Plain-language summaries explain the text; they do not decide whether any level applies.
100%
Official criteria
Requiring more than one daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated
Plain-language summary
Every listed treatment, acute-care frequency, and additional complication/weight-loss element is required.
60%
Official criteria
Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated
Plain-language summary
This level combines insulin, diet, activity regulation, the listed acute-care frequency, and noncompensable complications.
40%
Official criteria
Requiring one or more daily injection of insulin, restricted diet, and regulation of activities
Plain-language summary
Insulin, restricted diet, and regulation of activities are all required.
20%
Official criteria
Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet
Plain-language summary
This level uses either insulin plus restricted diet or an oral hypoglycemic agent plus restricted diet.
10%
Official criteria
Manageable by restricted diet only
Plain-language summary
Restricted diet alone manages the diabetes.
Source record
38 CFR § 4.119—Schedule of ratings, endocrine system
38 CFR § 4.119, DC 7913 · Effective Dec 10, 2017 · Reviewed Jul 24, 2026