At their last session in December, Halsema exfoliated dead skin on his feet and removed a splinter. Because of diabetes complications, blood vessels and nerves can be harmed in feet, making it difficult to feel a cut, blister or splinter. If left untreated, they can progress into infections. People with diabetes should also check their feet daily for cuts, blisters, redness and swelling. If it's difficult to see the bottom of each foot, patients can use a mirror or ask someone for help.
Complications also occur because of a decrease in circulation.
Eye problems prevent individuals from having a clear view of their feet. Diabetic retinopathy, which is bleeding in the eye, can cause eye blood vessels to leak blood. Abnormal blood vessels start to grow on the retina, causing further damage. People with diabetes are twice as likely to develop high blood pressure, which can lead to heart disease and stroke, Poulos said. The CDC estimates that 65 percent of people with diabetes have high blood pressure.