Diabetic Foot Files

Klebsiella in the Wound: The Capsule Cancer Threat to Diabetic Feet

22 Dec 2025

Contributed by Lukas

This episode of Diabetic Foot Files focuses on Klebsiella pneumoniae as an emerging and dangerous pathogen in diabetic foot ulcers, highlighting its c...

Royal Wounds Series : Was King Henry VIII Diabetic?

21 Dec 2025

Contributed by Lukas

In this episode of Diabetic Foot Files Dr. G opens the mini-series "Royal Wounds" by asking whether King Henry VIII’s notorious, years-long lower-le...

Triple Clear HF with Dr. Andronica Handie, DPM, MS - Nanotech Nails: A New Front in Diabetic Foot Care

18 Dec 2025

Contributed by Lukas

Dr. G interviews Dr. Andronica Handie, DPM, MS about combining his background in nuclear medicine and biopharmaceutical sciences with podiatric innova...

The Silent Finisher: Morganella in Diabetic Foot Ulcers

16 Dec 2025

Contributed by Lukas

Dr. G breaks down Morganella morganii — a gram-negative, urease-producing opportunist that appears in late-stage diabetic foot ulcers when tissue is...

Stenotrophomonas Maltophilia in Diabetic Foot Ulcers

16 Dec 2025

Contributed by Lukas

Episode decoding Stenotrophomonas maltophilia — a water-associated, multi-drug resistant bacterium that thrives in hospital plumbing and chronic dia...

The Shape-Shifters of Diabetic Feet: Proteus mirabilis & vulgaris Unveiled

12 Dec 2025

Contributed by Lukas

Dr. G dives into the Proteus genus—Proteus mirabilis and Proteus vulgaris—explaining their history, swarming behavior, urease-driven alkalinizatio...

The Red Invader: Serratia marcescens and Diabetic Foot Ulcers

11 Dec 2025

Contributed by Lukas

In this episode of Diabetic Foot Files we explore Serratia marcescens — a red-pigment producing, opportunistic gram-negative bacterium that can rapi...

Levine vs Essen: The Right Way to Swab Diabetic Foot Ulcers

10 Dec 2025

Contributed by Lukas

Dr. D breaks down two standardized swab techniques—the Levine and the Essen rotary methods—and explains why proper wound cleansing and pressure-ba...

BKA Explained: Surgery, Choices, Rehab & What Comes Next

09 Dec 2025

Contributed by Lukas

In this episode of Diabetic Foot Files we walk through below‑knee amputation (BKA): why it’s performed, how surgeons select the level, and the ste...

The Business of Amputations -Follow the Money: Why Hospitals Profit from Amputations

09 Dec 2025

Contributed by Lukas

This episode explores how healthcare reimbursement incentives make amputations far more profitable than months of limb salvage and wound care for pati...

When Can I Get My Foot Wet? Wounds, Pools & Hot Tubs Explained

04 Dec 2025

Contributed by Lukas

This episode of Diabetic Foot Files explains when and how it’s safe to expose dressings, incisions, ulcers or amputation sites to water — covering...

Dating While Healing: Confidence, Intimacy with an active diabetic foot ulcer or post amputation

02 Dec 2025

Contributed by Lukas

This episode explores the human side of diabetic foot ulcers and how they affect dating, self‑image, and intimacy. Dr. G blends medical facts, psych...

When Pets Meet Diabetic Wounds: Hidden Risks You Need to Know

26 Nov 2025

Contributed by Lukas

In this episode of Diabetic Foot Files Dr. G explores how pets can contaminate diabetic wounds, the common zoonotic bacteria involved (Pasteurella, Ca...

Vinegar to the Rescue: Acetic Acid Protocols for Stubborn Wound Infections

25 Nov 2025

Contributed by Lukas

Dr. G examines acetic acid (medical vinegar) as a low-cost, evidence-based treatment for multi-drug-resistant Pseudomonas aeruginosa in diabetic foot ...

