Type 1 Diabetes (Recieved Proposed Rating VA??)

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?
 
Help me.. I'm trying to get my type 1 from 20% to 40%. Tell me how you did it. I have a formal hearing on Friday the 13th of September.

Key to a 40% finding is, in addition to insulin prescription, having "regulation of activities." As this is a rating issue, in the IDES process, the VA is the agency where this must be addressed. You can do a one-time (while in IDES) VA rating reconsideration.
 
Can anyone please help me? I was boarded out too with 20% and severance. I got 60% from the VA initially upon discharge but was upgraded to 100% IU in about 6 months. I am also found disabled by the SSDI and am currently at 100% P&T by the VA. Will this help in my situation? I am new at this on this site and will appreciate all help I can get. Thanks in advance.
 
Can anyone please help me? I was boarded out too with 20% and severance. I got 60% from the VA initially upon discharge but was upgraded to 100% IU in about 6 months. I am also found disabled by the SSDI and am currently at 100% P&T by the VA. Will this help in my situation? I am new at this on this site and will appreciate all help I can get. Thanks in advance.

Welcome to the PEB Forum! :)

Indeed, one suggestion is to open your own separate thread addressing your inquiry in order to potentially obtain an abundance of feedback.

To that extent, within the new thread please address the same information as annotated above in reply #23 in addition to what exactly is your situation and what type of assistance are you seeking?

That said, no worries in that PEB Forum members can potentially offer some sound and insightful information. :cool:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Greetings... I'm not sure if anyone will see this post since the last post was from 2013 and 2012 before that. Has anyone had the VA decrease your rating for something? When I retired last year, I was Type II Diabetes, taking insulin injection and oral medication had restricted diet and regulation of activities. Well, after I received my rating of 40%, I was diagnosed with Type I Diabetes and the above, along with multiple injections of insulin each day. Since September this year, I was put on an insulin pump and no longer take insulin injections or oral medication, but, I still have to regulate my activities and have a restricted diet. I had an appointment today with someone that interviewed me and will send the information to the VA. I doubt they will raise it to 60%, even though I did have episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year. Anyway, I'll let you know in a few months if they lowered my rating.
 
You will make your election for the reconsideration, file anything you want them to consider (cover letter, additional evidence, whatever), and they will relook your rating. This occurs while you are still on active duty. Impossible to say how quickly this might happen...I have seen very quick responses (few weeks) and I recently had a case that took many months (I think it was 6, but I have not looked at the exact timing). Additional exams? I think it is within their authority to do this, but I doubt they would in most cases.

In your case, I think you just reference what they missed (i.e., the statement about regulation of activities). Only question I would have is whether your C&P exam stated something different about regulation of activities. In that case, I think you would be best served by a memo making a legal argument about what the VA exams are required to contain, the requirements for examiners to review records, and anything else applicable to your case.

Question .. I'm going through the same thing with a VA recon right now for type 1 diabetes. The VA rated me 20 for type one and the DOD rated me 20. I meet all requirement for a 40 percent rating. Question is .. if the VA comes back and approves 40 percent ..will the DOD match that percentage so I can get retirement ?
 
Question .. I'm going through the same thing with a VA recon right now for type 1 diabetes. The VA rated me 20 for type one and the DOD rated me 20. I meet all requirement for a 40 percent rating. Question is .. if the VA comes back and approves 40 percent ..will the DOD match that percentage so I can get retirement ?
Yes. The military must use the rating provided by the VA.
 
I recieved my proposed VA rating today via mail for type 1 diabetes, and the VA proposed 20%. Now i know this is fairly common but in my disposition and recommendations my endocrinologist states "must avoid strenuous and occupational and recreational activities in order to prevent hypoglycemic episodes and must restrict diet in order to help control blood glucose levels" this is exactly how it is stated..
And in the VAs explanation it says " a proposed higher evaluation of 40% is NOT warranted unless there is restriction of activties" My question is isnt that exactly what my endo put?? I feel as though i have all the criteria to recieve 40%.. I DO NOT UNDERSTAND?? Any info or opinions would be helpful
I recieved my proposed VA rating today via mail for type 1 diabetes, and the VA proposed 20%. Now i know this is fairly common but in my disposition and recommendations my endocrinologist states "must avoid strenuous and occupational and recreational activities in order to prevent hypoglycemic episodes and must restrict diet in order to help control blood glucose levels" this is exactly how it is stated..
And in the VAs explanation it says " a proposed higher evaluation of 40% is NOT warranted unless there is restriction of activties" My question is isnt that exactly what my endo put?? I feel as though i have all the criteria to recieve 40%.. I DO NOT UNDERSTAND?? Any info or opinions would be helpful
 
Developed Type 1 Diabetes on Active Duty in in SEP 2002.

I met an ANGEL online. I was told by an AMVETs rep when I discharged--after looking through all of my service records--I WOULD ONLY QUALIFY FOR 40%, that there were no more ratable conditions in my records.

FFWD almost 16yrs . . . I learned miracles still exist!

