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by Diabetic Foot Files
Welcome to the Diabetic Foot Files Podcast and the LIMBWatch series — where diabetic foot surveillance, wound intelligence, prevention science, and limb preservation come together. I’m Dr. G / Dr. WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson, podiatrist and wound care specialist, and I’m here to educate, empower, and guide you through the evolving world of diabetic foot care. From wound healing and pressure injuries to surveillance systems and amputation prevention, we break down the science, challenge the myths, and share strategies that help save limbs and improve lives. Whether you’re a patient, caregiver, clinician, or healthcare professional, this is your destination for diabetic foot education, prevention, and preservation. LIMBWatch: Surveillance Before Salvage - World Leaders in LIMB Salvage So let’s dive in — because when you take care of your feet, they take care of you.
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- 1 weeks ago46 min
LIMBWatch Series- Jonathan Brocklehurst- Grandpa, Where Are Your Shoes? — The Question That Can Save Feet
Episode Summary Where Are Your Shoes? Turning Family Conversations Into Diabetic Foot Surveillance | LIMBWatch with Jonathan Brocklehurst In this episode of LIMBWatch, Dr. Gabrielle Hutcheson Donaldson sits down with Jonathan Brocklehurst MSc, MIRL, MRCPod, HCPC Registered Podiatrist, wound-care specialist, educator, and author of Grandpa, Where Are Your Shoes? for a powerful conversation about one of the most overlooked components of limb preservation: early observation and prevention. Jonathan shares the journey that led him from podiatry and amputee care to wound healing, health literacy, and ultimately writing a children’s book designed to make diabetic foot education accessible across generations. At the heart of the conversation is a deceptively simple question: “Where are your shoes?” Jonathan explore how footwear can provide clues about what is happening to the foot—from abnormal wear patterns and pressure to rubbing, deformity, instability, and potential sources of tissue breakdown. They discuss why people living with diabetes and neuropathy may not feel injuries developing, making daily visual inspection of the feet and shoes particularly important. But this episode goes far beyond footwear. Jonathan explains why children and family members can become important partners in diabetic foot surveillance without becoming amateur clinicians, and how simple conversations at home can help reduce stigma, isolation, and health-literacy barriers. The discussion explores the powerful relationship between grandparents and grandchildren—and how a child’s seemingly innocent question can open the door to conversations about diabetes, neuropathy, footwear, prevention, and seeking professional care. The conversation also tackles health equity and footwear affordability, emphasizing that effective diabetic foot prevention must account for social determinants of health and the realities of patients’ lives outside the clinic. In a rapid-fire finale, Jonathan addresses some of the biggest misconceptions surrounding diabetic feet, including the dangerous idea that “if it doesn’t hurt, it isn’t a problem.” He also shares practical advice on daily foot checks, footwear, hygiene, and avoiding potentially harmful DIY foot care. Ultimately, this episode asks us to rethink diabetic foot surveillance. It doesn’t always begin with advanced technology or a wound—it can begin with a question, a pair of shoes, a family conversation, and someone noticing that something has changed. Because sometimes, limb preservation begins at home. Where are your shoes? Check your feet. Check your shoes. Protect every step.
- 1 weeks ago25 min
Pinch Grafting: Tiny Skin, Big Impact on Diabetic Foot Wounds
In this episode Dr. G explains pinch grafting — a simple autologous technique that places tiny pieces of a patient’s own skin onto a prepared wound bed to create epithelial “islands” that promote closure. She covers the history of the Reverden graft, the biology of graft take (plasmatic imbibition, inosculation and neovascularization), and how epidermal islands accelerate re-epithelialization. The episode emphasizes the critical need for wound-bed preparation, adequate perfusion, infection control, offloading, and systemic optimization in diabetic foot care, compares pinch grafts to split-thickness grafts, and outlines indications, common causes of failure, and the role of grafting in limb salvage.