Elective Surgery & Diabetes: What Your Surgeon Isn't Telling You

25 Nov 2025

Contributed by Lukas

Dr. Gabrielle Hutchinson-Donaldson explains when elective foot surgery is appropriate for people with diabetes, the key green and red flags to conside...

Blame the Patient: Why It’s Not Your Fault- And Why Doctor Must Do Better

24 Nov 2025

Contributed by Lukas

In this episode of Diabetic Foot Files the host exposes why patients with diabetic wounds are often unfairly blamed and explains how system gaps, prov...

Surgical Site Infections - Incision to Infection: The Truth About Diabetic Foot SSIs and How to Stop Them

24 Nov 2025

Contributed by Lukas

Dr. G explains why people with diabetes are far more vulnerable to surgical site infections — covering neuropathy, poor blood flow, high blood sugar...

Holiday Heel: How Calcaneal Fractures Break Your Season

19 Nov 2025

Contributed by Lukas

In this episode Dr. G explains “holiday heel” — calcaneal (heel) fractures that spike during the holidays from ladder falls, slips and carrying ...

Thanksgiving Survival Guide for Diabetic Feet: Eat, Protect, Prevent

19 Nov 2025

Contributed by Lukas

This episode offers a concise Thanksgiving survival plan for people with diabetes: which foods help or harm wound healing, how to manage blood sugar b...

Mercury Retrograde & The Reopened Ulcer: Unfinished Business, Cosmic Chaos, Biomechanics, and How to Stop the Cycle Before It Ends in Amputation

17 Nov 2025

Contributed by Lukas

Dr. G uses the Mercury Retrograde analogy to explain why diabetic foot ulcers often recur, covering medical and mechanical causes like osteomyelitis, ...

Being in A Situationship with Your Diabetic Foot Ulcer: breaking the toxic cycle

17 Nov 2025

Contributed by Lukas

Dr. G compares diabetic foot ulcers to a "situationship"—a pattern of ignoring early warning signs, inconsistent care, and delayed follow-up that le...

Cutting the Culprit: How Removing a Peroneus Brevis Saved a Leg

17 Nov 2025

Contributed by Lukas

Dr. G returns with a real-world diabetic foot case about exposed tendons, focusing on the peroneus brevis. This episode explains why exposed tendons r...

Why I believe Winter Time is Gas Gangrene Season- Frost, Flesh and Fermentation: A Deep Dive into Cold Weather Clostridial Infections

17 Nov 2025

Contributed by Lukas

Dr. G returns to Diabetic Foot Files to explain why winter can increase the risk of aggressive diabetic foot infections, including gas gangrene. She r...

Offload First: The Antidote to Neuropathic Plantar Ulcers

07 Nov 2025

Contributed by Lukas

In this episode Dr. G explains why offloading — removing pressure from the ulcer site — is the single most important intervention for neuropathic ...

Please Grow for Me: The Photosynthesis of Diabetic Wound Healing

30 Oct 2025

Contributed by Lukas

Dr. G examines how growth factors act as fertilizers, and how oxygen and light therapies function like sunlight and air to revive chronic diabetic foo...

Feed Me, Seymour: The Metabolic Appetite of Diabetic Wounds

30 Oct 2025

Contributed by Lukas

Dr. G explores how wound healing is an active metabolic process — what wounds need (calories, protein, oxygen, vitamins and minerals), how hyperglyc...

Diabetic Foot Abscesses: When Pus Hides Beneath the Skin

27 Oct 2025

Contributed by Lukas

This episode of Diabetic Foot Files explains how abscesses form in diabetic feet, why they can develop quickly and silently, and the importance of ide...

The Vampire's Cure: Why Bleeding Can Mean Healing

24 Oct 2025

Contributed by Lukas

In this Halloween edition of Diabetic Foot Files, Dr. G blends vampire lore with wound-care science to show how blood can signal healing—not horror....

