Diabetics with their problem have to constantly fight for the relief of their health. And in a complex form of the course of the disease, he needs outside help, since diabetes makes him incapable and dependent on many medications. In this case, state support is very important, so the question whether disability is given in case of diabetes mellitus or not is always relevant.
What factors affect the recognition of disability
Unfortunately, the very existence of the disease does not provide for the resolution of disability. For the decision of the commission to award the diabetic group, weighty arguments must be provided. And the presence of sugar in the blood without serious consequences and chronic diseases that have developed against this background is not a factor indicating the assignment of disability.
The question of whether diabetes is a disability or not is a negative answer. For this, other circumstances are taken into account.
Under what conditions does a person with diabetes mellitus need any of the disability groups? It is caused by all the severity of the disease, its type and associated diseases. Thus, it is taken into account:
- acquired or congenital form of diabetes (2 or 1), insulin-dependent or not;
- the ability to compensate for the level of glucose in the blood;
- acquisition against the background of the disease of various complications;
- the occurrence of other diseases under the influence of glycemia;
- restriction of normal life (the possibility of independent movement, orientation in the environment, performance).
Also important is the form of the disease. With diabetes are distinguished:
- easy - with the help of a diet it is possible to maintain the glucose level normal for a diabetic, this is often an early stage, marked by a satisfactory condition without manifestation of complications;
- medium - blood sugar exceeds 10 mmol / l, is present in large quantities in the urine, eye damage with deterioration of vision is observed, kidney function is impaired, endocrine system diseases, gangrene are observed, labor activity is limited, self-care options, the general condition is weak;
- heavy - diet and drugs become ineffective, glucose levels are much higher than normal, many complications appear, there is a risk of diabetic coma, gangrene spreads, all body systems are subject to illness, complete incapacity is noted.
Disability groups for diabetics of the first and second type
Whether a disability group is given in case of insulin-dependent type 1 diabetes or type 2 insulin-dependent depends on the degree of its occurrence, complications and the effect on full-fledged activity. Let us consider in more detail, which group of disability can be obtained depending on the course of the disease.
The first group is given with aggravated forms of diabetes. The reasons for obtaining it are:
- hypo-and hyperglycemic coma with frequent manifestations;
- heart failure III;
- irreversible chronic kidney and liver disease;
- blindness in both eyes;
- encephalosis, which is accompanied by mental damage, neuropathy, paralysis, ataxia;
- gangrene of the extremities;
- diabetic ketoacetosis.
This takes into account the loss of orientation in space, the inability to move independently and perform any work. People with this group require special attention and constant monitoring by doctors.
Getting the second group on disability in diabetes is based on the following manifestations:
- neuropathy in the II degree with severe paresis;
- damage to the eye retina (II - III degree);
- mental disorders with encephalosis;
- renal failure, nephrosis.
Physical activity is reduced with little ability to move, self-service and perform any work. Periodically necessary to monitor the doctor.
The third group is given with less burdened phases of diabetes mellitus. Insignificant violations are observed, without acute complications. Mobility abilities are almost not violated, there are opportunities to monitor yourself and perform some work duties. The conditions of this group of disability also include the period of study and the acquisition of a profession by young diabetics.
The main indicator for the assignment of a disability group is apparent incapacity and lack of independence in its own services.
In a child with diabetes mellitus on insulin before they reach the age of 18, disability is indicated without a group. After coming of age, he will need to pass a commission on the assignment of disability.
What you need to get a disability
Disability in diabetes mellitus type 2, like type 1, can be obtained by performing the following actions:
- turn to a therapist or go to the hospital and go there for all examinations;
- get a certificate for referral for examination (ITU).
Doctors, tests, examinations
Whether the disability is laid to a diabetic is decided by the ITU. The basis for this are the conclusions of the doctors examined, the results of tests and examinations.
Initially, when passing a commission for a group on their own, a visit to a district therapist is necessary, indicating the motivation of the disability. He should give a referral for compulsory visits to an oculist, neurologist, surgeon, cardiologist and other specialists based on the condition of the diabetic.
Also, a patient with diabetes is sent for diagnostic examinations and testing. To get the group you will need to check:
- clinical analysis of blood and urine;
- fasting and fasting glucose levels throughout the day;
- urine for sugar and acetone;
- glucose loading test;
- heart condition with electrocardiography;
- disturbances in the nervous system;
- the presence of ulcers and pustules;
- for disorders in the kidneys - urine by Reberg, KOS, Zimnitsky sample, urine during the day;
- arterial pressure;
- condition of the vessels;
- state of the brain.
The list of required documents includes:
- a statement from the person in need of disability or his official representative;
- identity documents - passport, birth certificate;
- direction to the ITU, decorated on the model - form №088 / y-0;
- discharge of the survey from the hospital where it was conducted;
- ambulatory card patient;
- the conclusions of the passed experts;
- survey results - images, analyzes, ECG, etc.
- for students - a characteristic compiled by the teacher;
- for workers - copies of pages from the workbook and characteristics from the place of work;
- for victims of an accident at work - an act of an accident with an expert opinion, the conclusion of the medical board;
- when re-referring to a disability - a document on the presence of disability, rehabilitation program.
When all surveys have been completed and documentation has been gathered, the assignment of the necessary group is decided by the ITU results. If the person with diabetes does not agree with the conclusion of the commission, it can be challenged. Initially filed a statement of disagreement with the conclusion of the ITU. Within a month, the process of assigning a disability must be carried out. Otherwise, you can go to court with a claim. However, after the trial, the decision is no longer subject to appeal.
As you can see, not every diabetic has the right to be assigned a disability group. In order to receive state aid for such a disease, one has to prove the pronounced effect of diabetes on the body and the impossibility of maintaining the usual way of life independently. People suffering from this disease often have a question about whether a pension is appropriate for diabetes. But pension payments are charged only upon reaching the retirement age. In the event of illness, financial assistance is provided only if there is a disability group.
Despite this, everyone with diabetes has a legal right to benefits from the state. Diabetics can get for free in state pharmacies:
- injection syringes;
- blood glucose meters;
- test strips for self-monitoring of blood glucose;
- medicinal drugs to reduce sugar.
Also, diabetic children, once a year, are provided free of charge for the prevention of recreation in sanatoriums.
Getting a disability with good reason is very important for people with diabetes. Assigning a group allows a diabetic to receive financial assistance, which he needs very much, without being able to work. In addition, people with disabilities in diabetes must be sent for rehabilitation. It helps to improve the general condition of a diabetic and even prolong his life.
However, regardless of the results of the examination for disability, it is necessary to independently monitor the state of your health, scrupulously follow the recommendations of doctors and promptly seek help if your health deteriorates.