Dmii & Other Problems

[Toposurveyor]

Because I am SC DMII, and my VA NP prescribes for high bp and cholesterol, is this another claim that I should submit? I have a BP machine at home and they are in the116/71 - 138/75 range over the last year. As a diabetic, I am held to a lower ideal BP than others. The same is true for cholesterol. My BP at a urology consult Jan 3 was 182/124. I do know that it tends to be higher at most any Dr. appt.

I appreciate the information I have recieved from this site. I does make me put the "old" grey matterr to work!!!

Thanks,

Ed

Edited February 23, 2007 by Toposurveyor

[Guest terrysturgis]

Ed, I am SC for DMII, peripheral neuropathy and tinnitus. I had a claim for HBP but it was denied because my HBP was diagnosed before my DMII therefore acording to the VA it is not secondary to the diabetes. Being that now I am 100% P&T I consider it a moot point. You should file for the HBP asap and let the VA decide if it is secondary to your DMII. Also file for the PN lower and upper body if you have not. I also get the SMC "K" for ED.

I'm not sure about cholesterol. I am on medication for it too. Others might chime in with that info. Take care. Terry Sturgis

[Berta]

I would NOD the HBP denial.

What medical rationale did the VA have that could definitively assess the HBP as occurring prior to the DMII?

They probably used your med recs but their statement in the denial might be weak enough to attack.

I would definitely NOD this denial.

High Cholestrol is called hyperlipedemia,usually, in med recs-

I have searched this condition at the BVA in the past and have never found this to be a ratable or compensatable disability.

High cholestrol however can and should often trigger the VA to give tests for heart disease or at very least dietary advise and possibly meds specific to this condition.

If a vet develops severe atherosclerosis due to DMII and its resulting potential devastating affects on vision, circulation, heart and brain-it can be due to cholestrol values that were not adequately treated.

I am not a doctor.

But I suggest that you NOD the denail on the HBP and also claim the hyperlipedimia anyhow.

just in case that both of these separate conditions ever go on the AO regs.

They will deny the hyperliedemia- but if it ever becomes a ratable condition or on the AO list , you have protected the EED.

I havent looked for this at the BVA in a while but the cases I saw on the cholestrol problems were symptoms but not compensatable.

DMII can cause HBP and high cholestrol. and heart disease , stroke etc---

Someimes I think it is to VA's advantage not to test every vet for diabetes early on-and

therefore not to diagnose it sooner-

this way they have medical rationale to deny conditions that might be due to DMII but the evidence of the clinical record shows the diagnosis of these other conditions= prior to the DMII diagnosis.

What is even worse is when the VA gives a diagosis at a C & P of diabetes-therefore establishing an EED that is wrong and can often can be challenged.

because you dont get diabetes at a C & P exam.

I think the VA should test every single vet for diabetes.

Annual check ups do not reveal a glucose level that is consistent with the rest of the year nor even the rest of the day from when they took the blood sample.

Although the HB1AC is claimed as better indicator of glucose values- there is also medical thought that questions HB1AC readings and often the VA does not calibrate these machines consistently.

My husbands med recs revealed extreme hyperlipedimia.

I did not know what this was as this word appeared -for the first time- in a report a VA doctor wrote-to attempt to deny my DIC years ago.

The med recs had his trygly and cholestrol (HDH LDH) blood chem readings continually circled as well as his glucose values.

It is now obvious to me they suspected diabetes numerous times.

This triad-(1)High Cholestrol of one type, (2)low cholestrol of another type, and abnormal (3)glucose readings in blood chem reports is called the hyperlipedimic hypothesis.

1+2+3= diabetes in most cases or at least a profound potential medical risk of developing DMII.

Edited February 23, 2007 by Berta