Don't Stop Early: Why Finishing Antibiotics Saves Feet

20 Oct 2025

Contributed by Lukas

Dr. Gabrielle Hutcheson -Donaldson explains why completing prescribed antibiotic courses is critical for diabetic foot infections: early symptom relie...

Speak Wound Fluently: Foundations of Diabetic Foot Ulcer Terminology

14 Oct 2025

Contributed by Lukas

Dr. G returns to the foundation of diabetic limb salvage, explaining essential ulcer terminology—erosion, partial/full-thickness ulcers, tunneling, ...

Vascular Insights with Dr. Giulia Baldazzi MD, vascular surgery fellow and PhD candidate from Italy 🇮🇹: Healing begins with circulation

11 Oct 2025

Contributed by Lukas

Dr. Giulia Baldazzi, a vascular surgeon, fellow and phd candidate researcher, shares her journey from UCSF to Italy and explores advances in perfusion...

Tiny Ring, Big Risk: Porokeratosis on the Diabetic Foot

10 Oct 2025

Contributed by Lukas

Dr. G explains porokeratosis — a ring-like skin disorder that can masquerade as a callus or wart and cause pain, ulceration, and even malignant chan...

Forgotten Feet: Diabetes Behind Bars/The Incarcerated

10 Oct 2025

Contributed by Lukas

Dr. G (Woon Picasso) exposes the hidden crisis of diabetic foot disease in prisons: its prevalence, the resource and policy barriers that lead to miss...

Silver Nitrate: The Secret Weapon Against Hypergranulation

08 Oct 2025

Contributed by Lukas

Dr. G explains how silver nitrate works as a quick, low-cost chemical cautery for treating hypergranulation ("proud flesh") in diabetic and other chro...

How the 2025 Nobel Prize on T‑Regs Could Transform Diabetic Foot Care

07 Oct 2025

Contributed by Lukas

Dr. Gabrielle Hutchison Donaldson dives into the 2025 Nobel Prize in Physiology or Medicine for discoveries about regulatory T cells (T‑regs), expla...

Shiny Red Leg? Understanding Erysipelas in Diabetes

02 Oct 2025

Contributed by Lukas

Dr. G explains erysipelas — the classic shiny, well-demarcated red leg — covering its causes (mainly streptococcal), distinguishing it from cellul...

To Kling or To Kerlex, that is the question- Mastering Gauze Rolls in Diabetic Foot Ulcer Care

01 Oct 2025

Contributed by Lukas

Dr. G explains the key differences between Kling (conforming) and Kerlex (bulky padding), when to use each, and how wrapping technique and tension can...

Sparks of Healing: How Piezoelectricity Could Transform Diabetic Foot Care

30 Sep 2025

Contributed by Lukas

This episode explains the piezoelectric effect—how mechanical stress creates tiny electrical signals—and how those signals guide cell migration, a...

IV or Oral? Choosing the Right Antibiotic for Diabetic Foot Infections

23 Sep 2025

Contributed by Lukas

Dr. G explains when to use IV versus oral antibiotics for diabetic foot infections, covering severity-based choices, common empirical regimens, and wh...

Understanding Drop Foot: A Hidden Diabetic Danger

22 Sep 2025

Contributed by Lukas

Dr. G explains drop foot — the inability to lift the front of the foot — and why people with diabetes are at special risk due to neuropathy, compr...

Global PAD Association with Emmy Award winning journalist, entrepreneur and advocate Kym McNicholas -Saving Limbs, Saving Lives: Inside the Fight Against PAD with Kim Nicholas

16 Sep 2025

Contributed by Lukas

Dr. G interviews Emmy winning journalist Kym  Nicholas, CEO and co‑founder of the Global PAD Association, about peripheral arterial disease (PA...

Second Chances: Repurposed Drugs Healing Diabetic Foot Ulcers

15 Sep 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. G explores how existing medications — from metformin and insulin to statins, fentanyl, sildenafil, doxyc...

Semaglutide Steps In: New Hope for PAD Patients

15 Sep 2025

Contributed by Lukas

This episode explores new randomized evidence that semaglutide, a GLP-1 receptor agonist used for diabetes and weight loss, can improve walking distan...

