 Clinical Assessments Baseline Medical History: This will include: duration and type of diabetes, type of diabetes medication insulin, oral, combination therapy, diet, previous history of foot ulcers, previous history of falls, amputation toe, foot, lower extremity bypass, lower extremity angioplasty, Coronary artery bypass surgery, cardiac angioplasty, arthritis, liver disease, osteoporosis, malignancy, and bone tumors. The Kaplan comorbidity index will be used to record disease severity. The New York Heart Association criteria will be used to classify congestive heart failure, and the National Kidney Foundation Disease Outcomes Quality Initiative Clinical Practice Guidelines for chronic kidney disease to stage kidney disease. Research staff will document all prescription and overthecounter medications. Research staff will measure height and weight to determine body mass index BMI. 