Chapter 15 - Endocrine System

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15.01 - Diabetes

Factors to be considered in assessing the degree of disability include:

  1. the presence of a diagnosis of clinical diabetes:
  2. the necessity of dietary control;
  3. the need of medication;
  4. the response to diet and medication;
  5. the effective condition on physical activity and energy level;
  6. the frequency and severity of untoward developments such as hypoglycemic reactions;
  7. minor complications such as pruritus, transient skin affections, and mild diabetic neuropathy which can be assessed with adjudication;
  8. major complications including all arteriosclerotic, renal and ocular disabilities may require adjudication on application to establish the degree of relationship.
  9. the prognosis.

15.02 - Assessments

Diabetes shall be assessed in accordance with the Table to Article 15.02.

Table to Article 15.02
Grade 1 Minimal - controlled by diet alone up to 10%
Grade 2 Mild - controlled by diet and oral 10% to 20%
Grade 3 Moderate - less easily controlled by diet and medication (parenteral or oral) - mild complications 20% to 40%
Grade 4 Severe
(a) Poor control with complication accepted as an intrinsic part of the disability from diabetes; significant limitation of activities and employability 40% to 60% rarely more than 60%
(b) As above with complications which may require separate adjudication on application. The complications are assessed on their individual merits.
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