The Dangerous Duo: PAD and Kidney Disease in Diabetes

14 Sep 2025

Contributed by Lukas

In this episode of Diabetic Food Files we explain how peripheral arterial disease (PAD) and chronic kidney disease (CKD) interact in people with diabe...

From Hippocrates to Gene Therapy: The Journey of Diabetic Peripheral Arterial Disease

12 Sep 2025

Contributed by Lukas

This episode of Diabetic Foot Files explores peripheral arterial disease (PAD) in people with diabetes — its history, how diabetes accelerates arter...

How Nicotine Silences Healing: The Diabetic Foot Risk

11 Sep 2025

Contributed by Lukas

Dr. G explains how nicotine — from cigarettes, vapes, pouches, and nicotine replacement products — reduces blood flow, disrupts immune and cellula...

Pinky Toe Peril: Why Fifth Metatarsal Ulcers Threaten Limbs

11 Sep 2025

Contributed by Lukas

A focused look at fifth metatarsal ulcers in diabetic patients — why they form, how the peroneus brevis and lateral biomechanics drive injury, and t...

Mockingbird Sclerosis: The Silent Vascular Threat in Diabetic Feet

10 Sep 2025

Contributed by Lukas

This episode explains Monckeberg ("Mockingbird") sclerosis—a medial arterial calcification common in diabetes and chronic kidney disease—how it st...

Diabetic Foot Wound Culture- Amputation Isn’t Inevitable: Changing Diabetic Foot Care Culture

08 Sep 2025

Contributed by Lukas

This episode explores how the current culture around diabetic foot ulcers drives unnecessary amputations and presents a practical, evidence-based road...

Tiny Messengers, Big Hope: Can Exosomes Heal Diabetic Foot Ulcers?

08 Sep 2025

Contributed by Lukas

Dr. G explores exosomes—small, cell‑derived vesicles—and how they may accelerate diabetic foot ulcer healing by modulating inflammation, promoti...

Numbing the Pain: Essential Foot Blocks for Diabetic Debridement & Amputation

05 Sep 2025

Contributed by Lukas

Episode walkthrough of local anesthesia for diabetic foot procedures: why blocks are essential even in neuropathic patients, how infection changes pai...

When Dressings Attack: Allergic Reactions in Diabetic Foot Care

03 Sep 2025

Contributed by Lukas

This episode explains how dressings can cause irritant or allergic contact dermatitis in diabetic foot ulcers, how to tell the difference from infecti...

Why Your Everyday Painkiller Might Stall Diabetic Wound Healing

01 Sep 2025

Contributed by Lukas

Dr. G explains how common NSAIDs (ibuprofen, naproxen, celecoxib, etc.) can interfere with the wound-healing process in people with diabetes by blocki...

Diabetic FootFiles Wound Draft 2025: Building the Ultimate Limb Salvage Team

01 Sep 2025

Contributed by Lukas

Dr. G hosts the First Annual Diabetic FootFiles Wound Draft, using an NFL-draft theme to rank the essential members and therapies of a winning wound c...

Healing is in Your DNA- I Don't Force Skin to Grow — We Remove What Stops It

28 Aug 2025

Contributed by Lukas

Dr. G explains that the body already knows how to heal skin — wound care specialists don’t force growth, they remove barriers like dead tissue, bi...

Ozone Therapy: A Breath of Hope for Diabetic Foot Ulcers

27 Aug 2025

Contributed by Lukas

Dr. Gexplores ozone therapy as an adjunctive treatment for diabetic foot ulcers, explaining what ozone is, how it’s applied (bagging, ozonated w...

To Pop or NOT TO POP- Blisters Aren't Equal: Why Every Blister Matters in Diabetes

21 Aug 2025

Contributed by Lukas

Dr. G breaks down why "a blister is not just a blister"—covering friction, burn, blood, infectious, fracture, autoimmune, and diabetic blisters. Lea...

