Juan Trevino of Fresno, California, entered the U.S. Army after high school and was soon stationed in Vietnam. Juan describes his experiences after returning back home, and the obstacles that he overcame while coping with his disability. Source
Diabetes
As a presumptive condition, obtaining a service connection for compensation is a bit easier as the veteran won't have to prove the cause of the condition, only that the conditions of in country "boots on the ground" service and a diagnosis are met.
After routinely applying for disability compensation for the DMII condition, the veteran will likely be scheduled for a Compensation and Pension (C&P) examination and a rating should soon be assigned.
DMII is a serious condition that will have an affect on the veterans entire body and particularly the arterial vascular system. DMII is a contributer to atherosclerosis or hardening of the arteries. A smart veteran will pay close attention to treatment plans provided by the VA clinic or medical center.
As the disease progresses, it may contribute to heart attack, stroke, erectile dysfunction, peripheral vascular disease (claudication or pain in the legs with exrecise) and a loss of vision.
Veterans should consider that a part of the care plan for their DMII is that if and when any of these conditions are noted, an application for an increase in benefits should be submitted.
The regulation at Title 38, Part 4, Subpart B, Sec. 4.119 Schedule of ratings--endocrine system, 7913 Diabetes mellitus tells us that the condition may be rated at 40% if you require insulin, a restricted diet, and regulation of activities. The condition may rate only 20% if you require insulin and restricted diet, or; oral hypoglycemic agent and a restricted diet.
VA defines "regulation of activities" as, "avoidance of strenuous occupational and recreational activities". If a veteran is applying for an increase in the diabetes benefit, it would be smart to have a statement from a physician advising the veteran patient to "avoid strenuous occupational and recreational activities".
Peripheral neuropathy may also be associated with DMII. Although peripheral neuropathy is considered a presumptive condition to herbicide exposure, an Agent Orange cause for peripheral neuropathy is timely and must occur within months of exposure. The veteran should remember to distinguish between peripheral neuropathy caused by DMII and that caused by exposure to Agent Orange. VA will consider that the peripheral neuropathy caused by DMII is a service connected condition secondary to the DMII and it will usually deny any new claims for the condition if claim as an Agent Orange related condition.
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