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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Episoder(369)

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

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...

24 Jul 22min

Liquid Biopsies: The Future of Diabetic Foot Care

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 he...

23 Jul 9min

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

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 impa...

22 Jul 13min

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

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 ...

20 Jul 40min

LIMBWatch Series: Dr. David Armstrong DPM, MD, PhD - Ending Preventable Amputations:Limb Preservation and Diabetic Foot Remission

LIMBWatch Series: Dr. David Armstrong DPM, MD, PhD - Ending Preventable Amputations:Limb Preservation and Diabetic Foot Remission

In this episode , one of the world’s most influential pioneers in limb preservation, Dr.David Armstrong DPM, MD, PhD Distinguished Professor of Surgery and Neurological Surgery and a Global Leader in ...

13 Jul 43min

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 Jul 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 Jul 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 Jul 16min

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