Type I Previously found fit for duty

Ricky Smith

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Registered Member
I am a SSG with 7 years TIS, and I was diagnosed with Type I Diabetes in 2006 after 2 years in the Army. I have no family history of it. It was also rated as service connected. I went to see my doctor last week and i was informed that regulations have changed, and despite being found fit for duty previously, I HAD to go through another MEB because insulin dependant diabetics are not allowed to serve any more. That being said... I don't mind getting out, but will any part of my previous disposition have an effect on my disability rating and the nature of my seperation (i.e. speration, retirement)?
 
It will depend on your rating. For a 40% rating, the key requirement is regulations of occupational and recreational activities. Ensure your MEB/NARSUM clearly address your requirement to regulate both your occupational and recreational activities. This is often not done resulting in a 20% rating and separation.

Mike
 
If you are a type 2 the liklyhood of its effects on a service member should be no more than oral medication and restricted diet and lifestyle adjustments will correct the effects of the disease. A type 2 diagnosis while on active duty would be very tough to achieve given the age and fitness level requirements of most on active duty. If they are a true type 2 and diagnosed on active duty they are likely not meeting the height weight standards or the physical fitness standards. In most cases of type-1's that are diagnosed on active duty they and initially get a misdiagnosis of type-2. This mis-diagnosis is due to the partial destruction of the pancreatic function that initially looks like type-2 and for a short time can be controlled by oral meds coupled with diet and exercise, even though more times than no the servicemember is already thin and generally fit. After 8-18 months the antibodys further the destruction of the pancreatic cells that produce insulin rendering them a more consistent looking type-1 with little to no pancreatic function and full dependence on insulin. Most true type-2's can reverse effects of the disease by losing weight and raising fitness levels which is why a true type 2 diagnosis is extremely rare in the military and if they exist they usually fix their condition while on active duty by making lifestyle adjustments. Type-1 is an autoimmune condition that kills the pancreas cells that produce insulin, Type 2 do produce insulin and is sometimes herditary sometimes self induced and is a condition that their body does not efficiently use their own insulin due to too high carbohydrate consumption, excessive weight and extended capillaries and lack of fitness to burn excess sugar int he blood. Type 2 effects can usually be reversed however type 1 can not.
 
What regulations have changed? I was diagnosed in iraq 09 sep 09, finished my med board in mar 10, found fit for duty. I use an insulin pump, how did you get it service related?
 
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