneling. He outlines how to recognize dead space (probing, persistent drainage, imaging), its impact on healing, and practical management strategies including debridement, drainage, infection control, offloading, and prevention.

  7. 6d ago

    TEWL Reveals Hidden Risk of Diabetic Foot Ulcer Recurrence

    Dr. G explains transepidermal water loss (TEWL) and why a clinically closed diabetic foot ulcer can still have a compromised skin barrier. He outlines how TEWL reflects epidermal function, how diabetes and neuropathy impair skin recovery, and why “functional closure” differs from simple epithelialization. A multicenter study found higher TEWL at recently closed ulcer sites was linked to increased and earlier recurrence, suggesting TEWL could help guide extended offloading, closer follow‑up, and targeted care to reduce re‑ulceration risk.

  8. Sep 6

    What a 1 mm Worm Can Teach Us About Diabetic Foot Ulcers

    Dr. G explores how the tiny nematode C. elegans helps researchers study key processes related to diabetic foot ulcers, including wound detection, calcium signaling, cytoskeletal remodeling, mitochondrial reactive oxygen species, innate immune responses, and bacterial virulence. While the worm cannot reproduce the full complexity of human diabetic foot disease, its transparency and genetic tractability make it a powerful early-stage model to identify pathways and test hypotheses that could inform future treatments.

See All (381)

Ratings & Reviews

5
out of 5
3 Ratings

About

 THE DIABETIC FOOT FILES HAS A NEW HOME!  The brand-new Diabetic Foot Files website is LIVE!   Welcome to the digital home of everything diabetic foot, wound care, limb salvage, and beyond. From the latest podcast episodes and expert conversations to LIMBWatch, educational content, and resources for the limb-salvage community — it’s all coming together in one place.  www.diabeticfootfiles.com Whether you’re a clinician, researcher, student, patient, advocate, or simply passionate about saving limbs — there’s a place for you here.  Listen.  Learn.  Think beyond the wound.  Save the limb. Change the life. Welcome to the next chapter of Diabetic Foot Files.  👟✨  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
    381
  • Rating
    Clean
  • Copyright
    © Copyright 2025 All rights reserved.
  • Show Website
    Diabetic Foot Files