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GrantedPACT Act

Service connection for diabetes mellitus type II (DMII) is granted.,Service connection for a peripheral circulatory disorder, originally claimed as peripheral vascular disease, to include as secondary to DMII, is granted.,Service connection for hypertension, to include as secondary to DMII, is remanded.,Service connection for chronic kidney disease, to include as secondary to DMII, is remanded.,Service connection for cataracts, to include as secondary to DMII, is remanded.,Service connection for cardiomegaly, to include as secondary to DMII (claimed as an enlarged heart), is remanded.,Service connection for peripheral neuropathy of the left lower extremity, to include as secondary to DMII, is remanded.,Service connection for peripheral neuropathy of the right lower extremity, to include as secondary to DMII, is remanded.,Service connection for tremors (possible Parkinson's disease), to include as secondary to DMII, is remanded.

The deciding factor: The Veteran has a current diagnosis of DMII and there is evidence that he was exposed to herbicides during service. As such, the presumption of exposure applies.,The peripheral circulatory disorder is associated with his DMII and the Board finds it at least as likely as not related to his service-connected condition.,The Veteran has hypertension but no VA examination or medical opinion regarding whether this is secondary to a service-connected disability or herbicide exposure. An examination is needed.,Chronic kidney disease, cataracts, and cardiomegaly are remanded for an examination to determine if they are related to herbicide exposure or a service-connected condition.,Cataracts are remanded for an examination to determine if they are related to herbicide exposure or a service-connected condition.,Cardiomegaly is remanded for an examination to determine if it is related to herbicide exposure or a service-connected condition.,Peripheral neuropathy of the left lower extremity and right lower extremity are remanded for an examination to determine if they are related to herbicide exposure or a service-connected condition.,Tremors (possible Parkinson's disease) are remanded for an examination to determine if they are related to herbicide exposure or a service-connected condition.,The Veteran’s tremors are not diagnosed as Parkinson's disease and need further evaluation.

Claimed conditions
diabetes mellitus type II (DMII), peripheral circulatory disorder, hypertension, chronic kidney disease, cataracts, cardiomegaly, peripheral neuropathy of the left lower extremity, peripheral neuropathy of the right lower extremity, tremors
How they argued it
Not specified
Exposure basis
None
Rating assigned
None in this decision
Decision date
September 26, 2019
Citation
A19001601

This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation A19001601.

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