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Diabetic Foot Files

Forme et santé

Dernier épisode

168 épisodes

Marjolin's Ulcer: When a Chronic Wound Turns Cancerous
12/2/2026 | 11 min
Dr. G explains Marjolin ulcer, a form of squamous cell carcinoma that can arise in long-standing, chronically inflamed or scarred wounds—especially diabetic foot ulcers—and why early recognition matters for limb salvage and survival.

Key signs include changing or hypertrophic margins, rolled or friable edges, unexplained bleeding, disproportionate pain, non-healing despite treatment, and nearby enlarged lymph nodes. Diagnosis requires a deep biopsy and imaging; treatment often involves wide surgical excision, possible lymph node assessment, and sometimes amputation or adjunct radiation.

Prevention and vigilance are crucial: optimize diabetes and vascular care, monitor chronic wounds closely, and refer promptly for suspicious changes. Emerging research on biomarkers, targeted therapies, and AI imaging aims to detect malignant transformation earlier.
Radiation Dermatitis Explained: How X‑Rays Damage Skin and What to Do
11/2/2026 | 8 min
This episode reviews radiation dermatitis — its history, how ionizing radiation creates free radicals and double‑strand DNA breaks, and which skin cells are damaged (basal stem cells, keratinocytes, endothelial cells, fibroblasts, lymphatics), leading to microvascular loss, fibrosis, and impaired healing.

Learn how radiation wounds present (geometric borders, fibrosis, poor bleeding, delayed healing), the typical timelines from acute to chronic changes, and why patients with diabetes are at much higher risk for chronic ulcers and complications.

Practical steps covered include gentle wound care and moisture balance, topical antimicrobials, hyperbaric oxygen for selected cases, avoiding aggressive early debridement, and when surgical reconstruction is indicated; plus prevention tips like skin moisturization, avoiding friction, and early wound surveillance.
When Ulcers Lie: Unmasking Vasculitis in the Diabetic Foot
09/2/2026 | 13 min
This episode breaks down uncontrolled vasculitis — inflammation of blood vessels that can mimic diabetic, arterial, or pressure ulcers. It reviews pathophysiology (immune complex and ANCA‑mediated mechanisms), types by vessel size, key signs (palpable purpura, necrotic toes, sudden ischemia), and essential diagnostics (ESR/CRP, ANCA, complement, urinalysis, biopsy, CTA).

It highlights urgent management (high‑dose steroids, immunosuppressants, biologics), wound‑care cautions (avoid unnecessary debridement in ischemic vasculitic ulcers), and the importance of early vascular and autoimmune referral to prevent organ damage and amputation.
Vitamin B5: The Hidden Fuel for Wound Healing
08/2/2026 | 11 min
Dr. G explains how pantothenic acid (vitamin B5) serves as the precursor to coenzyme A and powers cellular metabolism essential for wound healing, collagen and lipid synthesis, and skin barrier repair.

The episode reviews dietary sources, signs of deficiency, the topical provitamin dexpanthenol and its effects on hydration and barrier recovery, and how B5 fits into a broader approach to improving tissue regeneration in patients with high wound‑healing needs.
Insurance Made Me Switch Doctors- Don't Lose Your Care: How to Switch Doctors Without Risking Your Diabetic Foot Treatment
07/2/2026 | 24 min
Dr. G explains clear, practical steps for patients who must change doctors because of insurance, moving, or provider network shifts. Learn the 48‑hour plan: the five questions to ask your insurer, how to get bridge support and targeted medical records, tips for booking and choosing the right specialist, and the BRAN questions to use at your first visit.

The episode also covers emergency guidance (when to go to the ER), your HIPAA rights to access records, red flags to avoid in a new doctor, and a concise checklist to make the transition safe and effective.

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À propos de Diabetic Foot Files

Big news! 👟✨ We’ve teamed up with DARCO to bring you 25% off the POGO shoe? Want to keep walking strong and prevent ulcers before they start? 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—the show where real stories, latest research, and essential tips to help prevent diabetic foot complications. I’m Dr. G / Dr WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson and as a podiatrist and wound care specialist . I’m here to educate, empower, and guide you through the world of diabetic foot care. From wound healing to amputation prevention, we’ll break down the facts, bust the myths, and share life-saving strategies. Whether you’re a patient, caregiver, or healthcare professional, this podcast is your go-to resource for healthier feet and a better quality of life. So let’s dive in—because take care of your feet, because the take care of you

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Forme et santé