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Hypertension As Secondary To Diabetes -essential In Nature


Ruffcreek

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Last year I submitted a claim for hypertension as secondary to the service connected disability of diabetes mellitus, type 2 with dietary restrictions. The claim was denied.

In the reasons for decision the VA examiner stated he feels my hypertension is most likely ESSENTAIL IN NATURE.

Could someone tell me what "essential in nature" means?

Thanks,

Ruffcreek

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  • HadIt.com Elder

To me, this is just a fancy way of saying that the examiner did not wish to say that diabetes caused or aggravated the hypertension. This flies in the face of current medical thinking.

"ESSENTIAL IN NATURE"

Last year I submitted a claim for hypertension as secondary to the service connected disability of diabetes mellitus, type 2 with dietary restrictions. The claim was denied.

In the reasons for decision the VA examiner stated he feels my hypertension is most likely ESSENTAIL IN NATURE.

Could someone tell me what "essential in nature" means?

Thanks,

Ruffcreek

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"Essential" (sometimes called 'primary') HBP means there is no specific cause.

Most HBP is essential but then again muvch HBP is secondary to another known condition.

If you have renal problems due to DMI, or coronary conditions- the HBP is probab;y secondary to those conditions-

It is almost also prevalent if a vet has atherosclerosis that has a strong association to DMII.

My vet rep- with DMII due to AO and heart disease as secondary SC to the DMII was denied on his HBP-

He got a statement from his private diabetes doctor to service connect the HBP as secondary-

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  • HadIt.com Elder

It only has to be as likely as not that the DMII and hypertension are related. How can anyone say that there is not some relationship between DMII and HBP? This is the VA just trying to keep the lid on it.

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It only has to be as likely as not that the DMII and hypertension are related. How can anyone say that there is not some relationship between DMII and HBP? This is the VA just trying to keep the lid on it.
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It means "hey we don't have time for you and there are too many claims in the pot, but keep filing maybe we can find something to compensate you for." When I got a claim back that said "shrapnel wounds were not service connected, I knew the VA had lost it.

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I was rated with DB2 diet only at first in 2003. In 2005 it had gotten worse and I was put on meds so I asked for an increase. At the C&P the examinor took my BP and it was high so the VA stated hypertension secondary to DB2 but 0% but at least it is SC. I did not ask for it they just added it. I have read where they don't like even SC it at all.

In answer to your question essential nature sounds like they are saying of course you have it. Now you need to NOD I would think on that issue and ask for SC!

Good Luck

Stillhere

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It means "hey we don't have time for you and there are too many claims in the pot, but keep filing maybe we can find something to compensate you for." When I got a claim back that said "shrapnel wounds were not service connected, I knew the VA had lost it.

I cracked up when I read this one! Not because it's funny that you got that stupid reason for denial, but because sometimes I have to laugh to keep from doing something stupid myself. Honestly, I do believe it's possible to have PTSD from fighting the VA claims process.

You take the prize for having the funniest stupid reason for denial! Wonder what they thought your post-service occupation was? Did you ever get that decision corrected? Just curious, if you did, how long did it take? Some wonder why 800,000 claims are backlogged...

We should start a thread to list the crazy reasons and bases for denial some of us have received from the VA.

Sorry for hijacking this topic...

About the "essential in nature" quote: this is obviously there to say hypertension started first, so it would not be SC as secondary. I just read a medical article, though, that said hypertension is most often secondary to diabetes. If I remember correctly it said 60% of the time. I would fight long and hard for secondary service connection if your medical records don't prove chronic HBP before DM2 was diagnosed. Many serious complications can come from hypertension.

Hypertension is incurable, but can be managed to some degree with diet and medication, so don't confuse that with a few HBP readings over the years. (One can have high readings even from "white coat syndrome.") Also be sure to check your service medical records to see if you see a pattern of HBP readings.

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  • HadIt.com Elder

I can tell you that arterioscelrosis(spelling?) is also very often secondary to DMII. The Veterans Benefits Manual has very good information on secondary conditions for DMII. Heart disease is also frequently associated with DMII. I don't think the VA is going to go out of their way to find these secondary conditions, and if you die from one of them then they will deny the connection so your widow has a lot of work to prove it. I have peripheral neuropathy and DMII. The VA denied the PN saying it was not related to the DMII. I appealed that and got the connection. I think it is a pattern for them to deny these secondary conditions saying they precede the DMII. Think of the survivors that are being screwed out of benefits when the vet dies of some DMII condition not knowing their was a connection to the DMII. The VA has no incentive to make the connection. HBP, DMII, PN, and heart disease all have links.

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DM is associated with hypertension. However, in reality the medical community is split on the type of association, the medical reasons for the association and which one came first - DM or the hypertension. If your doc is in the half that believes you get DM first then it is more ofter than not followed by hypertension then you will be ok. However, if you get one or have one who believes that you got hypertension first then it is more often than not followed by DM, then look out - for you are in for a ride when you ask him for a nexua statement!!!!

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