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Is Sleep Apnea Secondary To Diabetes?

Information About Diabetes Secondary Conditions

Information About Diabetes Secondary Conditions

This page has conditions secondary to Agent Orange Diabetes. What this means is if you had diabetes prior to any of these conditions you can file for disabilities related to Agent Orange. More: Email Bob:bob[at]vetshome[dot]com CORONARY ARTERY DISEASE: In this chronic disease, atherosclerosis narrows the coronary arteries, the arteries supplying blood to the heart muscle. As the coronary arteries narrow, the chest pain called angina may be triggered. And the risk of a heart attack (myocardial infarction), which occurs when a coronary artery is blocked completely, is increased. Coronary artery disease currently affects 11 million people in the United States. 7000 Valvular heart disease (including rheumatic heart disease): 1. Service connection is in effect for Type II diabetes mellitus. 2. There is competent evidence of record of the current existence of sleep apnea. 3. The preponderance of the competent evidence of record demonstrates that there is a medical nexus between the service-connected diabetes and the current sleep apnea on the basis of aggravation. Sleep apnea is aggravated by the service-connected Type II diabetes mellitus. 38 U.S.C.A. 1110 (West 2002); 38 C.F.R. 3.102, 3.303, 3.310 (2009), Allen v. Brown, 7 Vet. App. 439 (1995). REASONS AND BASES FOR FINDINGS AND CONCLUSION Applicable law provides that service connection will be granted if it is shown that the veteran suffers from disability resulting from an injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service. 38 U.S.C.A. 1110; 38 C.F.R. 3.303.Service connection may be established on a secondary basis for a disability which is proximately due to or the result of servic Continue reading >>

Sleep Apnea Increases Type 2 Diabetes Risk

Sleep Apnea Increases Type 2 Diabetes Risk

Years of research have suggested that there is a connection between obstructive sleep apnea (OSA) and Type 2 diabetes. Now, the largest study investigating the conditions to date has demonstrated a link between the severity of a person’s OSA and his risk of developing Type 2. OSA is a condition in which breathing stops for 10 seconds or more during sleep, sometimes hundreds of times a night. The disorder affects approximately 18 million people in the United States, and research has shown that the condition is associated with increased risk for cardiovascular death. To determine whether OSA increases the risk of developing diabetes, researchers from the University of Toronto looked at 8,678 adults with suspected OSA who underwent a sleep study between 1994 and 2010. The severity of each person’s sleep apnea was evaluated using a measurement known as the apnea-hypoapnea index (AHI), which indicates the number of times a person stops breathing or breathes irregularly each hour. Based on the results, the study subjects were placed into one of four OSA categories — none, mild, moderate, or severe — and were then followed through May 2011 to examine whether they went on to develop diabetes. Over the course of the follow-up period, 1,017 (11.7%) of the participants developed Type 2 diabetes. After adjusting for risk factors known to increase a person’s chances of developing the condition, including age, sex, body-mass index, neck circumference, smoking, and income status, people with severe OSA were found to have a 30% higher risk of developing Type 2 diabetes than people without OSA. Additionally, those with mild or moderate OSA were found to have a 23% increased risk of developing Type 2 compared to those without OSA. Additional risk factors for diabetes included e Continue reading >>

Diabetes And Sleep Apnea: How Sleep Affects Blood Glucose And Diabetes

Diabetes And Sleep Apnea: How Sleep Affects Blood Glucose And Diabetes

Treat Apnea to Control Diabetes? Sleep apnea can affect diabetes control in many ways. Struggling for air may put your body into fight-or-flight mode, releasing stress hormones that can raise blood glucose levels. If you're tired, you won't want to take that walk around the block after lunch. While you're at work, you might keep snacking to stay awake. But can treating sleep apnea lead to better blood glucose control? Arvind Cavale, M.D., an endocrinologist in Feasterville, Pennsylvania, refers about 60 percent of his patients with type 2 diabetes for sleep studies. Cavale says treating sleep apnea reduces insulin resistance, improves alertness and motivation, and leads to more stable blood glucose levels. "We use correction of sleep apnea as a tool in controlling diabetes," he says. Does This Sound Like You? This is not a happy scenario: You're soooo tired. As soon as your head hits the pillow, you're asleep. But a little while later, someone nudges you awake. You go back to sleep. Just as you get into a deep sleep, you're nudged again. Sleep ... nudge ... sleep ... nudge. All night long. The next day, you might wake up with a headache, snap at your family over breakfast, have trouble concentrating at work. Irritability. Car accidents. Depression. High blood pressure. All because of those nightmarish nudges throughout the night. If you have obstructive sleep apnea syndrome (OSA), you're getting those nudges. It's your body fighting for air. And sleep apnea may be one explanation for difficulty in controlling blood glucose and blood pressure levels. With OSA, something partly or completely blocks your airway when you're asleep. It could be your tongue. It could be the soft tissues in the back of your throat relaxing too much. Snoring is a sign that air is being forced p Continue reading >>