In just 2-3 weeks my ANGEL went through all of my Service & VA records--line by line might I add. SHE FOUND (CONSERVATIVELY) 410%. And like the thread title suggests . . . with no congressional letters or collaboration with a VSO, I was given 100% T&P and into my savings account within ONE WEEK OF uploading my first official and complete claim attempt . No joke! My claims were submitted to eBenefits in the last week of April and processed by May 2nd.


Best,
mkeeker23
 
Yes. The military must use the rating provided by the VA.

JASON PERRY:

Can you share where the regulations support DoD following the VA rating as opposed to the other way around. I was awarded 30% DoD and 40% SC disability immediately following MEB medical/honorable separation from the Air Force.


Best,
mkeeker23
 
I too am going through a PEB and have received 20%DOD and 80%VA. I want to know if the reconsideration is bumped up to 40% on the DOD % does that bump up my VA%?
 
I too am going through a PEB and have received 20%DOD and 80%VA. I want to know if the reconsideration is bumped up to 40% on the DOD % does that bump up my VA%?
Yes, it does.
 
If DOD% is bumped from 20% to 40% for Type I diabetes would that bump VA from 80% to 100%?
 
If DOD% is bumped from 20% to 40% for Type I diabetes would that bump VA from 80% to 100%?
Maybe, but probably not. It gets harder and harder to get an extra 10% the higher you go in the ratings scale. Whether the 20% to 40% would push you over the edge depends on all of your other ratings.

There's a quick and easy calculator here: https://goodcalculators.com/va-disability-calculator/. Note, that calculator doesn't include the Bilateral Factor, which can get you a few extra percentage points.
 
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?

I certainly have had the worst person I think that could be a PEBLO. I am assigned to Camp Atterbury. Ronald Pruitt is mine. I was constantly pushed to just accept and move along. Always had to be the one calling and emailing him. I realize he has more clients but not answering simple emails within a month of receiving them is pretty bad. And to top things off I've asked him many questions that he didn't even know the answer too or couldn't at least find the answer or point me in the right direction. BUT my saving grace was this website and others that I heavily researched for answers. And I'm going on my 2nd year in IDES. I'm currently at the VARR stage.
 
I read through this forum and would just like to thank all the people who are helping/advising those who are confused and frustrated with the MEB/PEB & VA processes. I wish there was something like this back in 2007 when I went through the same thing a lot of you are/have gone through.
I would like to share my story in hopes that it will help in some strange way.

I was diagnosed with Type 1 Diabetes in Apr 2007. I had just gone over 15 years active duty in the Air Force and had just returned from a deployment in Qatar late in 2006. My symptoms began appearing around December of 06', but since I was otherwise healthy, each symptom that popped up was dismissed as something simple (blurry eyesight was because I was getting older). It wasn't until 5 months later, when a common cold sent me to the clinic, that a doctor there (Hickam AFB, HI) began digging a little deeper (maybe because she could see something was off). The subsequent lab came back with an A1C of over 15 and I was immediately given some insulin and a diagnosis of Diabetes.
I was referred to the Endocrinologist at Tripler Army Medical Center where they were able to discover I was Type 1. All of this was completely foreign to me since no one in my family has had Diabetes and I had never been around anyone with that condition. I was also completely unfamiliar with the MEB/PEB process. I was a little lost. I had great nurses that helped me understand what I was in store for with Diabetes, but not so great doctors to help me grasp what was going to happen with my career.

Fast forward a few weeks and I am waiting for the results from the board. I've been prepped from my primary care doctor that he has not seen anyone with type 1 Diabetes given a chance to stay in the service. He also told me that I should just accept whatever they come back with. I, however, am a an eternal optimist. I was an Intelligence Analyst, so I basically sat at a desk everyday. Surely I could still accomplish my job with Diabetes. Even if the board decided to release me from service, I had already given 15 + years of honorable service, so I was positive they should offer me a medical retirement vs just kicking me out.

Well...In May, the board gave their recommendation. Medical separation, 20% Rating with Severance. (Wound up 50% with the VA after I got out)

Thanks for your service...here's a chunk of money...thanks for playing....bye! Needless to say, I was a bit offended. I am not a person...just a number! And HOW is a disease that is incurable and can have effects on basically all of the other systems in your body be only 20%. So I took the recommendation without question and with a figurative middle finger, said goodbye to the military 3 months later.

Now, here is where my hindsight starts. As I sit here typing now (and as I've done MANY times) I look back at what I wish I had done.

First of all, I wish I would have fought. Even if the inevitable outcome remains unchanged, I could have given myself a little more time to prepare for the next chapter of my life. (90 days go by REALLY fast).
Second, I wish I would have looked for more options. What I mean by that is, I didn't look for any help (other then transitional assistance) with fighting the MEB/PEB recommendation or VA rating. If I had prolonged my time in the service a few more months, I may have been eligible for the new (at the time) early retirement option. I don't know if you can opt for an early retirement (15 year) with a pending MEB/PEB, but at least I would have had another option to look at. Also, 11 years ago, there weren't a lot of forums or blogs to get involved in to search for answers or help.

Bottom line is, never settle. Don't let your emotions control your decisions and don't be afraid to ask for help. Especially since these are things that will effect the rest of your life.

