Diabetes Mellitus C002

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/diabetes-mellitus-c002-e10e11e12e13e14

Last amended

Factors in CCPS as at 12 March 2008 (C002)

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002

Last amended

Cigar smoking

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/diabetes-mellitus-c002-e10e11e12e13e14/rulebase-diabetes-mellitus/cigar-smoking

Last amended

Cigarette smoking

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/cigarette-smoking

Last amended

Cirrhosis of the liver

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/cirrhosis-liver

Last amended

Gestational diabetes

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/gestational-diabetes

Last amended

Hepatitis C

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/hepatitis-c

Last amended

Inability to obtain appropriate clinical management for diabetes mellitus

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/inability-obtain-appropriate-clinical-management-diabetes-mellitus

Last amended

Inability to undertake any physical activity greater than 3 METs

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/inability-undertake-any-physical-activity-greater-3-mets

Last amended

Infection with the Coxsackie B virus

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/infection-coxsackie-b-virus

Last amended

Obesity

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/obesity

Last amended

Pipe smoking

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/pipe-smoking

Last amended

Pregnancy

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/pregnancy

Last amended

Presence of serum 2 3 7 8-TCDD (serum dioxin)

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/presence-serum-2-3-7-8-tcdd-serum-dioxin

Last amended

Smoking tobacco products - material contribution

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/smoking-tobacco-products-material-contribution

Last amended

Suffering from a specified condition for diabetes mellitus

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/suffering-specified-condition-diabetes-mellitus

Last amended

Surgery to the pancreas

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/surgery-pancreas

Last amended

Treatment with a drug reported to have caused hyperglycaemia

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/treatment-drug-reported-have-caused-hyperglycaemia

Last amended

Treatment with immunosuppressive drugs for organ transplantation

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/treatment-immunosuppressive-drugs-organ-transplantation

Last amended

Treatment with pentamidine

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/treatment-pentamidine

Last amended

Work involving 2 3 7 8-TCDD contaminated herbicides

Current RMA Instruments
Reasonable hypothesis SOP

48 of 2020 as amended

Balance of Probabilities SOP

49 of 2020 as amended

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 250
  • ICD-10-AM Codes: E10, E11, E12, E13, E14
Brief description

Diabetes mellitus is a metabolic disorder characterised by high blood sugar levels. Most cases of diabetes mellitus can be classified as either type 1 or type 2.  Type 1 diabetes (5 to 10% of cases) results from the destruction of insulin secreting cells in the pancreas.  Type 2 diabetes (90 to 95% of cases) is due to resistance to the action of insulin by target tissues +/- some deficiency of insulin production.  Most patients with type 2 diabetes are obese. 

Confirming the diagnosis

Diagnosis requires confirmation by blood testing, for either plasma glucose level or HbA1c level, as specified in the SOP definition.

The relevant medical specialist is an endocrinologist or general physician.  The diagnosis can be confirmed by a general practitioner.

There are factors in the SOP that apply only to type 1 or type 2 diabetes, so information on the type of diabetes is required to apply those factors.

Additional diagnoses that are covered by this SOP
  • drug-induced diabetes
  • gestational diabetes
  • insulin dependent diabetes mellitus
  • non-insulin dependent diabetes mellitus
  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • juvenile type diabetes mellitus
  • adult-onset type diabetes mellitus
  • primary diabetes mellitus
  • secondary diabetes mellitus
Conditions not covered by SOP
  • diabetes insipidus#
  • impaired glucose tolerance - not a disease

# non-SOP condition

Clinical onset

Clinical onset will be when the diagnosis is first confirmed by blood testing.  This is a threshold diagnosis.  A glucose level that is elevated but below the threshold does not establish clinical onset.

Clinical worsening

The normal clinical course varies.  Type 2 diabetes may resolve with weight loss.  The more usual course is for slow progression of disease with the eventual development of complications or associated secondary diseases.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/diabetes-mellitus-c002/factors-ccps-12-march-2008-c002/work-involving-2-3-7-8-tcdd-contaminated-herbicides

Last amended