What Form Do I Need For A Va Disability Comp Claim For Diabetes

What Form Do I Need For A Va Disability Comp Claim For Diabetes

If you are filing your VA disability compensation claim using private health care options, you can use a DBQ form, Disability Benefits Questionnaire, to evaluate your disability. To file a VA disability compensation claim for diabetes mellitus you need to add claims for all applicable conditions associated with your diabetes mellitus. No matter how controlled, diabetes mellitus is a progressive disease. Diabetes Mellitus affects all systems, organs, and functions of the body and causes other conditions. You will need your Private Physician or Physicians to complete a DBQ’s for the diabetes mellitus and each related condition. The DBQ’s for diabetes mellitus and related conditions can be viewed, filled for printing, downloaded or printed for your Doctor at website: Or, VA DBQ Forms can be viewed, filled for printing, downloaded or printed for your Doctor at website: The following is a list of some of the DBQ Forms related to Diabetes Mellitus. If you have another condition related that is not listed, go to the websites above and obtain the VA DBQ form associated with your condition or conditions. VA-21-0960E-1 – Diabetes Mellitus VA-21-0960C-4 – Diabetic Sensory-Motor Peripheral Neuropathy VA-21-0960A-4 – Heart Conditions (diabetic heart disease) VA-21-0960A-3 – Hypertension VA-21-0960A-2 – Artery and Vein Conditions (diabetic vascular disease) VA-21-0960M-1 – Amputations (diabetic vascular disease) VA-21-0960G-1 – Esophageal Conditions (diabetic reflux) VA-21-0960G-7 – Stomach and Duodenal Conditions (diabetic changes) VA-21-0960J-1 – Kidney Conditions (diabetic kidney impairment) VA-21-0960M-6 – Foot Conditions (diabetic foot drop) VA-21-0960F-2 – Skin Conditions (diabetic dermatitis) VA-21-0960J-2 – Male Reproductive Organ Conditions (diabe Continue reading >>

Obstructive Sleep Apnea As A Risk Factor For Type Ii Diabetes

Obstructive Sleep Apnea As A Risk Factor For Type Ii Diabetes

Obstructive Sleep Apnea as a Risk Factor for Type II Diabetes We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Obstructive Sleep Apnea as a Risk Factor for Type II Diabetes Nader Botros, M.D., MPH, John Concato, M.D., [...], and Klar Yaggi, M.D., MPH Cross-sectional studies have documented the co-occurrence of obstructive sleep apnea (hereafter sleep apnea) with glucose intolerance, insulin resistance, and type II diabetes mellitus (hereafter diabetes). It has not been determined, however, whether sleep apnea is independently associated with the subsequent development of diabetes, accounting for established risk factors. This observational cohort study examined 1233 consecutive patients in the Veteran Affairs Connecticut Health Care System referred for evaluation of sleep-disordered breathing; 544 study participants were free of preexisting diabetes and completed a full, attended, diagnostic polysomnogram. The study population was divided into quartiles based on severity of sleep apnea as measured by the apnea-hypopnea index. The main outcome was incident diabetes defined as fasting glucose level > 126 mg/dL and a corresponding physician diagnosis. Compliance with positive airway pressure therapy, and its impact on the main outcome, was also examined. In unadjusted analysis, increasing severity of sleep apnea was associated with an increased risk of diabetes (P for linear trend < 0.001). After adjusting for age, sex, race, baseli Continue reading >>

Sleep Apnea Linked To Diabetes (again)

