correlated with poor glucose control, neuropathy causes nerve damage in the feet and hands that results in loss of feeling(spollett,1998;zangaro & hull,1999).neuropathy affects sensory,autonomic ,and motor narve.with sensory nerve invovement,there is a loss of touch,proprioception temparature
sensation,and pain sensation.as the result of numbness and the loss of pain sensation,an individual will not feel pain from trauma or injury to the foot and will continue to walk.walking and continued pressure on the traumatized area leads to skin breakdown