SAF/MRBD (PDBR)
3351 Celmers Lane
JBA NAF Washington, MD 20762-6435

MEMORANDUM FOR THE DIRECTOR, AIR FORCE REVIEW BOARDS AGENCY

SUBJECT:  Physical Disability Board of Review Recommendation on 
	Case Number PD-2018-00592

	In accordance with Title 10 § 1554a and in compliance with DoDI 6040.44, the Physical Disability Board of Review (PDBR) adjudicated the disability rating accompanying the medical separation of the covered individual from the United States Air Force.  After carefully reviewing the application and medical separation case file, the PDBR recommended no re-characterization of the separation or modification of the disability rating previously assigned.  I recommend you accept this proposed decision.

The covered individual (CI) was an active duty E4, Fuels Journeyman, medically separated for “diabetes mellitus, type I.” The PEB and the VA both rated the disability 20% and both coded 7913 (diabetes mellitus).  The PEB cited “mission degradation” and that the condition posed an “…unreasonable long-term threat to the [CI’s] health.”  The VA based the rating on the requirement for insulin and a restricted diet for control.  The clinical evidence of requiring insulin at the time of separation was consistent with a 20% rating IAW VASRD §4.120 as determined by the PEB.  There was no laboratory evidence that ketoacidosis or hypoglycemia were manifested at any time since his original diagnosis.  Neither the profiled restrictions nor leadership statements provided evidence that any ‘regulation of routine activities’ were imposed by the diabetes mellitus condition in support of a higher rating.  After due deliberation, considering all the evidence and mindful of VASRD §4.3 (reasonable doubt), the panel concluded there was insufficient cause to recommend a change in the PEB adjudication for the diabetes mellitus condition.  

	

SAF/MRB
3351 Celmers Lane
JBA NAF Washington, MD 20762-6435

Dear XXXXXXXXXXXX:

		Reference your application submitted under the provisions of DoDI 6040.44 (Section 1554, 10 USC), PDBR Case Number PD-2018-00592.

After careful consideration of your application and treatment records, the Physical Disability Board of Review determined that the rating assigned at the time of final disposition of your disability evaluation system processing was appropriate.  Accordingly, the Board recommended no rating modification or re-characterization of your separation.

I have carefully reviewed the evidence of record and the recommendation of the Board.  I concur with that finding and their conclusion that modification of your disability rating or characterization of your separation is not warranted.  Accordingly, I accept the recommendation that your application be denied.