Dr. G explains why people with diabetes are far more vulnerable to surgical site infections — covering neuropathy, poor blood flow, high blood sugars, immune dysfunction, and common pathogens that colonize incisions. The episode reviews high-risk foot procedures, signs of infection, and evidence-based prevention: preoperative optimization, vascular assessment, strict glucose control, meticulous surgical technique, incisional hygiene, strict offloading, and early intervention. Key takeaway: most diabetic surgical site infections are preventable with careful patient selection, close follow-up, and responsible wound care — because every incision in a diabetic deserves special attention to avoid serious complications.

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