Primary service-connected condition

DC 7913 — Diabetes mellitus

Also known as: Mellitus, diabetes, type 2 diabetes, type 1 diabetes, blood sugar, insulin, diabetic, A1C, glucose

Mapped secondary conditions
9

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Diabetes mellitus Arteriosclerotic heart disease

7005
Strong

How the connection is commonly explained

Diabetes significantly increases cardiovascular risk.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened arteriosclerotic heart disease.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Erectile dysfunction, with or without penile deformity

7522
Strong

How the connection is commonly explained

Diabetes damages blood vessels and nerves that affect sexual function.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened erectile dysfunction, with or without penile deformity.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Hypertensive vascular disease

7101
Strong

How the connection is commonly explained

Diabetes and hypertension frequently co-occur and worsen each other.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened hypertensive vascular disease.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Median nerve, paralysis

8515
Strong

How the connection is commonly explained

Diabetes increases risk of carpal tunnel syndrome through nerve damage and tissue swelling affecting the median nerve.

Filing tip

File carpal tunnel as secondary to diabetes with nerve conduction study results.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Nephritis, chronic

7502
Strong

How the connection is commonly explained

Diabetic nephropathy is a leading cause of kidney failure.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened nephritis, chronic.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Open-angle glaucoma

6013
Strong

How the connection is commonly explained

Diabetic retinopathy is a direct complication of diabetes, progressing to glaucoma and vision loss.

Filing tip

File glaucoma/eye condition as secondary to diabetes with ophthalmology records showing diabetic eye changes.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Renal disease, chronic

7530
Strong

How the connection is commonly explained

Diabetic nephropathy is a leading cause of chronic kidney disease.

Filing tip

File CKD as secondary to diabetes with lab results showing declining kidney function alongside diabetes history.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Retinopathy or maculopathy not otherwise specified

6006
Strong

How the connection is commonly explained

Diabetic retinopathy damages blood vessels in the retina.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened retinopathy or maculopathy not otherwise specified.

Relationship type: Caused by
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Primary Secondary

Diabetes mellitus Sciatic nerve, paralysis

8520
Strong

How the connection is commonly explained

Diabetes is the leading cause of peripheral neuropathy, damaging nerves in the extremities.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how diabetes mellitus led to or worsened sciatic nerve, paralysis.

Relationship type: Caused by
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This condition may also be secondary to

Pancreatitis, chronic
DC 7347
Strong

Chronic pancreatitis damages insulin-producing cells, commonly causing diabetes mellitus.

Bipolar disorder
DC 9432
Moderate

Atypical antipsychotics used to treat bipolar disorder significantly increase diabetes risk through metabolic changes.

Schizophrenia
DC 9201
Moderate

Antipsychotic medications for schizophrenia cause metabolic syndrome and significantly increase diabetes risk.

How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.