- 1 weeks ago17 min
10 Habits Every Person with Diabetes Needs
This episode of Diabetic Foot Files shares ten practical habits to prevent serious foot problems and limb loss in people with diabetes. The host emphasizes vascular assessment as the top priority and walks through daily foot checks, never ignoring small wounds, checking shoes, wearing proper footwear, protecting feet from heat, avoiding home surgery and soaking, taking toenails seriously, knowing personal risk, and having an action plan for problems. Listeners will learn simple, actionable steps to spot issues early, seek prompt professional care, and preserve mobility and quality of life.
- 1 weeks ago14 min
Silent Signals: Thirst, Fatigue, and the Diabetes You Didn’t Know You Had
Dr. G explains how type 2 diabetes can develop quietly and describes common but often overlooked early signs — persistent thirst and urination, fatigue, blurry vision, recurrent infections, slow-healing cuts, numbness in the feet, increased hunger, and unexplained weight loss. The episode also covers how diabetes is diagnosed (A1C, fasting glucose, and glucose tolerance tests), who should be tested, when high blood sugar becomes an emergency, and why regular screening and early detection matter to prevent serious complications.
- 2 weeks ago8 min
When Clinical Inertia Sinks Diabetic Foot Care
Dr. G uses the giraffe-in-quicksand metaphor to show how clinical inertia and tunnel vision quietly worsen diabetic foot ulcers. Clinical inertia isn't doing nothing—it’s doing too little: repeating dressings, documenting instead of investigating, or delaying referrals. She outlines four types of inertia (diagnostic, therapeutic, referral, cognitive), stresses multidisciplinary care, and gives clinical pearls: "stable" ≠ healing, always reassess diagnoses, address blood flow, infection, nutrition, and adherence, and prioritize curiosity, humility, and collaboration to prevent limb loss.
- 2 weeks ago27 min
Who Deserves It and Who Needs It- Denied, Delayed, or Dismissed: Medical Necessity, Prior Auth, and Equity in Diabetic Foot Treatment
In this episode Dr. G explains how medical necessity and insurance rules affect diabetic foot care, limb salvage, and amputation prevention. You’ll learn what "medically necessary" really means, how prior authorization and denials work, what to include in an appeal or medical necessity letter, and the clinical consequences of delays. The episode also highlights health equity—how socioeconomic barriers change access to care—and encourages patients and clinicians to advocate, document clearly, and explore appeal options to protect limbs and lives.
- 2 weeks ago17 min
Saving the Limb: How PICC Lines Fit into Diabetic Foot Treatment
This episode explains what a PICC line is (Peripherally Inserted Central Catheter), how it delivers prolonged antibiotics, and why it is not automatically required for every diabetic foot infection. Dr. G covers when a PICC makes sense, the importance of source control and multidisciplinary care, the risks and warning signs to watch for, and how patient involvement and infectious disease guidance determine duration and route of therapy.
- 2 weeks ago22 min
Forgotten Infection Friday: The Hidden Danger of Pyomyositis
Dr. G discusses pyomyositis — a deep skeletal muscle infection that can occur in people with diabetes, how it differs from cellulitis, its stages, common causes, typical pathogens, diagnostic steps including MRI and labs, and the importance of source control, imaging, and vascular assessment. Key takeaways: the visible ulcer may be only the surface of a deeper infection, early recognition and imaging are critical, and management often requires both antibiotics and surgical drainage plus attention to offloading and vascular status.
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About Diabetic Foot Files
Welcome to the Diabetic Foot Files Podcast and the LIMBWatch series — where diabetic foot surveillance, wound intelligence, prevention science, and limb preservation come together. I’m Dr. G / Dr. WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson, podiatrist and wound care specialist, and I’m here to educate, empower, and guide you through the evolving world of diabetic foot care. From wound healing and pressure injuries to surveillance systems and amputation prevention, we break down the science, challenge the myths, and share strategies that help save limbs and improve lives. Whether you’re a patient, caregiver, clinician, or healthcare professional, this is your destination for diabetic foot education, prevention, and preservation. LIMBWatch: Surveillance Before Salvage - World Leaders in LIMB Salvage So let’s dive in — because when you take care of your feet, they take care of you.
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