Sleep Apnea Linked To Diabetes (again)

New research adds more evidence to the link between sleep problems and metabolic disorders like diabetes. Moderate and severe obstructive sleep apnea are predictors of Type 2 diabetes, according to a new study presented at the ATS 2012 International Conference. The researchers also found that the sleep condition and night-time hypoxemia (low oxygen levels in the blood) were linked with levels of glycosylated hemoglobin (HbA1c), associated with diabetes. Obstructive sleep apnea is a sleep condition that occurs when a person stops breathing during sleep because of obstructed sleep airways, according to the A.D.A.M. Medical Encyclopedia. "Our study shows that OSAS is independently associated with metabolic disturbances," study researcher Brian Kent, MBBCh, a research fellow at St. Vincent's University Hospital in Dublin, said in a statement . "This is important because individuals with T2DM [Type 2 diabetes mellitus] or elevated HbA1c levels are more likely to die of cardiovascular disease." The study included 7,886 people who participated in overnight sleep studies at 22 sleep labs in Europe. Past research has also shown a link between diabetes and sleep apnea -- a 2007 study from Yale researchers showed that the sleep condition raises the risk of diabetes by two-and-a-half times. And in 2005, researchers found that treating sleep apnea could help blood sugar control in people with diabetes, WebMD reported. Just this week, a study from researchers from the University of Wisconsin School of Medicine and Public Medicine showed that sleep-disordered breathing -- which includes obstructive sleep apnea -- is linked with an increased risk of dying from cancer . And an animal study earlier this year also demonstrated how sleep apnea can affect the brain's blood vessels -- by de Continue reading >>

Patients With Type 2 Diabetes Or Hypertension Must Be Evaluated For Sleep Apnea

Patients With Type 2 Diabetes Or Hypertension Must Be Evaluated For Sleep Apnea

FOR IMMEDIATE RELEASE CONTACT: Katie Blyth, L.C. Williams & Associates, 312-565-3900, [email protected] BALTIMORE, MD – June 3, 2013 – The American Academy of Sleep Medicine (AASM) is advising anyone with Type 2 diabetes or hypertension to be evaluated for sleep apnea by a board-certified sleep medicine physician. The recommendation comes as the group of international clinicians and researchers meets in Baltimore for SLEEP 2013, the foremost gathering of sleep experts annually. Overwhelming clinical evidence has shown that patients suffering from two very common illnesses – Type 2 diabetes and hypertension – are at much higher risk for obstructive sleep apnea (OSA), a dangerous condition characterized by episodes of complete or partial airway obstruction during sleep. Research also has shown that treating sleep apnea can help in the management of these two disorders. “Type 2 diabetics and people with hypertension are much more likely to have obstructive sleep apnea than other people, and as a result should immediately discuss their risk for sleep apnea with a sleep specialist,” said M. Safwan Badr, MD, president of AASM. “Diagnosis and treatment of sleep apnea from a board-certified sleep medicine physician will promote improvement in these conditions – including improved insulin sensitivity, blood pressure and cholesterol.” Type 2 Diabetes and Obstructive Sleep Apnea According to the Centers for Disease Control and Prevention, 25.6 million Americans aged 20 years or older suffer from diabetes, and Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases. Seven in 10 people with Type 2 diabetes also have obstructive sleep apnea, and the severity of the sleep disorder directly impacts diabetes symptoms; the more severe a diabetic’s unt Continue reading >>

