IPEB/ VA Ratings Diabetes

[goldenboy]

Hello,
Looking for some advice with IPEB and VA one time reconsideration(Air Force). Recently diagnosed with Type 1 Diabetes about 7 months ago. I just started the IPEB and was notified I should be being VA ratings in the mail any day. When I was looking other my IDES case file I noticed that on the VA DBQ the examiner marked no for regulation of activities. This makes me almost certain that the VA rating will come back as 20%. In the same case file it shows my Endocrinologist notes " Restricted diet: carbohydrate balanced diet with carbohydrate counting and avoiding strenuous activity. A minimum of 2 appointments per month in Diabetics Clinic(DCC)." On the VA DBQ it states the definition of regulation of activities " can be defined as avoidance of strenuous occupational activities with the intention of avoiding hypoglycemic episodes." Am I wrong for thinking I have a strong case to argue VA 40% rating if they come back at 20%. Should I indicate that the VA examiner make a mistake and request a VA reconsideration when my ratings come back. Any help is greatly appreciated. Thanks!

 

[oddpedestrian]

The rater is suppose to review the whole file including the examiner notes just have to wait and see.

 

[chaplaincharlie]

If you get 20% you can request a VARR.

 

[goldenboy]

If you get 20% you can request a VARR.

Thank you for your reply. I just got my ratings back as 60% VA but was put on TDRL. Going to FPEB to ask for PDRL as my condition is permanent and stable. Any advice for helping me achieve this outcome? I also have gotten my endocrinologist to write a letter stating my condition is permanent and will not improve or get worse.

 

[Provis]

Thank you for your reply. I just got my ratings back as 60% VA but was put on TDRL. Going to FPEB to ask for PDRL as my condition is permanent and stable. Any advice for helping me achieve this outcome? I also have gotten my endocrinologist to write a letter stating my condition is permanent and will not improve or get worse.

I think your strategy is sound. Doesn't hurt to then have Primary Care Physician write a letter too. A lot of the times your primary physician will sign one if they see a specialist has done so. The more documents the better.

 

[chaplaincharlie]

Hopefully you have an attorney for your FPEB. A letter from an endocrinologist is sound evidence. Best wishes.

 

[goldenboy]

Hopefully you have an attorney for your FPEB. A letter from an endocrinologist is sound evidence. Best wishes.

Thank you so much for your help. Just wanted to give a quick update. Got two letters from two different endocrinologist's and wrote my personal statement outlining why I was right with AFI and VARSD references. President of the FPEB conceded with out having the hearing and agreed with PDRL 60%. Again, I want to thank everyone who helped me on this forum it has meant a lot.

 

[chaplaincharlie]

Thank you so much for your help. Just wanted to give a quick update. Got two letters from two different endocrinologist's and wrote my personal statement outlining why I was right with AFI and VARSD references. President of the FPEB conceded with out having the hearing and agreed with PDRL 60%. Again, I want to thank everyone who helped me on this forum it has meant a lot.

Outstanding news! Enjoy your retirement.