I hope this wasn't too boring and that it helps. Good luck to all my Sugar-betes brothers!
 
I read through this forum and would just like to thank all the people who are helping/advising those who are confused and frustrated with the MEB/PEB & VA processes. I wish there was something like this back in 2007 when I went through the same thing a lot of you are/have gone through.
I would like to share my story in hopes that it will help in some strange way.

I was diagnosed with Type 1 Diabetes in Apr 2007. I had just gone over 15 years active duty in the Air Force and had just returned from a deployment in Qatar late in 2006. My symptoms began appearing around December of 06', but since I was otherwise healthy, each symptom that popped up was dismissed as something simple (blurry eyesight was because I was getting older). It wasn't until 5 months later, when a common cold sent me to the clinic, that a doctor there (Hickam AFB, HI) began digging a little deeper (maybe because she could see something was off). The subsequent lab came back with an A1C of over 15 and I was immediately given some insulin and a diagnosis of Diabetes.
I was referred to the Endocrinologist at Tripler Army Medical Center where they were able to discover I was Type 1. All of this was completely foreign to me since no one in my family has had Diabetes and I had never been around anyone with that condition. I was also completely unfamiliar with the MEB/PEB process. I was a little lost. I had great nurses that helped me understand what I was in store for with Diabetes, but not so great doctors to help me grasp what was going to happen with my career.

Fast forward a few weeks and I am waiting for the results from the board. I've been prepped from my primary care doctor that he has not seen anyone with type 1 Diabetes given a chance to stay in the service. He also told me that I should just accept whatever they come back with. I, however, am a an eternal optimist. I was an Intelligence Analyst, so I basically sat at a desk everyday. Surely I could still accomplish my job with Diabetes. Even if the board decided to release me from service, I had already given 15 + years of honorable service, so I was positive they should offer me a medical retirement vs just kicking me out.

Well...In May, the board gave their recommendation. Medical separation, 20% Rating with Severance. (Wound up 50% with the VA after I got out)

Thanks for your service...here's a chunk of money...thanks for playing....bye! Needless to say, I was a bit offended. I am not a person...just a number! And HOW is a disease that is incurable and can have effects on basically all of the other systems in your body be only 20%. So I took the recommendation without question and with a figurative middle finger, said goodbye to the military 3 months later.

Now, here is where my hindsight starts. As I sit here typing now (and as I've done MANY times) I look back at what I wish I had done.

First of all, I wish I would have fought. Even if the inevitable outcome remains unchanged, I could have given myself a little more time to prepare for the next chapter of my life. (90 days go by REALLY fast).
Second, I wish I would have looked for more options. What I mean by that is, I didn't look for any help (other then transitional assistance) with fighting the MEB/PEB recommendation or VA rating. If I had prolonged my time in the service a few more months, I may have been eligible for the new (at the time) early retirement option. I don't know if you can opt for an early retirement (15 year) with a pending MEB/PEB, but at least I would have had another option to look at. Also, 11 years ago, there weren't a lot of forums or blogs to get involved in to search for answers or help.

Bottom line is, never settle. Don't let your emotions control your decisions and don't be afraid to ask for help. Especially since these are things that will effect the rest of your life.

I hope this wasn't too boring and that it helps. Good luck to all my Sugar-betes brothers!
Welcome to the PEB Forum! :)

Indeed, we definitely appreciate your feedback while everybody's self-experiences while associated with the military can eventually have a positive effect on others from a historical perspective; at least in my experienced opinion.

Nonetheless,, please have a happy holiday season and take care!

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
I would like to add my 2 cents to this forum since I just recently went thru the MEDBOARD process and was found fit for continued service.

I am currently a US Marine stationed in lower California, I have been in 17 1/2 years and I am still enjoying my time in service. So I was diagnosed as a type 1 diabetic 2.5 yrs ago. Then I was stationed at Little Creek and I was being seen by a Endo at Portsmouth VA, upon initial diagnosis I was lost and had no clue what was going on . Truthfully it felt as if my world was crumbling on me. After I accepted my disease and decided that I was going to manage it the best I could I got on the horse and learned how to ride the Diabetes wave. So my initial Endo did not put me on a MEDBOARD since he saw what great control I had of my diabetes and my condition did not affect my work. The problem came when I transferred to lower CA. my new ENDO as soon as I saw him he opted to place me in a MEDBOARD. I was very upset with his decision since he didn't even attempt to treat me as a patient. He simply saw I had a condition and he said the Corps needs to determine weather they wanted to keep me. So I started the VA APPts and the MEDBOARD was started. I had really high hopes that the board was going to find me fit for continued service due to the billet I was holding and my seniority , I am sure they took into consideration that I was still doing all the USMC annual training requirements and still achieving great scores on everything. in about two weeks after submitting everything to the MEDBOARD I was found fit for continued service. Man was I happy.

I guess I needed to share my experience with you guys since I feel we can relate . I think that the DOD has made a lot of changes as far as retention of the service members even of they are diabetic. I know each person is a different case but the point is that it is doable a just recently reenlisted and this will take me to 22yrs of service. who knows I might stick around a bit longer.
 
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