The Type 2 Diabetes And Sleep Apnea Connection

The Type 2 Diabetes And Sleep Apnea Connection

People with type 2 diabetes are at risk for sleep apnea, a disorder that's marked by pauses in breathing during sleep. If you have type 2 diabetes, there’s another condition that you should be aware of: sleep apnea, a disorder in which people experience pauses in their breathing throughout the night, possibly for one minute or more. In fact, according to a study published in 2013 in Family Medicine, people with type 2 diabetes can have a nearly 50-50 chance of being diagnosed with this sleep disorder. That’s a problem, since sleep apnea can worsen diabetes symptoms and lead to problems like high blood pressure, heart disease, or even stroke, says David Marrero, PhD, president of healthcare and education at the American Diabetes Association and director of the Diabetes Translational Research Center at the Indiana University School of Medicine in Indianapolis. “Untreated sleep apnea is associated with increases in glucose and poor quality of life stemming from chronic fatigue,” says Dr. Marrero. “It’s also associated with cardiovascular disease, which is why it’s so important for people to get their sleep apnea diagnosed and treated.” Sleep apnea and type 2 diabetes often coexist because of shared risk factors like obesity. According to the American Academy of Sleep Medicine, the more severe the untreated sleep apnea in a person with type 2 diabetes, the poorer their levels of glucose control. Read on to learn more about sleep apnea and how you can treat it effectively. Sleep Apnea: It's More Than Just Snoring Sleep apnea is a sleep disorder that’s characterized by pauses in breathing. These episodes, called apneas, can wake the sleeper as he or she gasps for air, which can lead to poor sleep and chronic tiredness. The most common type of sleep apnea is Continue reading >>

Obstructive Sleep Apnoea And Type 2 Diabetes Mellitus: Are They Connected?

Obstructive Sleep Apnoea And Type 2 Diabetes Mellitus: Are They Connected?

Obstructive sleep apnoea and Type 2 diabetes mellitus: are they connected? 1Department of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore 2Family Medicine, Changi General Hospital, Singapore 3Care and Health Integration, Changi General Hospital, Singapore 4Department of Otorhinolaryngology Head and Neck Surgery, Changi General Hospital, Singapore Correspondence: Dr Mok Yingjuan, Consultant, Department of Respiratory and Critical Care Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. [email protected]_nauj_gniy Copyright : Singapore Medical Association Obstructive sleep apnoea (OSA), a sleep-related breathing condition, is diagnosed based on a patients apnoea-hypopnea index from a sleep study, and the presence or absence of symptoms. Diabetes mellitus (DM) and OSA share a significant common risk factor, obesity, with all three conditions contributing to the risk of developing cardiovascular diseases. The pathophysiological links between OSA and DM are still unclear, but intermittent hypoxia may be an important mechanism. More awareness of the possible link between OSA and DM is needed, given their increasing prevalence locally and worldwide. Continuous positive airway pressure is the standard treatment for OSA, while weight loss through dietary and lifestyle modifications is important to holistically manage patients with either condition. There is currently insufficient evidence to support the benefits of screening every diabetic patient for OSA. However, diabetic patients with symptoms suggestive of OSA should be referred to a sleep specialist for further evaluation. Keywords: diabetes mellitus, obstructive sleep apnoea, sleep-disordered breathing Mr Lim visited your clinic with his wife for his regular review for Type 2 dia Continue reading >>

4 Lessons You Need To Learn To Service Connect Sleep Apnea.

4 Lessons You Need To Learn To Service Connect Sleep Apnea.

4 Lessons You Need to Learn to Service Connect Sleep Apnea. Do you have questions about how to service connect sleep apnea claims? Youre arent alone. Winning a VA claim to service connect sleep apnea is hard. Winning a VA Sleep Apnea is much harder. In fact, winning your VA sleep apnea claim can feel like you just led your team to victory in the World Cup. Its almost as much work and it can often take as much dedication. Veterans ask me more questions about sleep apnea than almost any other question about VA Benefits Law. Closely followed by PTSD , Hearing Loss , Tinnitus and TDIU . * Can I service connect sleep apnea without a sleep study in service? * What if it wasnt diagnosed until years after service can I service connect it then? * How do I appeal the VA s denial of my Sleep Apnea? I got so many questions that I began to do a lot of research into how to service connect Sleep Apnea claims and what is happening with Sleep Apnea in the Veterans community. Heres 4 lessons I learned that I want to pass on to you if you can really learn and understand these lessons, you will have the power to really improve and service connect sleep apnea claims and appeals. There are 3 things that the human body cannot live or function without: Blood/Oxygen, Food/Water and Sleep. You can lose a kidney, and live a full and complete life. You can lose your arms and legs and still survive. But if your body cannot get sleep, you will die. In fact, sleep deprivation is a common form of torture, as many of us know all too well. Thats what Sleep Apnea does while you are sleeping, you stop breathing. You cut off oxygen to the brain and blood, and other body systems break down. If you are lucky, you start breathing again. Not a lot of VSO s or advocates get this when helping a Veteran file a V Continue reading >>

