LIMBWatch Series: Dr. Shilpa Rajan Mulki- Look at Your Feet Before You Sleep: Saving Limbs in Resource-Limited Settings

🎙️ Diabetic Foot Files: Limb Watch with Dr. Shilpa Rajan Mulki What if some amputations could be prevented simply by recognizing the warning signs sooner? In this episode of Diabetic Foot Files: Limb Watch, Dr. Gabrielle sits down with Dr. Shilpa Rajan Mulki, a diabetologist and diabetic foot and wound-care specialist practicing in Nairobi, Kenya, for a powerful conversation about limb preservation, prevention, and the gaps that can stand between a patient and saving their limb. Dr. Mulki shares her personal journey into diabetic foot care and explains why multidisciplinary treatment changed the way she approaches complex wounds. Together, they discuss the warning signs of neuropathy and peripheral arterial disease, why so many patients never receive proper foot screening, and how small missed opportunities can eventually lead to devastating complications. The conversation goes beyond the wound itself—exploring offloading, infection and antibiotic misconceptions, nutrition, biomechanics, skin-tone differences in assessment, referral pathways, healthcare access, telemedicine, clinician education, and the importance of building multidisciplinary teams that actually work together. Most importantly, this episode asks a bigger question: Are we doing enough to prevent diabetic foot complications—or are we waiting until the limb is already in danger? Dr. Mulki message is one every person living with diabetes, caregiver, nurse, physician, and healthcare professional should hear: Look at your feet. Recognize the warning signs. Act early. Save the limb. Because limb preservation doesn't begin in the operating room. It begins with prevention