The long-term complications of diabetes can include visual impairment resulting from retinopathy, cataracts, or glaucoma. Nephropathy may lead to end-stage renal disease, necessitating hemodialysis or peritoneal dialysis. Neuropathy (sensory, motor, and autonomic) is a major nursing concern in elderly patients with diabetes. Sensory neuropathy can lead to lower-extremity ulcers that may eventually neces- sitate amputation. Thus, prevention of trauma to the insensate foot is a major nursing intervention. Nurses can ensure that older adults with diabetes are able to examine their lower extremities and have adequate protective footwear. Sensory peripheral neuropathy can also cause decreased proprioception, resulting in falls and a fear of walking