Diabetes And Sleep Apnea

Diabetes And Sleep Apnea

Am wondering if any of you guys have filed a claim for Sleep Apnea secondary to DM II and been awarded a disability for it? I have been diagnosed with Diabetessince 2006 and now ObstructedSleep Apnea in Jan 2012, after going to a sleep center for tests. I have a CPAP machine I have to use to sleep at night. I am presently rated at 70% disability: 20% DM II, 20% PN left leg, 20% right leg and 30% IHD/CAD with a claim in for an increase due to low METS 4.6 and LVEF 40%. I have been reading on some Medical web sites that there is a nexus between DM II and OSA. Thanks res1pcnn, you need to get a doctor to make the connection for you. res1pcnn, you need to get a doctor to make the connection for you. I will when I submit a claim. I would just like to know if anybody has filed for OSA and been granted compensation as secondary to DM II. Or is it a waste of time. I was diagnosed with DM II in 2006. In late 2007 my wife started complaining about me snoring. I did not think much about it until my PCP at the VA Hospital sent me for a sleep study. I too was diagnosed with OSA and given a CPAP machine. My PCP stated that the OSA is secondary to my DM II. I filed a claim with the VA in March 2011. Currently waiting for a decision on my claim at this time. My husband just had a C & P exam for sleep apnea s/c secondary to his diabetes a few weeks ago. We got a copy of the exam. The examiner agrees that he has sleep apnea since the VA supplies his CPAP, but he states that he that it's more likely than not related to the diabetes, so I'm sure they will deny the claim. You may be able to get Sleep Apnea as secondary to diabetes. If you are on insulin therapy for DMII, and have gained weight due to the insulin, and the weight gain is causing the Obstructive Sleep Apnea, you might be succ Continue reading >>

Building A Test Case: Diabetes Ii Secondary To Sleep Apnea - Va Disability Compensation Benefits Claims Research Forum - Veterans Affairs Disability Compensation Benefits Forums - Hadit.com Veterans

Building A Test Case: Diabetes Ii Secondary To Sleep Apnea - Va Disability Compensation Benefits Claims Research Forum - Veterans Affairs Disability Compensation Benefits Forums - Hadit.com Veterans

VA Disability Compensation Benefits Claims Research Forum Building A Test Case: Diabetes Ii Secondary To Sleep Apnea 14 Questions about VA Disability Compensation Benefits Claims When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ... Most CommonVADisabilities Claimed for Compensation: Can a 100 percent Disabled Veteran Work and Earn an Income? Youve just been rated 100% disabled by the Veterans Affairs.After the excitement of finally having the rating you deserve wears off, you start asking questions.One of the first questions that you might ask is this:Its a legitimate question rare is the Veteran that finds themselves sitting on the couch eating bon-bons Continue reading Several people here have posted regarding diabetes II service-connection being only open to Vietnam vets. They're thinking of the presumptive connection Vietnam vets enjoy because of exposure to Agent Orange. It is possible to develop diabetes in-service, though unless you're in Twilight, you probably wold be medically discharged. In my case, un-treated sleep apnea in-service may have contributed to the development of diabetes post-service. I received a provisional diagnosis in-service for the sleep apnea before being deployed to Korea. After that, a brief tour to Hawaii and then retirement. The VA reopened the original claim and rated the sleep apnea recently. During the time I was researching for a possible appeal, I discovered that there have been several BVA cases where a vet's claim to diabetes II as a secondary to sleep apnea was approved based on the growing body of research supporting sleep apnea as a cause of diab Continue reading >>

