- DVBCWDI8 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
- ;;2.7;AMIE;**164**;Apr 10, 1995;Build 2
- ;
- ;
- TXT ;
- ;;E. Diagnosis:
- ;;
- ;; 1. State whether or not the veteran has diabetes mellitus. Indicate
- ;; type.
- ;; 2. List all conditions found that are potentially complications of
- ;; diabetes, such as visual impairment, kidney disease, neurologic
- ;; disease, amputation, cardiovascular disease (including hypertension),
- ;; etc.
- ;; 3. For each listed condition that is potentially a complication of the
- ;; veteran's diabetes, state whether or not you believe it is a
- ;; complication and provide a brief rationale for your conclusion,
- ;; whether positive or negative. Your rationale may include such items
- ;; as the duration of the diabetes, whether the diabetes has been well
- ;; or poorly controlled, the onset of the possible complication in
- ;; relation to the onset of diabetes, the severity of the complication,
- ;; or anything else you consider relevant.
- ;; 4. If the veteran has peripheral edema, indicate the etiology (for
- ;; example, diabetic renal disease, other diabetic-related condition,
- ;; or non-diabetic etiology).
- ;; 5. If the veteran has a non-service-connected condition that in your
- ;; opinion has been aggravated by the veteran's diabetes (including any
- ;; of the conditions you listed above or any other claimed), describe
- ;; your rationale for stating that there is aggravation. Then state
- ;; the baseline disabling effects of the condition before aggravation
- ;; and any additional or worsened disabling effects after aggravation.
- ;; If it is not possible to do so without resorting to speculation, so
- ;; state.
- ;; 6. For each condition diagnosed (including diabetes and each
- ;; complication), separately describe its effect on the veteran's usual
- ;; occupation and daily activities.
- ;;
- ;;
- ;;Signature: Date:
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWDI8 2175 printed Mar 13, 2025@20:55:03 Page 2
- DVBCWDI8 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
- +1 ;;2.7;AMIE;**164**;Apr 10, 1995;Build 2
- +2 ;
- +3 ;
- TXT ;
- +1 ;;E. Diagnosis:
- +2 ;;
- +3 ;; 1. State whether or not the veteran has diabetes mellitus. Indicate
- +4 ;; type.
- +5 ;; 2. List all conditions found that are potentially complications of
- +6 ;; diabetes, such as visual impairment, kidney disease, neurologic
- +7 ;; disease, amputation, cardiovascular disease (including hypertension),
- +8 ;; etc.
- +9 ;; 3. For each listed condition that is potentially a complication of the
- +10 ;; veteran's diabetes, state whether or not you believe it is a
- +11 ;; complication and provide a brief rationale for your conclusion,
- +12 ;; whether positive or negative. Your rationale may include such items
- +13 ;; as the duration of the diabetes, whether the diabetes has been well
- +14 ;; or poorly controlled, the onset of the possible complication in
- +15 ;; relation to the onset of diabetes, the severity of the complication,
- +16 ;; or anything else you consider relevant.
- +17 ;; 4. If the veteran has peripheral edema, indicate the etiology (for
- +18 ;; example, diabetic renal disease, other diabetic-related condition,
- +19 ;; or non-diabetic etiology).
- +20 ;; 5. If the veteran has a non-service-connected condition that in your
- +21 ;; opinion has been aggravated by the veteran's diabetes (including any
- +22 ;; of the conditions you listed above or any other claimed), describe
- +23 ;; your rationale for stating that there is aggravation. Then state
- +24 ;; the baseline disabling effects of the condition before aggravation
- +25 ;; and any additional or worsened disabling effects after aggravation.
- +26 ;; If it is not possible to do so without resorting to speculation, so
- +27 ;; state.
- +28 ;; 6. For each condition diagnosed (including diabetes and each
- +29 ;; complication), separately describe its effect on the veteran's usual
- +30 ;; occupation and daily activities.
- +31 ;;
- +32 ;;
- +33 ;;Signature: Date:
- +34 ;;END
