This was recently sent to me by Member Bob from mosquitoland up north. vA has an ugly habit of denying that leap from 20% to 40% when you ask for it. In fact, they are downright ornery about raising it. See the attached and read and heed. It will make the difference and we all know what happens when we go over 30%-Cupcake and the rugrats are compensated. This isn’t cheating-it’s just smart.
Excerpt from VA Decision Denial of Increase for Diabetes
P.S. Here’s a late addition from Rocky Mountain High member Randy on the correlation between HCV and DM2. Valuable info to add to any claim:
asknod
Bethanie Spangenberg
kcraveiro
robinhoodesqvetsatty
Wesley McCauley
Veterans Claims Help 
Thanks for member Bob for sharing the info. on DMII decisions.
My quick reactions:
1. VA: No ED because no penile deformity? That’s wrong and stupid.
2. Regulation of activity–The BVA shouldn’t need it written long-hand which private docs might not want to do. This is where a check box on a simple form might be useful.
3. Question: What is the first rating for DMII for Agent Orange Exposure?
Not sure I understand Q#3. Here’s DC7913.
7913Diabetes mellitus
Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated 100
Requiring insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated 60
Requiring insulin, restricted diet, and regulation of activities 40
Requiring insulin and restricted diet, or; oral hypoglycemic agent and restricted diet 20
Manageable by restricted diet only 10
Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100 percent evaluation. Noncompensable complications are considered part of the diabetic process under diagnostic code 7913.
Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes.
Thanks. That’s exactly what I was trying to ask for!