Also I have sleep apnea. And your right on your first question. Sleep apnea you get 50% with a machine, so why can't you 40 or % if your have a insulin pump it is a machine......
I just went through this exact scenario. Originally, I was found unfit by the PEB (given an overall rating of 60%) and placed on the TDRL. However, in the breakdown of my disabling conditions, my type 1 diabetes was only VA rated at 20%. I felt this was unfairly low, especially considering how restrictive and severe type 1 can be on one's lifestyle. I decided to request a one-time VA reconsideration on the diabetes alone (against the advice of my PEBLOs, Navy doctor...everyone really). I subimitted additional medical records, a personal statement, evidence of being waived from PFAs, etc. It took almost 12 weeks but this Monday I got the final paperwork back. The VA accepted my request, diabetes was bumped up to 40% and my overall disability went to 70%. However, I'm still on the TDRL and it sounds like I will have to continue this fight at my 18 mo re-evals for the next five years, potentially. If anyone wants more info regarding the details on my experience with the IDES system and type 1, please message me. I also have two questions, for anyone who might know...
1. Why does the VA (and military in general) take such an archaic attitude toward diabetes and also have no distinctions between type 1 and type 2...two totally different diseases? From my understanding, they will give 50% automatically for sleep apnea but we have to jump through all these hoops, just to get 40%?
2. Is everyone having a bad experience with their PEBLOs/med board office like I have? During this entire process, they have done nothing but discourage me at every opportunity, kept me in the dark about the status of my package, and even been openly hostile when questioned about the process and my rights. Aren't they supposed to be the patient liaisons in this IDES system?

