Evidence Checklist: Diabetes Mellitus Type I
DC 7913
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Endocrinology evaluation and insulin management recordsCritical
Records documenting insulin regimen, CGM/pump use, hypoglycemic episodes, and HbA1c trends.
Nexus opinion linking Type 1 diabetes to service (viral trigger, toxic exposure)Critical
Medical opinion connecting autoimmune destruction of beta cells to in-service viral illness, chemical exposure, or other service event.
Treatment Records
Records documenting diabetic complications (neuropathy, retinopathy, nephropathy)
Documentation of diabetes-related complications, each potentially ratable separately as secondary conditions.
Diagnostic Tests & Lab Results
Fasting glucose, HbA1c, c-peptide, and islet autoantibody panelCritical
Laboratory results confirming Type 1 diabetes: elevated glucose/HbA1c, low c-peptide, and positive autoantibodies (GAD-65, IA-2, ZnT8).
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.