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What to Expect in a Diabetes C&P Exam

C&P Exam Diabetes

Veterans seeking disability benefits often undergo Compensation and Pension (C&P) exams to assess the impact of their conditions. Leah talks about what to expect during a diabetes C&P exam, a prevalent condition among veterans. Understanding the process and the specific criteria examiners use is crucial for veterans navigating the disability claims process.

Types of Diabetes

Before talking about the C&P exam details, let’s briefly touch on the types of diabetes commonly seen in veterans. Type 2 diabetes, often known as adult-onset diabetes, is more prevalent. Type 1 diabetes, or juvenile-onset diabetes, can also affect veterans. The connection between diabetes and military service can vary, with diagnosis during service or within the first year of separation often having direct links.

Disability Benefit Questionnaire (DBQ)

The Disability Benefit Questionnaire (DBQ) is a vital document used by C&P examiners to gather information essential for determining rating criteria. Veterans can access these questionnaires on va.gov. For diabetes, the DBQ covers crucial aspects like diagnosis, treatment, and related complications. Now, let’s explore what to expect during a diabetes C&P exam.

Scheduling and Preparation

Once a veteran files a claim for VA disability, they typically receive a packet detailing the upcoming C&P exam. This packet specifies the examination platform—whether in person, over the phone, or virtually. It includes details such as the practitioner’s name, specialty, and the examination’s time and location. Veterans may also receive questions to fill out before the exam, providing examiners with additional context.

DBQ Overview

During the exam, examiners refer to the DBQ, discussing specific elements related to diabetes. They review the veteran’s medical records and may inquire about the official diagnosis, treatment regimen, and the impact on daily activities. Exam questions cover the frequency of diabetic care, hospitalizations, weight changes, and strength issues.

Secondary Complications

A crucial aspect of the diabetes C&P exam involves exploring secondary complications. Examiners inquire about conditions like peripheral neuropathy, erectile dysfunction, renal dysfunction, diabetic retinopathy, and more. If these complications are present, additional DBQs may be required to evaluate them separately.

Additional Inquiries and Physical Findings

The exam includes a catch-all block where examiners can note any other pertinent physical findings. Veterans may be asked about surgeries, scars, or other relevant details that could contribute to the overall assessment.

Tests and Diagnosis

Examiners review tests used in the diagnosis of diabetes, focusing on how, when, and based on what lab evaluations the diagnosis was made. This information aids in understanding the severity of the condition and its impact on the veteran’s ability to work.

Impact on Work Ability

The final section of the exam explores how diabetes affects the veteran’s ability to work. Veterans may be asked to describe the specific challenges they face, providing valuable insights into the practical implications of their condition.

Ratings and Criteria

Understanding how diabetes is rated is crucial for veterans seeking disability benefits. The current rating system, found in the 38 Code of Federal Regulations, outlines different levels of compensation based on the severity of the condition. Ratings can range from 10% to 100%, with criteria including but not limited to the management of blood sugar, the use of restricted diets, insulin injections, and the impact on daily activities. It is best to seek expert legal advisement from a Veterans Service Officer, Accredited Claims Agent or attorney for clarification if needed.

Conclusion

Navigating a diabetes C&P exam requires preparation and an understanding of the specific criteria examiners assess. Veterans should familiarize themselves with the DBQ, anticipate questions related to their diabetes diagnosis, and be ready to provide detailed information about the impact of diabetes on their daily lives. By actively participating in the exam process, veterans increase the likelihood of a fair and accurate assessment of their disability claim.

Also read: GERD and PTSD in Veterans Disability

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.

Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.

Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

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Danielle McClaskey

Client Relations Specialist U.S. Navy Veteran

In her active-duty service in the United States Navy, Danielle undertook a variety of responsibilities, ranging from essential administrative duties to providing crucial medical care. Her multifaceted contributions played a pivotal role in enhancing her fellow service members’ operational effectiveness and well-being.

As a disabled veteran, she developed a profound understanding of the unique challenges faced by her fellow service members. Now, in her civilian role, Danielle is a valued member of the Prestige Veteran Medical Consulting team, where she continues to leverage her extensive background and educational achievements to provide exceptional support to veterans.

Leticia

LETICIA

ADMINISTRATIVE ASSISTANT

Leticia has been in the medical field for nearly 14 years. She has always had a passion for medicine and caring for her community. Leticia has spent the last 4 years caring for veterans and first responders with alcohol and substance abuse in a medical rehabilitation setting whilst continuing her education working towards a degree in software development.

Someday she hopes to develop medical software that further enhances the patient’s experience in medical care. Leticia has a deep respect and love for those who have served as she comes from a family of law enforcement and military veterans.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Julie Pereira

JULIE PEREIRA:

ADMINISTRATIVE ASSISTANT

During her Active-Duty time in the US Navy as a Hospital Corpsman, Julie provided medical administration
and patient care services in the field, the hospital, and base medical office settings.  This military medical and
administrative background has given Julie the hands-on experience and extensive knowledge necessary to
provide unparalleled service to her fellow Veterans through the Prestige Veteran Medical Consulting team.

Julie’s educational achievements include a Bachelor of Arts with a minor in Human Services and a pre-nursing associate in arts and science.

Julie has been inspired by her firsthand knowledge of navigating the VA Benefits process. She has dedicated
most of her adult life to serving Veterans through her knowledge derived from her military and civilian medical
education and training.

Jennifer Januta

JENNIFER JANUTA

U.S ARMY VETERAN, CHIEF OPERATIONS OFFICER

During her Active-Duty service in the Army, Jennifer supported various research efforts centered on combat casualty care and Soldier performance. Her military background gave her unique insights into veterans’ distinct challenges, ultimately inspiring her to join the Prestige Veteran Medical Consulting team.

Jennifer’s educational achievements include a master’s in molecular biology from George Washington University and a master’s in data science from Texas Tech University. Jennifer wholeheartedly dedicates herself to utilizing her knowledge and expertise gained from 15 years of healthcare experience to impact the well-being of those who have served positively.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Leah - Meet the Team

LEAH BUCHOLZ, PA-C

U.S ARMY VETERAN, MEDICAL EXPERT & FORMER C & P EXAMINER

Meet Leah, the founder, and leader of our organization. ​​A combat veteran herself, she understands the unique challenges veterans face, making her mission about much more than running a successful business. It’s about the opportunity to provide a legacy of exceptional service for our heroes.​

​“It is essential to remember that there is no greater honor than caring for service members on the battlefield. Continuing to care for Veterans after separation is an opportunity that I have been afforded to extend that care in this new battlefield related to service-incurred disabilities.”

Her inspiration comes from years of military experience working alongside her fellow servicemembers, particularly key leaders who have influenced her journey, applying their wisdom to her path. She values her team deeply, most of whom are also disabled combat veterans, each member a trusted individual sharing her vision.

 “Driven by passion and purpose, I aim to create a sustainable change that empowers veterans and future generations.”

Leah’s journey hasn’t been without challenges. From overcoming and living with her service-related disabilities to navigating work-life balance, she’s learned to face each hurdle head-on with resilience.  Like many of her veteran brothers and sisters, her early background consisted of limited resources and opportunities. Her military service has helped shape her into a steadfast leader, offering relatable inspiration to others.

Join us in celebrating Leah, a compassionate leader, and resilient veteran, driving our mission to serve those who served our nation.