Diabetes mellitus can cause impairment that can be measured based on criteria developed by the AMA.
NOTE: Diabetics often have end-organ damage to heart, peripheral arteries, kidneys, and eyes. Impairment for these injuries is determined under the affected organ(s) and the impairments combined.
Parameters:
(1) type of diabetes
(2) therapy
(3) complications
Diabetic microangiopathy is indicated by one or both of the following:
(1) retinopathy
(2) albuminuria > 30 mg/dL
Type
Therapy
Complications
Impairment of the Whole Person
Type 2
controlled by diet alone
with or without evidence of diabetic microangiopathy
0 – 5%
Type 2
requires diet and hypoglycemic medication
evidence of diabetic microangiopathy
6 – 10%
Type 1
with or without evidence of diabetic microangiopathy
11 – 20%
Type 1
frequent hyperglycemia or hypoglycemia despite conscious efforts at control
21 – 40%
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