In some cases, diabetes mellitus is assigned a disability group, which allows you to receive various subsidies, benefits and privileges. But it can be formalized provided that the functionality of the body is impaired and there are concomitant pathologies that interfere with normal life.
Does diabetes give disability?
To get a disability in diabetes mellitus, a patient must undergo a medical and social examination (MSE) and prove that there are restrictions that prevent him from leading a normal life. Therefore, it is impossible to say unequivocally that diabetes is given disability. Each case is considered individually. Often, patients with diabetes are denied a disability group. This is due to the fact that during the commission, the patient did not provide evidence of the limitation of possibilities. This decision can be appealed, but in recent years, the implementation of the MSE has changed greatly not in favor of patients, therefore it is very difficult to achieve a group in the absence of persistent disorders in the body.
Disabilities in diabetes
In Russia, obtaining a disability group depends on the degree of organ damage. There are 4 degrees in total:
- 1 degree – persistent, but minor violations of the functionality of the body (from 10 to 30 percent).
- Grade 2 – persistent but moderate violations of the body’s functionality (from 40 to 60).
- Grade 3 – persistent pronounced functional impairment (from 70 to 80).
- 4 degree – significantly pronounced persistent disorders (from 90 to 100).
Disability in diabetes mellitus is assigned at 2, 3 and 4 degrees of damage.
How to get a disability with diabetes
To obtain a disability group in diabetes mellitus, it is necessary to prove that there are persistent disorders in the functionality of the body. Only after issuing the appropriate conclusion, the patient is entitled to benefits from the state.
Information about whether a disability group is allowed and the procedure for establishing it is indicated in the law No. 181-FZ and in the Order of the Ministry of Labor No. 1024n of December 17, 2015.
How to arrange:
- Undergo a medical examination.
- Prepare a package of documents.
- Draw up an application for passing the commission.
- Pass ITU.
Before you get a disability, you should contact your GP and notify him. The doctor will issue a referral to an endocrinologist, who will draw up a bypass sheet for the medical commission. You will need to be examined by several specialists:
- ophthalmologist – checks visual acuity, detects the presence of concomitant diseases, establishes the presence of angiopathy;
- surgeon – checks the skin, reveals the presence of lesions, trophic ulcers, purulent processes;
- neurologist – conducts a study on encephalopathy, the level of CNS damage;
- cardiologist – detects abnormalities in the work of the cardiovascular system.
These doctors may order additional examinations or visits to specialists of another medical profile. In addition to consulting with doctors, you need to get test results:
- general blood test (with results for cholesterol, creatinine, electrolytes, urea, etc.);
- glucose analysis: on an empty stomach, after exercise, during the day;
- general urine analysis, as well as for ketones and glucose;
- analysis for glycated hemoglobin;
- ECG with interpretation;
- Ultrasound of the heart (if necessary).
The list of tests is increased by doctors when abnormalities in the work of the body are detected. The examination is carried out in a hospital under the supervision of specialists. You need to prepare to spend at least 3-4 days on the commission. The examination is allowed only in municipal institutions. After completing the survey, you need to prepare the following documents:
- original and copy of the passport;
- referral to ITU in the form # 088 / y-0;
- original and copy of an extract from the outpatient card after a medical examination;
- sick leave;
- conclusions of the passed specialists;
- a certified copy of a work book (for workers) or an original work book (for non-workers);
- characteristics from the place of work (for workers).
If the patient is under 14 years old, then a copy of the birth certificate and a copy of the parents’ passports are additionally required. Upon receipt of a disability, you will have to confirm your status annually. For this, a medical examination is carried out again, the listed documents are being prepared. Additionally, you will need a certificate of the assignment of the group last year.
What disability group is given for diabetes mellitus?
The disability group in diabetes mellitus depends on the severity of concomitant diseases. The more lesions caused by pathology, the higher the group. What diseases are assigned the first group of disability:
- retinopathy – blindness in both eyes;
- cardiomyopathy – grade 3 heart failure;
- neuropathy – paralysis, ataxia;
- encephalopathy – mental disorders, dementia;
- nephropathy – renal failure of the last stage;
- hypoglycemic coma with relapses at least 3 times a year.
Other diseases are not grounds for assigning the first disability group. It can be obtained only in the presence of persistent, severe lesions of internal organs that limit a person’s capabilities. Such patients need outside help and are not able to work. The second group for diabetes mellitus is assigned for other diseases:
- neuropathy 2 degrees;
- mild encephalopathy;
- moderate renal failure;
- mild retinopathy.
In such patients, their working capacity is partially preserved, they do not need the help of nurses. But often they cannot independently carry out daily activities, therefore, the care of strangers is required. Doctors will need a physical examination to determine whether retinopathy or encephalopathy is considered moderate or severe. This moment is necessarily indicated in the conclusion, since it determines which group the patient belongs to. The third group of disability is given with moderate violations of the body’s functionality. Such patients do not need nurses and outside help, their ability to work is preserved by 80-90%. With disability of the 3rd group, patients are employed in a job where there is no strong nervous and physical stress.
Children are not assigned a disability group. For a child under 18 years of age, the documents say “children’s disability”. After the age of majority, the commission is already considering the type of group.
What criteria affect the diabetes disability group?
Which disability group a patient is assigned to depends on medical diagnoses. Several criteria are taken into account:
- the severity of the course of diabetes mellitus;
- the degree of damage to the eyes, kidneys, heart and brain;
- preservation of working capacity;
- the quality of the treatment performed;
- is there any insulin dependence ;
- the possibility of self-care.
Whether disability is given in diabetes mellitus depends on the specific situation. And ITU is quite serious about assigning a group, so it won’t be possible to buy a certificate. If there is the slightest suspicion of deception on the part of the patient, a second medical examination is carried out. Many are interested in whether disability is formalized in the absence of persistent disorders in the body caused by insulin-dependent diabetes mellitus. If the patient can work, do household chores, play sports and drive a car, then the group is not eligible for him. With children, everything is more difficult. It is problematic to establish their operability and the ability to self-service, therefore, only lesions of internal organs are taken into account in MSU. A group can be assigned with a delay in mental and physical development, heart and kidney failure.
Disability with type 1 diabetes
Type 1 diabetes mellitus is characterized by cell death of the pancreas and impaired insulin synthesis. As a result, the patient is forced to take medication on an ongoing basis. From a medical point of view, type 1 diabetes is considered unfavorable in terms of recovery. It is impossible to recover from it. Children under 11 years of age need only one diagnosis. Persistent violations are not considered. In children over 11 years of age, mental and physical abilities are taken into account. In the absence of restrictions and the full development of the child, the disability is removed. In adults, diagnosis alone is not enough. With type 1 diabetes mellitus, performance and the availability of self-care are taken into account.
Disability with type 2 diabetes
With type 2 diabetes mellitus, the production of insulin is impaired. In most cases, patients make do with a diet and a healthy lifestyle. Accordingly, no disability is assigned. If the patient has persistent disorders, the limbs are amputated, blindness is diagnosed, then a disability group is assigned. This rule applies to adults and children.
Do you give disability in diabetes insipidus?
Determination of the disability group in diabetes insipidus is made on general terms. You can get disabled status if three conditions are met:
- There are persistent violations of the body’s functionality.
- The patient does not have the financial ability to buy medicines for himself.
- The diagnosis was documented.
Whether or not they give disability in diabetes insipidus depends on the presence of concomitant diseases:
- persistent decrease in visual acuity;
- the specific gravity of excreted urine per day is from 14 liters;
- uncontrolled polyuria;
- intracranial hypertension;
- pathology of the cardiovascular, urinary and endocrine systems.