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Diabetic Foot Files

Diabetic Foot Files
Diabetic Foot Files
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212 épisodes

  • Diabetic Foot Files

    Rocker‑Bottom Revelation: Decoding Charcot Neuroarthropathy

    21/04/2026 | 16 min
    This episode explains how Charcot (rocker‑bottom) foot develops in diabetes: loss of protective sensation, repetitive microtrauma, neurovascular changes and an inflammatory cascade cause midfoot fractures, ligament failure and arch collapse.

    It covers history, staging, biomechanics, key clinical signs (hot, swollen, painless foot and >2°C temperature difference), imaging and treatment options from total contact casting to reconstruction, plus prevention tips like daily checks, early offloading and glycemic control.
  • Diabetic Foot Files

    Diabetic Foot Forensics: Reading Ulcers Like a Crime Scene

    19/04/2026 | 26 min
    Dr. G explains how diabetic foot ulcers act like timelines or crime scenes, revealing the sequence of pressure, neuropathy, ischemia and infection that caused them.

    The episode walks through forensic clues—callus, tissue color, exudate, depth and location—how to classify wounds, recognize biofilm and when to involve vascular care, debridement and offloading.

    Emphasis is placed on prevention, early detection, and combining investigation with treatment to predict outcomes and prevent amputations.
  • Diabetic Foot Files

    Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing

    18/04/2026 | 15 min
    Dr. G explains hemoconcentration — when low plasma volume makes blood thicker — and why it matters for diabetic foot care. The episode covers how dehydration, diuretics, hyperglycemia, and immobility raise hematocrit and BUN/Cr ratio, reducing microvascular perfusion, slowing wound healing, increasing infection and clot risk, and sometimes causing pre-renal azotemia.

    Learn how to recognize hemoconcentration (elevated hemoglobin/hematocrit, high BUN/Cr), prevent it with hydration, glucose control, and mobility, and why reversing it can restore perfusion and improve outcomes for non-healing diabetic ulcers.
  • Diabetic Foot Files

    Utopia vs Reality: The War Between What Should Be… and What Is

    17/04/2026 | 18 min
    This episode contrasts two worlds: in Utopia, AI-powered early detection and immediate offloading prevent pressure injuries, infections, and amputations; in Reality, ignored calluses and delayed care lead to deep diabetic foot ulcers and high amputation risk.

    The host explains why early screening, patient education, affordable offloading, multidisciplinary teams, and policy changes are essential to collapse the gap between the ideal and what actually happens, emphasizing that timely execution — not lack of knowledge — drives outcomes.
  • Diabetic Foot Files

    CAM Boots and the Hidden PE Risk

    17/04/2026 | 16 min
    Dr. G explains how CAM boots, while essential for offloading diabetic foot ulcers, can promote venous stasis and lead to deep vein thrombosis (DVT) and pulmonary embolism (PE). The episode covers the pathophysiology from immobilization to clot, key risk factors in diabetes, and the clinical red flags to never ignore.

    Practical guidance includes risk stratification (Wells and Caprini scores), diagnostic steps (D‑dimer, venous duplex, CT pulmonary angiography), and prevention strategies such as ankle/calf exercises, compression where appropriate, pharmacologic prophylaxis, vascular referral, and clear patient education on PE symptoms.

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Ă€ 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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