Obstructive Sleep Apnea And Type 2 Diabetes Mellitus: Examining The Evidence

Obstructive Sleep Apnea And Type 2 Diabetes Mellitus: Examining The Evidence

Obstructive Sleep Apnea and Type 2 Diabetes Mellitus: Examining the Evidence Type 2 diabetes mellitus (T2DM) and obstructive sleep apnea (OSA) are two common, chronic conditions that are associated with both prevalent and incident cardiac disease. Although T2DM and OSA share a common risk factor, i.e. obesity, accruing evidence over the last two decades has demonstrated that there is an independent association between OSA and T2DM. Estimates on the prevalence of OSA in type 2 diabetics are indeed staggering with studies showing that well over 50% of type 2 diabetics have OSA.1-3 Initial studies demonstrated a cross-sectional association between self-reported OSA and glucose disorders but had methodological limitations such as lack of objective assessment of sleep-disordered breathing and the absence of adjustment for important confounders such as obesity and sleep duration. Thus, interpretation of the findings from these studies was challenging. However, subsequent studies were more rigorous in their approach and included polysomnographic-derived metrics of sleep apnea, addressed confounding, and provided longitudinal data. These latter investigations confirmed an independent association between OSA and glucose disorders.4,5 Mechanistic pathways linking OSA to glucose dysregulation are less well elucidated and are being explored. The concurrence of experimental data from both animal and human studies suggest that intermittent hypoxia and recurrent arousals from sleep, the two pathophysiological concomitants of OSA, are likely to mediate the disruption in glucose homeostasis observed in OSA. However, downstream pathways that could connect intermittent hypoxia and sleep fragmentation to metabolic dysfunction are not well delineated. Potential mechanisms include: 1) sympa Continue reading >>

Secondary Conditions

Secondary Conditions

Jim; Not sure if you have seen this yet. Ive attached an invitation one of our clients received inviting him to participate in the RAMP program. We had to read it about 5 times to understand everything, so I would highly recommend any veteran getting one of these to seek the advice of a rep or attorney. We can definitely see where making the wrong selection could be detrimental. We're happy to offer free evaluations to any veteran who gets a RAMP letter . /s/ Julie Glover 3.310 Disabilities that are proximately due to, or aggravated by, service-connected disease or injury. (a) General. Except as provided in 3.300(c), disability which is proximately due to or the result of a service-connected disease or injury shall be service connected. When service connection is thus established for a secondary condition, the secondary condition shall be considered a part of the original condition. Thanks for visiting the VAWatchdog! Can we help you find something? We've built a search engine specifically for veterans to use. Please type in a key word or a phrase in the custom search engine above & click the search icon. Board of Veterans Appeals decisions are required reading for the veteran involved in a claim or an appeal. You should recognize that BVA decisions do not establish precedent.Inlegal systems based on common law, aprecedent, or authority, is a principle or rule established in a previouslegalcase that is either binding on or persuasive for a court or other tribunal when deciding subsequent cases with similar issues or facts. At VA and BVA every case is decided on its own merit. When you find a case similar to yours, you'll want to read it through and learn what that veteran did to win his appeal or if the case was denied, why? If you pattern your case in a way similar to Continue reading >>

The Board Erred In Denial Of Claim Sleep Apnea And Gastroparesis

The Board Erred In Denial Of Claim Sleep Apnea And Gastroparesis

The Veteran served honorably in the United States Army from 1965 to 1967, with service in Vietnam. Following service, the Regional Office granted him service connection for diabetes mellitus and gastroparesis. He subsequently filed a claim for service connection for sleep apnea as secondary to diabetes. The Veteran also filed a claim for a rating in excess of 10% for his gastroparesis. He based this claim on his symptoms of continuous abdominal pain, nausea, flare-ups of more severe pain, and the resulting effects on his ability to work. BVA denies service connection for sleep apnea, higher rating for gastroparesis The Board denied both claims in November 2016. When issuing its decision the Board relied on a VA medical opinion in which the examiner noted that sleep apnea could worsen symptoms of diabetes. However, as the examiner noted that there was no correlation that diabetes could cause sleep apnea the Board denied service connection. In addition, the Board concluded that the Veterans gastroparesis symptoms were only mild in severity. Therefore, it denied a higher rating for his condition. The Veteran disagreed with this decision, and with CCKs help, the he appealed both issues to the Court of Appeals for Veterans claims. CCK appeals to Court; CAVC agrees with CCKs arguments CCK argued, and the Court agreed, that the Board erred when it denied both claims. The CAVC found that the VA examiner did not adequately address whether the Veterans diabetes aggravated or worsened his sleep apnea. Rather, the examiners rationale only discussed causation, which is only one half of the relevant inquiry. In addition, the Court agreed that the issue of secondary service connection was raised by the Veteran. It found that the Board erred in relying on a VA examination that did not Continue reading >>

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