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Expert Insights

From clinical pearls to emerging research, Expert Insights brings together perspectives from leading voices in diabetic foot care and limb preservation. Explore what experts are saying about prevention, wound healing, infection, vascular health, technology, and the future of saving limbs.

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Dr. Andrew JM Boulton, MD, DSc (Hon), FACP, FICP, FRCP — The Man Who Changed Diabetic Foot Care: Dr. Andrew Boulton on Neuropathy, Prevention & Saving Limbs Worldwide

Dr. Andrew Boulton, a pioneer whose research, leadership, and advocacy have shaped modern approaches to neuropathy, diabetic foot screening, and limb salvage.
With more than 600 peer-reviewed publications, an H-index exceeding 130, and decades of international leadership including roles with global diabetes organizations, Dr. Boulton shares lessons from a lifetime dedicated to one mission: preventing unnecessary amputations and improving the lives of people living with diabetes worldwide. Dr. Boulton also shares personal reflections from his career, including lessons learned from patients, his admiration for pioneers like Dr. Paul Brand, and why the greatest reward in medicine is not financial success — but the ability to change lives.
His message is clear:
Diabetic foot complications are preventable. Screening saves limbs. Early intervention saves lives.
This episode is a must-listen for healthcare professionals, patients, researchers, policymakers, and anyone committed to building a future where amputations become less common and limb salvage becomes the global standard.

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Dr. David Armstrong DPM, MD, PhD - Ending Preventable Amputations: Limb Preservation and Diabetic Foot Remission

One of the world’s most influential pioneers in limb preservation, Dr. David G. Armstrong, DPM, MD, PhD — Distinguished Professor of Surgery and Neurological Surgery and a global leader in limb preservation, whose research has fundamentally changed how clinicians approach diabetic foot disease. With an H-index of 125, Dr. Armstrong is among the most highly cited researchers in the field.
Dr. Armstrong shares the personal story that inspired his lifelong mission to prevent amputations, describing two unforgettable patients whose experiences taught him one of medicine’s greatest lessons—that the absence of pain can be more dangerous than pain itself.
Throughout the conversation, he explains why diabetic foot ulcers remain one of the most underestimated complications of diabetes, introduces the revolutionary concept of diabetic foot remission, and discusses why healing an ulcer is only the beginning of lifelong prevention.
Dr. Armstrong also reflects on the evolution of limb preservation over the past three decades, discusses the rapid advances in digital health and remote monitoring, and shares his vision of a future where preventable diabetic amputations become increasingly rare.
Whether you’re a podiatrist, vascular surgeon, wound care specialist, endocrinologist, nurse, therapist, researcher, student, or someone living with diabetes, this conversation offers invaluable insights from one of the architects of modern diabetic limb salvage.
Key Takeaway
“Find a friend.” According to Dr. Armstrong, preventing amputations isn’t the work of one specialty—it takes interdisciplinary teams united by one mission: keeping patients walking and living healthier lives.

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Vascular Lifeline with Dr. Jay Patel- PAD and How Endovascular Care Saves Diabetic Feet

Dr. Jay Patel joins Diabetic Foot Files to explain peripheral arterial disease (PAD) in diabetes, from screening and imaging to cutting-edge endovascular treatments that restore blood flow and enable wound healing. He discusses why diabetics often develop below-the-knee disease, the role of neuropathy, and practical first-line care including smoking cessation, supervised exercise, and statins.
The episode emphasizes early vascular referral for non-healing wounds or rest pain, outlines outpatient endovascular options and recovery, and shares real-world limb salvage success—underscoring that timely diagnosis and revascularization can prevent amputation and improve quality of life.
More with Dr. Jay Patel at
https://texaseva.com/about-us/dr-jay-patel/

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

Dr. Giulia Baldazzi, a vascular surgeon, fellow and PhD candidate researcher, shares her journey from UCSF to Italy and explores advances in perfusion assessment, revascularization, and limb preservation for diabetic foot care.
She discusses diagnostic innovations (PAT, MaxCORE, NIRS), the importance of early vascular referral and multidisciplinary teams, and practical strategies to prevent amputations and improve healing.

Expert Insights

Where experts share what’s changing, what matters, and what’s next.

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How The Primary Intelligence App Empowers Patients

Join Diabetic Foot Files as Dr. Asha Zimmerman MD , a transplant surgeon who left practice to develop the primary intelligence app which is geared towards informing patients about their health and wellness. Dr Zimmerman discusses Primary Intelligence, an AI-driven app designed to inform patients before doctor visits, improve screening and prevention, and enhance patient–provider communication.
Learn how AI can support early identification of complications, empower patient advocacy, and potentially expand access to evidence-based care while keeping clinicians in the loop.
You can learn more about the Primary Intelligence App at
https://www.primaryintelligence.ai

POGO by DARCO: The Future of Diabetic Footwear

Step into superior comfort with POGO® by DARCO.  Engineered from the insole out, it's the only athletic offloading sneaker featuring Aircore™ Insoles--three times thicker than standard insoles.  Need targeted relief? POGO's removable peg system allows for a custom offloading zone to reduce pressure where it's needed. They're perfect for diabetic foot ulcer prevention and wound closure, blisters, hot spots, and more.  Built for extended wear, POGO® keeps you moving comfortably.  Grab your pair today at DARCODirect.com and use code FootFiles25 for 25% off your first order.
In this episode of Diabetic Foot Files, host Dr. G sits down with Riley Csernica, VP of Product Development for DARCO, to discuss the revolutionary POGO shoe. Designed with intention, the POGO shoe aims to transform diabetic foot care by prioritizing pressure offloading, an essential component in the management of diabetic foot ulcers. Riley shares insights into the innovative design process and the human stories that inspired the creation of this groundbreaking footwear.
Learn about the unique features of the POGO shoe, including its Aircore insoles that offer unmatched cushioning and support, making it a game-changer for those with diabetic foot concerns. This episode explores how the POGO shoe marries fashion with functionality, providing a stylish option for diabetic patients while meeting workplace requirements and enhancing comfort.

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

Dr. G interviews Dr. Andronica Handie, DPM, MS about combining his background in nuclear medicine and biopharmaceutical sciences with podiatric innovation to tackle onychomycosis in diabetic patients. They discuss TripleClear HF, an all‑natural topical antifungal using nanotechnology to penetrate nail plates, trial results showing marked reductions in nail thickness, and safety advantages over systemic antifungals.
Takeaways: TripleClear HF can be used preventively or as primary therapy to reduce fungal burden, improve compliance through rapid visible effects, and may play a role in long‑term diabetic foot hygiene and limb preservation alongside blood sugar control and daily foot checks.

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Medical Malpractice with Dr. Lawyer- Dr Guy Regev MD JD - When Medicine Meets Malpractice: Protecting Patients and Providers

In this episode of Diabetic Foot Files, Dr. G interviews Dr. Guy Regev MD JD , a physician-attorney specializing in medical malpractice, to explore how diagnostic delays, documentation, delayed referrals, and systemic failures can lead to preventable harm. They discuss patient advocacy, red flags for both patients and clinicians, documentation tips, and practical questions patients should ask before surgery.
This conversation focuses on accountability, safety, and education—aimed at protecting limbs and lives by teaching both patients and providers how to recognize and prevent errors before they reach the courtroom.

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