At a senior citizens meeting a nurse talks with a client who has diabetes mellitus Type 1. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity?

  • “I give my insulin to myself in my thighs.”

  • “Here are my up and down glucose readings that I wrote on my calendar.”

  • “Sometimes when I put my shoes on I don’t know where my toes are.”

  • “If I bathe more than once a week my skin feels too dry