Diabetes mellitus

Malignant neoplasm of the bladder - Diabetes mellitus Factor

Definition

Diabetes  mellitus is an endocrine disease where there is diminished insulin action. It can also be referred to as "sugar diabetes", juvenile onset diabetes, Type I diabetes, IDDM (insulin dependent diabetes mellitus), NIDDM (non insulin dependent diabetes mellitus), Type II diabetes and maturity onset diabetes.

RMA definition of diabetes mellitus

Signs and symptoms

·   Insulin dependent diabetes usually begins before the age of 40 with the abrupt onset of symptoms such as thirst, excessive urination, increased appetite and weight loss.

·   Non insulin dependent diabetes usually begins in middle life or beyond, and the typical patient is overweight. The onset of symptoms is more gradual, or there may be no symptoms and diabetes is diagnosed on routine testing.

Establishing onset

If a veteran had diabetes mellitus there would be specific evidence with regard to blood sugar levels and the need for diet, weight loss, insulin or drugs to lower blood sugar levels (eg Daonil, Euglocon, Glimel, Diabinese, Rastinon, Diamicron, Minidiab, Melizide), drugs to help insulin work better (eg Diabex, Diaformin, Glucophage) and drugs to slow the digestion of carbohydrates (eg Glucobay).

PRELIMINARY QUESTIONS [39120]

31954 there is some evidence that diabetes mellitus may be a factor in the development of the condition under consideration.

489        the veteran has diabetes mellitus.

10547 the veteran has insulin dependent diabetes mellitus (type 1).

or

10548 the veteran has non-insulin dependent diabetes mellitus (type 2).

39137 the veteran had the identified illness or injury, a type of diabetes mellitus, for at least 5 years before the clinical onset of the condition under consideration.

39138  the veteran has established the causal connection between the diabetes mellitus and operational service for the clinical onset of malignant neoplasm of the bladder.

CLINICAL ONSET AND OPERATIONAL SERVICE [39138]

17527  the identified illness or injury, a type of diabetes mellitus, is causally related to operational service.