/ Conditions · Endocrine

Diabetes Type II VA Claim Guide

Type II diabetes is presumptive for veterans exposed to Agent Orange. Rated 10–100% based on insulin/diet/activity restrictions. Open the door to many secondary conditions.

38 CFR §4.119, DC 7913

Common symptoms

  • Increased thirst, frequent urination
  • Fatigue
  • Blurred vision
  • Slow-healing wounds
  • Numbness/tingling in extremities (neuropathy)

Common evidence

  • Fasting glucose / A1C labs
  • Endocrinology notes
  • Medication list
  • Boots-on-ground proof for Agent Orange presumption

Primary service connection examples

  • Agent Orange exposure (presumptive)
  • In-service diagnosis

Secondary service connection examples

  • Peripheral neuropathy secondary to diabetes
  • Retinopathy secondary to diabetes
  • Erectile dysfunction secondary to diabetes
  • Kidney disease secondary to diabetes

Rating basics

10% (manageable by restricted diet only), 20% (oral meds + restricted diet), 40% (insulin, restricted diet, regulated activities), 60% (insulin + restricted diet + regulated activities + episodes of ketoacidosis/hypoglycemia), 100% (more than once monthly visits + weight loss).

Common denial reasons

  • No qualifying exposure proof
  • Type I diabetes (not presumptive)
  • Missing labs