Liquid Gold: How Your Plasma Can Heal Diabetic Foot Ulcers

20 Aug 2025

Contributed by Lukas

In this episode Dr. G (Wound Picasso) explains autologous plasma therapy for diabetic foot ulcers — what plasma is, how PRP and PPP are prepared and...

Hocus Pocus of Diabetic Wounds

19 Aug 2025

Contributed by Lukas

Dr. G explores how ancient remedies, rituals, and the power of words intersect with modern diabetic wound care — from medical-grade honey and garlic...

Phage Power: A New Hope for Antibiotic‑Resistant Foot Wounds

18 Aug 2025

Contributed by Lukas

Dr. G explores bacteriophage (phage) therapy as an experimental treatment for infected diabetic foot ulcers, explaining how phages work, their history...

Minocycline: A Tetracycline With a Twist — Treating Mild Diabetic Foot Infections and Mood?

18 Aug 2025

Contributed by Lukas

Dr. G explores minocycline, a tetracycline antibiotic useful for mild skin and soft tissue diabetic foot infections, particularly when MRSA is a conce...

Pack, Protect, Enjoy: Traveling with a Diabetic Foot Ulcer

15 Aug 2025

Contributed by Lukas

Dr. G explains how to travel safely with a diabetic foot ulcer: why travel increases risk, what to pack, and how to dress and protect your wound on th...

"Mastering Bactrim: What Every Clinician Should Know About Diabetic Foot Ulcers"

13 Aug 2025

Contributed by Lukas

Welcome back to Diabetic Foot Files, your clinical guide to wound care with a touch of nerdy insight. In this episode, we delve into the antibiotic Ba...

Dakin's Solution: From World War I to Modern Wound Clinics

12 Aug 2025

Contributed by Lukas

Welcome to another insightful episode of Diabetic Foot Files with Dr. G, where we delve deep into a historical yet potent wound care solution that has...

The Illusion of Healing: Understanding Pseudogranulation in Diabetic Foot Care

06 Aug 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, we delve into the intriguing and deceptive world of pseudogranulation tissue. Often mistaken for signs of heal...

"WH= [T+C+O+G+N]-[I+B+P]. Decoding the Mathematical Formula for Wound Healing"

05 Aug 2025

Contributed by Lukas

Welcome to another episode of Diabetic Foot Files with Dr. G, where we delve into the intricate world of wound healing by applying a mathematical lens...

"From Chiron to Athena: Mythical Inspirations for Healing Diabetic Wounds"

04 Aug 2025

Contributed by Lukas

Welcome to another intriguing episode of Diabetic Soft Files, where we blend the ancient allure of Greek mythology with the practical aspects of diabe...

Unveiling the Hidden Link: Antidepressants in Diabetic Wound Care

03 Aug 2025

Contributed by Lukas

Welcome to another insightful episode of Diabetic Foot Files, where Dr. T explores the unconventional yet intriguing connection between antidepressant...

“ Forced to Amputate” Amputation: Choice or Coercion?

02 Aug 2025

Contributed by Lukas

In this episode of 'Diabetic Foot Files', Dr. Chi delves into the emotional and literal challenges faced by patients dealing with diabetic wounds. Exp...

Foreign Bodies -Unseen Threats: Navigating Foreign Bodies in Diabetic Feet

31 Jul 2025

Contributed by Lukas

In this engaging episode of "Diabetic Foot Files," Dr. G, also known as Moon Picasso, unveils the often-overlooked dangers that foreign bodies pose to...

Are You Going To Stay The Night - From Fear to Empowerment: Navigating Diabetic Foot Admissions with Confidence

30 Jul 2025

Contributed by Lukas

In this insightful episode, Dr. G demystifies the process of hospital admissions for diabetic foot complications. Many patients experience anxiety and...

Navigating the Risks of Fish Pedicures: A Cautionary Tale

30 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. Gabrielle Hutchinson-Donaldson uncovers the hidden risks behind the viral beauty trend of fish pedicures, ...

