Diabetic Foot Care in Pregnancy: Treating Two Lives at Once

Dr. G explains how pregnancy alters diabetic foot care and why you must treat maternal and fetal risks together. This episode covers stricter glucose targets in pregnancy, safest imaging (ultrasound, MRI without contrast), preferred local anesthesia (lidocaine without epinephrine), recommended antibiotics (e.g., clindamycin), and cautions on CT, gadolinium, and long-term silver or iodine dressings. Key practical points include careful vascular and wound exams, prompt evaluation of puncture wounds and foreign bodies, multidisciplinary decision-making with obstetrics, and tailoring wound care and procedures to minimize fetal risk while managing maternal infection and ischemia.