Diabetic Foot Files

339 épisodes

The Foot- Liver Connection: The Hidden Link: How Liver Health Shapes Diabetic Foot Healing
06/07/2026 | 40 min
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, and limb salvage in people with diabetes.

Topics include metabolic dysfunction-associated steatotic liver disease (MASLD), low albumin, sarcopenia, key labs and imaging to consider, and practical steps clinicians can take to address systemic contributors to delayed healing.

Takeaway: diabetic foot ulcers are rarely just a local problem—optimizing liver health, nutrition, glycemic control, and systemic care improves healing and reduces amputation risk.
Does Your Morning Coffee Delay Diabetic Foot Ulcer Healing?
04/07/2026 | 22 min
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, inflammation, fibroblasts, and hydration, and explains that moderate, unsweetened coffee is unlikely to severely impair healing while excessive intake, sugary drinks, poor sleep, or circulation issues can hinder recovery.

Practical advice is given: consult your doctor or nutritionist, prioritize overall wound care (circulation, glycemic control, nutrition, sleep, hydration), and consider alternatives like green or herbal teas when appropriate.
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
03/07/2026 | 18 min
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 sugar swings, heat dehydration, falls, and medication safety.

Check your feet before and after activities, wear protective closed-toe shoes, monitor glucose frequently, stay hydrated, and seek medical care early for any wounds or burns to avoid serious infection or limb loss.
Positive vs. Negative Surgical Margins- Every Millimeter Matters: Surgical Margins in Diabetic Limb Salvage
02/07/2026 | 24 min
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 amputation.

She covers the difference between positive and negative margins, how pathology and imaging guide management, and how margin status influences antibiotics, reoperation, and prognosis.

Practical steps to improve margin status are discussed, including thorough debridement to bleeding bone, preoperative imaging and vascular assessment, offloading, and close coordination with infectious disease.

Key takeaway: achieving negative margins greatly increases healing odds, while residual infected bone significantly raises recurrence and higher-level amputation risk.
LIMBWatch Series: Dawn Franceschina PT, DPT, CWS on Wound Healing Awareness Month and ABWM Foundation
30/06/2026 | 43 min
Dr. G interviews Dr. Dawn Franceschina, a physical therapist and Vice Chair of the ABWM Foundation, about her 29-year career in wound care, advances in treatment, and the importance of Wound Healing Awareness Month.

The episode highlights the PT perspective, interdisciplinary limb-salvage teamwork, board certification, common barriers to healing, and practical steps for clinicians, patients, and industry to get involved.

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À propos de 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.

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