Staphylococcus Auricularis: The Overlooked Microbe in Wound Healing

28 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, hosted by Dr. Gabrielle Hutchinson-Donaldson, we delve into the intriguing world of Staphylococcus auricularis...

"When Rivers Run Dry: Tackling Peripheral Arterial Disease and Diabetes"

26 Jul 2025

Contributed by Lukas

Welcome to this episode of Diabetic Foot Files, where we delve into the often overlooked but critical issue of peripheral arterial disease (PAD) in di...

"No Pressure: Offloading Strategies Unveiled"

24 Jul 2025

Contributed by Lukas

Welcome back to Diabetic Foot Files, where we unpack the vital role of offloading in wound healing. In this episode titled "No Pressure," we delve int...

POGO by DARCO: The Future of Diabetic Footwear

23 Jul 2025

Contributed by Lukas

Step into superior comfort with POGO® by DARCO.  Engineered from the insole out, it's the only athletic offloading sneaker featuring Aircore&...

Freezing Foot Ulcers: How Cryotherapy is Revolutionizing Diabetic Wound Care

22 Jul 2025

Contributed by Lukas

Welcome to another episode of 'Diabetic Foot Files', where Dr. G delves into the unconventional yet promising world of cryotherapy as a potential trea...

Rifampin: The Superhero Antibiotic for Diabetic Ulcers

21 Jul 2025

Contributed by Lukas

Welcome to another enlightening episode of Diabetic Fit Files with Dr. G, your Doe Board-certified podiatrist and wound care specialist. In today's ep...

"Epigenetics and Diabetic Foot Care: Transforming Science into Healing"

20 Jul 2025

Contributed by Lukas

Welcome back to Diabetic Foot Files where healing transcends beyond science and becomes personal. In this episode, Dr. G, also known as the Wound Pica...

The Flesh-Eating Bacteria Lurking in Warm Waters

18 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. G uncovers a deadly bacterial infection that poses a significant threat, especially to diabetics. Vibrio V...

"Electrifying Healing: Transforming Diabetic Foot Ulcers with Electricity"

17 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. G delves into the innovative world of electrical stimulation therapy for treating diabetic foot ulcers. Ex...

Hidden Highways of Healing: Understanding Chronic Wound Pathways

16 Jul 2025

Contributed by Lukas

Welcome to an insightful episode of Diabetic Foot Files, where Dr. G, also known as Wound Picasso, delves into the intricate world of chronic wounds. ...

Unveiling the Power of Acticoat 7 in Wound Care

15 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. G delves into the revolutionary benefits of Acticoat 7, a nano-crystalline silver dressing that provides s...

Decoding Diabetic Foot Necrosis: Early Signs and Lifesaving Steps

13 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, hosted by Dr. G, we delve into the complexities of identifying necrosis in diabetic lower extremities. Listene...

Silent Threats of Heel Pressure Injuries : The Dangers of Heel Pressure Ulcers in Diabetics

12 Jul 2025

Contributed by Lukas

In this latest episode of Diabetic Foot Files, Dr. G sheds light on the often overlooked yet highly critical issue of heel pressure ulcers in diabetic...

"Wednesdays with The Wound Picasso: Turning Wound Care into an Art Form"

10 Jul 2025

Contributed by Lukas

Welcome to another engaging episode of Diabetic Foot Files, where we transform wound care into an artistic journey. In "Wednesdays with The Wound Pica...

From Gut to Foot: The Ripple Effects of C. Diff

08 Jul 2025

Contributed by Lukas

In this eye-opening episode, Dr. Chi delves into the world of Clostridium difficile, more commonly known as C. Diff, revealing its significant impact ...

"Cracking the Code: Dactylitis and Its Diabetic Implications"

06 Jul 2025

Contributed by Lukas

In this episode of Diabetic Foot Files, Dr. G delves into the often-overlooked condition of dactylitis, also known as "sausage toe," and its critical ...