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Diabetic Foot Files

Diabetic Foot Files
Diabetic Foot Files
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188 épisodes

  • Diabetic Foot Files

    When Infection Meets the Mind: Antibiotics, Psych Meds & the Diabetic Foot

    18/03/2026 | 23 min
    This episode explores how diabetic foot infections, psychiatric medications, and certain antibiotics can interact to cause delirium, psychosis, serotonin syndrome, and other neuropsychiatric effects. It reviews high‑risk antibiotic classes (fluoroquinolones, cefepime, metronidazole, linezolid), common drug‑drug risks, and clinical red flags.

    Learn practical management strategies: review all medications, check renal and metabolic status, involve psychiatry and infectious disease, choose safer antibiotic alternatives when needed, monitor vital signs and QTc, and prioritize communication and trust to protect both mind and limb.
  • Diabetic Foot Files

    The Fragile Bridge: Transitional Offloading After a Diabetic Foot Ulcer

    17/03/2026 | 17 min
    In this episode of Diabetic Foot Files we break down transitional offloading — the critical, fragile phase after a diabetic foot ulcer closes when reintroducing pressure too quickly can reopen wounds.

    We cover the physiology of healed tissue, the biomechanics of pressure, a phased protocol (strict offloading, protected weight bearing, custom orthotics, then monitored full activity), case examples, and modern tools like pressure mapping and smart insoles.

    Key takeaways: gradual pressure reintroduction, proper footwear and orthotics, daily foot inspections, and ongoing multidisciplinary follow-up to reduce high recurrence risk.
  • Diabetic Foot Files

    Unmasking Diabetic Autonomic Neuropathy

    15/03/2026 | 20 min
    This episode explores diabetic autonomic neuropathy — the widespread nerve damage from chronic high blood sugar that affects the heart, gastrointestinal tract, bladder, sweat glands and more. It explains how this condition can cause silent heart attacks, resting tachycardia, orthostatic symptoms, gastroparesis, bladder and sexual dysfunction, and why diabetic foot ulcers may be a visible sign of deeper systemic disease.

    We cover the main mechanisms (polyol pathway, AGEs, oxidative stress, microvascular ischemia), how clinicians diagnose it (heart rate variability, tilt-table, troponin, imaging), and practical prevention and management steps: tight glucose control, vascular care, blood pressure and cholesterol management, exercise, and multidisciplinary follow-up.
  • Diabetic Foot Files

    Bacterial Social Media: Quorum Sensing in Diabetic Foot Ulcers

    14/03/2026 | 21 min
    Dr. G explains quorum sensing — the chemical "language" bacteria use to coordinate biofilm formation, virulence, and antibiotic resistance in diabetic foot ulcers.

    He covers how biofilms form, why diabetic wounds favor them, the role of debridement, and emerging treatments (quorum sensing inhibitors, enzymes, bacteriophages, nanoparticles) to disrupt bacterial communication and improve healing.
  • Diabetic Foot Files

    The Green Antiseptic: Chlorophyll’s WWII Wound Revolution

    12/03/2026 | 12 min
    In this episode Dr. G explores chlorophyll’s surprising history and medical potential — from its chemical similarity to hemoglobin and wartime use as a wound antiseptic to the development of chlorophyllin.

    We cover the science behind its antimicrobial effects (photodynamic action, toxin binding, anti-inflammatory signaling), its role in odor control and granulation, and why researchers are revisiting it amid rising antibiotic resistance.

    The episode connects these findings to diabetic wound challenges and ongoing research into chlorophyll derivatives as adjuncts in modern wound care.

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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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