RECORD OF PROCEEDINGS 

PHYSICAL DISABILITY BOARD OF REVIEW 

 

NAME: XXXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY 

CASE NUMBER: PD1200956 SEPARATION DATE: 20020619 

BOARD DATE: 20130227 

 

 

SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this 
covered individual (CI) was an active duty SFC/E-7 (63H/Track Vehicle Repairer) medically 
separated for Type II diabetes mellitus (DM). He was treated, but was unable to fully perform 
his military duties. He was issued a permanent P3 profile, and underwent a Medical Evaluation 
Board (MEB). The MEB found his DM condition medically unacceptable IAW AR 40-501, and 
referred him to a Physical Evaluation Board (PEB). No other conditions were listed on the DA 
Form 3947. The PEB found the DM condition unfitting, and rated it 20% IAW the Veterans’ 
Administration Schedule for Rating Disabilities (VASRD). The CI made no appeals, and was 
medically separated with a 20% disability. 

 

 

CI’s CONTENTION: The CI elaborated no specific contentions. 

 

 

SCOPE OF REVIEW: The Board’s scope of review as defined in DoDI 6040.44, is limited to those 
conditions which were determined by the PEB to be specifically unfitting for continued military 
service; or, when requested by the CI, those condition(s) “identified but not determined to be 
unfitting by the PEB.” The unfitting diabetes condition meets the criteria prescribed in DoDI 
6040.44, and is accordingly addressed below. No other conditions are within the Board’s 
purview. Any condition outside the Board’s defined scope of review may be eligible for future 
consideration by the Army Board for Correction of Military Records. 

 

 

RATING COMPARISON: 

 

Army PEB – dated 20020228 

VA (2 mos. Pre-Separation) – All Effective 20020620 

Condition 

Code 

Rating 

Condition 

Code 

Rating 

Exam 

Diabetes Mellitus 

7913 

20% 

Diabetes Mellitus 

7913 

40% 

20020412 

.No Additional MEB/PEB Entries. 

Chronic Left Ankle Sprain 

5271-5024 

10% 

20020412 

0% X 4 

20020412 

Combined: 20% 

Combined: 50% 



 

 

ANALYSIS SUMMARY: 

 

Diabetes Mellitus (DM). The CI was diagnosed with DM in November 1999. He was 
hospitalized, and his blood sugar (BS) was stabilized. On discharge from the hospital, his DM 
was controlled with dietary restriction and oral hypoglycemic medication. In May 2000, he 
underwent an MEB and was found fit for duty. Shortly thereafter, it was determined that he 
needed to be on Insulin therapy. The CI's unit at that time kept him on rear assignments and 
made accommodations for him. However, when the CI was transferred to Fort Hood TX, that 
situation changed. His DM condition became much more difficult to control and a second MEB 
was initiated to determine fitness for duty. 

 

The MEB narrative summary (NARSUM) was dictated on 31 January 2002. The examiner noted 
that the CI was in good health; with no limitations on physical activities, aerobic conditioning 


exercises, functional activities, or Army Physical Fitness Test (APFT). He was in no apparent 
distress, and his physical exam (PE) was essentially normal. His medications included 
metformin and insulin. In April 2002, the CI had a VA Compensation and Pension (C&P) exam. 
The physical findings from that examination were unremarkable. The CI denied any symptoms 
of peripheral neuropathy or sexual dysfunction. 

 

The Board carefully examined all available evidence and directs attention to its rating 
recommendation based on the above evidence. The PEB and VA both used VASRD code 7913 
for the DM condition. IAW VASRD §4.119, a rating of 20% is appropriate for DM requiring 
Insulin and restricted diet. None of the criteria for higher ratings can be supported by the 
evidence. A rating of 40% would require medically prescribed regulation of activities (ROA). 
ROA is when a licensed healthcare provider prescribes or recommends that a diabetic patient 
avoid strenuous occupational or recreational activities. In the CI’s treatment record, there was 
not sufficient evidence that this was the case. After due deliberation, considering all of the 
evidence and mindful of VASRD §4.3 (reasonable doubt), the Board concluded that there was 
insufficient cause to recommend a change in the PEB adjudication for the diabetes condition. 

 

 

BOARD FINDINGS: IAW DoDI 6040.44, provisions of DoD or Military Department regulations or 
guidelines relied upon by the PEB will not be considered by the Board to the extent they were 
inconsistent with the VASRD in effect at the time of the adjudication. The Board did not surmise 
from the record or PEB ruling in this case that any prerogatives outside the VASRD were 
exercised. In the matter of the DM condition and IAW VASRD §4.119, the Board unanimously 
recommends no change in the PEB adjudication. 

 

There were no other conditions within the Board’s scope of review for consideration. 

 

 

RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of 
the CI’s disability and separation determination, as follows: 

 

UNFITTING CONDITION 

VASRD CODE 

RATING 

Diabetes mellitus, type 2 

7913 

20% 

COMBINED 

20% 



 

 

The following documentary evidence was considered: 

 

Exhibit A. DD Form 294, dated 20120608, w/atchs 

Exhibit B. Service Treatment Record 

Exhibit C. Department of Veterans’ Affairs Treatment Record 

 

 

 

 

 xxxxxxxxxxxxxxxxxxxxxxxx, DAF 

 Acting Director 

 Physical Disability Board of Review 

 


SFMR-RB 


 

 

MEMORANDUM FOR Commander, US Army Physical Disability Agency 

(TAPD-ZB / xxxxxxxxxx), 2900 Crystal Drive, Suite 300, Arlington, VA 22202-3557 

 

SUBJECT: Department of Defense Physical Disability Board of Review Recommendation 
for xxxxxxxxxxxxxxxxxxx, AR20130006035 (PD201200956) 

 

 

I have reviewed the enclosed Department of Defense Physical Disability Board of 
Review (DoD PDBR) recommendation and record of proceedings pertaining to the 
subject individual. Under the authority of Title 10, United States Code, section 1554a, 
I accept the Board’s recommendation and hereby deny the individual’s application. 

This decision is final. The individual concerned, counsel (if any), and any Members of 
Congress who have shown interest in this application have been notified of this decision 
by mail. 

 

 BY ORDER OF THE SECRETARY OF THE ARMY: 

 

 

 

 

Encl xxxxxxxxxxxxxxxxxxxxxxxx 

 Deputy Assistant Secretary 

 (Army Review Boards)