Guide series
Diabetes and Agent Orange Presumptive Conditions: Complete VA Claims Guide Series
Plain-English guides to diabetes and Agent Orange VA claims: how diabetes is service connected, Diagnostic Code 7913 ratings, the Agent Orange presumptive conditions list, PACT Act presumptives, diabetes secondary to PTSD, rating the complications, the diabetes C&P exam, and the evidence a claim file needs.
Overview
Start here: diabetes & agent orange basics.
Type 2 diabetes is one of the most common disabilities among veterans and one of the most commonly claimed - and it sits at the center of two of the VA's most important rules: the Agent Orange presumptive list and the complications ratings. A veteran whose diabetes came from Agent Orange exposure never has to prove causation at all, while a veteran whose diabetes flowed from service-connected PTSD, or whose complications flow from service-connected diabetes, faces different questions entirely.
The VA rates diabetes under 38 CFR 4.119, Diagnostic Code 7913, and the criteria turn on how the condition is managed - diet, oral medication, insulin - and on episodes and complications, not on blood sugar numbers alone. The complications are often worth more than the diabetes itself, and they are rated separately when they are distinct disabilities.
These guides walk through the service connection paths, the presumptive lists, the rating criteria, the complications, the C&P exam, and the evidence each claim needs.

Diabetes and VA Disability: How Service Connection Works
How veterans get diabetes service connected: the Agent Orange presumptive path under 38 CFR 3.309(e) and 3.313, direct claims through diet and service history, secondary claims from PTSD and other service-connected conditions, how Diagnostic Code 7913 rates the disease, and where an independent medical opinion fits.
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Go deeper on your situation.
10 min readDiabetes VA Rating: Diagnostic Code 7913 Explained
A plain-English walk through Diagnostic Code 7913: the 10 to 100 percent criteria, how diet, oral medication, and insulin change the percentage, episodes of ketoacidosis and hypoglycemia, and what the file has to record.
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11 min readAgent Orange Presumptive Conditions List: What Qualifies
The current Agent Orange presumptive conditions list: type 2 diabetes, hypertension, Parkinson's disease, cancers, and the rest, plus the qualifying service locations and periods and how the presumption removes the causation fight.
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10 min readPACT Act Presumptive Conditions: What Changed and Who Qualifies
What the PACT Act changed: new presumptive conditions for burn pit and toxic exposure, expanded Agent Orange locations, eligibility periods, toxic exposure screenings, and how veterans outside the old presumptive rules now qualify.
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9 min readDiabetes Secondary to PTSD and Other Service-Connected Conditions
How diabetes is claimed as secondary to PTSD, depression, and other service-connected conditions: the stress physiology and lifestyle mechanisms, what the medical opinion has to establish, and what the evidence shows.
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10 min readDiabetes Complications and VA Ratings: Neuropathy, Kidney Disease, and More
How diabetic complications are rated separately from diabetes itself: peripheral neuropathy under 38 CFR 4.124a, kidney disease, retinopathy, cardiovascular disease, and the pyramiding rule that keeps each distinct manifestation rated once.
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8 min readThe Diabetes C&P Exam: What Gets Measured and Recorded
What happens at a VA claim exam for diabetes: the treatment history, diet and activity restrictions, episode counting, complication screening, and how to describe your management honestly and completely.
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8 min readDiabetes Claim Evidence: What Belongs in the File
The evidence a diabetes claim file needs: the diagnosis and lab work, the treatment records, episode documentation, complication evaluations, service records for the presumptive or direct path, and a reasoned medical opinion when the link is contested.
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Guides on Diabetes & Agent Orange
You have taken the first step - keep going.
You now know more about diabetes & agent orange than most veterans filing a claim. When you are ready to see what your records support, phone discussions are always free.
