Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:194:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 194 (pt 1/2)
Character Range: 324795–327968

194

STEP            Compare the total functional impairment rating of the          Page
   4 affected body systems with the rating obtained in 195
          Step 3. Take the higher rating.

 STEP            If recognisable episodes of increased impairment are            Page
  5 superimposed on the underlying condition, also assess 195
          the endocrine condition under Chapter 15
          (Intermittent Impairment).

 Step 1: Establish which body systems are affected by the accepted endocrine condition.

 Many of the effects of loss of endocrine function are separate and recognisable diseases. For example, diabetes mellitus may lead to ischaemic heart disease. Such diseases, though quite possibly a consequence of the loss of endocrine function, are to be separately assessed under this Guide and are not to be taken into account in the calculation of the impairment rating for loss of endocrine function.

 Step 2: Determine an impairment rating for functional impairment of the affected body systems.

 Use the appropriate Functional Loss tables from other chapters in this Guide to determine the impairment rating.

 Step 3: Determine an Other Impairment rating for the accepted endocrine condition.

 There are two Other Impairment tables for loss of endocrine function. Table 12.1.1 is to be applied if assessing diabetes mellitus, while Table 12.1.2 is be applied if assessing any other endocrine condition. Both tables provide an impairment rating based on the type of treatment required by the veteran.

Step 4: Compare the total functional impairment rating of the affected body systems with the rating obtained in Step 3. Take the higher of these two ratings.

    The rating obtained in Step 4 is to be included in the final combining of all ratings.

    Step 5: If recognisable episodes of increased impairment are superimposed on the underlying condition, also assess the endocrine condition under Chapter
    15 (Intermittent Impairment).

    If recognisable episodes of increased impairment are superimposed on the underlying condition (for example, insulin-dependent   diabetes with superimposed hypoglycaemic episodes), the endocrine condition is to be assessed under Chapter
15 (Intermittent Impairment). The rating from Chapter 15 and the rating obtained in
Step 4 are to be included in the final combining of all ratings.

    However, a rating from Chapter 15 is not to be combined with a rating from any other system-specific table for the same condition.

Other Impairment Table 12.1.1

       Impairment

DIABETES MELLITUS
        Ratings Criteria

                 NIL  Glycosuria or hyperglycaemia controlled by weight loss.

        TWO Gestational diabetes mellitus.

                    * Diabetes mellitus necessitating dietary control.
                    * Diabetes mellitus controlled by use of oral hyper- glycaemics.
TEN Diabetes mellitus controlled with insulin. TWENTY Diabetes mellitus uncontrolled.

   No age adjustment permitted for this table

A rating from this table is to be selected when the endocrine disorder is not associated with loss of function. If an assessable loss of function occurs