Type 1 diabetes how to get a disability. Disability groups and criteria for their establishment. Rehabilitation and working conditions

Diabetes mellitus, despite its sweet name, brings a person not only excess glucose into the body, but also additional complications. The resulting changes can worsen the health of a diabetic and lead to irreversible processes, up to disability.

People who are faced with an endocrine disease rightfully ask themselves the question, do they give disability in diabetes mellitus? The status of "disabled" helps some patients in everyday adaptation and in obtaining material and medical benefits.

This topic has two sides, which must be known to a person in whose anamnesis diabetes is established.

Diabetes diabetes strife

Disability in diabetes mellitus is given, but not to everyone and not always! How the disease itself has different forms manifestations, and the list of benefits for diabetics is determined by the degree of disability of a person.

In some cases, diabetes can be easily controlled with pills, diet, physical activity, and after a while the diagnosis can be removed - with type 2 disease. The sick person lives fully and does not need extraneous care. Then what kind of disability can we talk about?

The first type of diabetes today refers to an incurable form, but does not always make a person dependent on third parties.

Many insulin-dependent people live a full life, do what they love and are surrounded by the care of their relatives. In fact, they don’t need a disability, but benefits for injections and test strips, of course, will not hurt.

Back side sweet sickness consists in complications that are not formed in one day, but gradually. Serious disruptions in the functioning of the body occur due to the inattentive attitude of the patient himself or due to wrong choice rehabilitation programs by the attending physician, for example, the type of insulin for type 1 diabetes.

Spikes in glucose or insulin levels provoke changes in circulatory system, the work of the kidneys, heart, central nervous system, eyes, musculoskeletal system. The situation can be critical when a diabetic simply dies without outside help.

A special situation for children who early age diagnosed with type 1 disease. Without constant attention the child cannot remain on the part of the parents or guardians.

visit kindergarten or school depends general well-being minor but without special status administration educational institution will not turn a blind eye to absenteeism and non-compliance with standards.

Considering diabetes from different angles, one can understand that getting a disability is individual event every diabetic.

Types of disability in diabetes

Disability in the general sense is divided into 3 groups, regardless of the qualification of a person’s disease:

Which disability group will be given to a diabetic depends precisely on the severity of the disease and the general examination.

What criteria affect the disability group in diabetes

For diabetes disability, you need to submit certain documents that will affect the group of disability and benefits. In the anamnesis of the patient, when qualifying a disability, there should be certain indicators.

Group 1 is given to a diabetic if it is diagnosed:

In fact, disability group 1 in diabetes is given when a person is not able to live alone and needs care and care.

Group 2 disability in diabetes is in many ways similar to the criteria for group 1. The only difference is the fact that the changes in the body have not yet reached a critical level and the patient partially requires the care of third parties. You can work only in specially equipped conditions without overwork and nervous shocks.

Group 3 disability for diabetes is assigned if increased content sugar or lack of insulin in the blood has led to circumstances where a person cannot do his job. Wanted special conditions or retraining, but without a group, an employee cannot receive such a benefit.

In addition to the three groups of disability considered, there is a special status for persons who are entitled to benefits - these are minor children diagnosed with type 1 diabetes. special child requires more attention from parents, because it cannot independently compensate for sugar.

But this status can be reviewed by the commission when the teenager reaches the age of 14. Disability can be canceled if it is proven that the child can take care of himself, has passed the school of diabetes and is able to inject insulin.

How is diabetes disability determined?

To understand whether a disability for diabetes mellitus should be assigned, the patient needs to follow a series of steps:

But do not think that having received a disability, you can forget about paperwork. Any benefits have time limits and in order to extend them, you will have to undergo a series of examinations again, collect a package of documents and submit them to the commission. The group can be changed or completely withdrawn if there are changes in a positive or negative direction.

In case of non-compliance with the conditions of the rehabilitation program for patients diabetes the commission also has the power to refuse disability.

What gives the status of "disabled" to a diabetic

The financial situation of many people with diabetes is within the average range. Continuous glucose monitoring and treatment is costly, especially in type 1 diabetes. Therefore, without state support, the hostages of the sweet disease will not be able to get out of the vicious circle.

If type 2 diabetes is diagnosed, then treatment is usually based on proper nutrition.

Benefits can only be given hypoglycemic drugs a specific list. Otherwise, the life of a diabetic is no different from life healthy people. Therefore, you should not count on disability in such a situation.

Another thing is type 1 diabetes, but there are exceptions. The main support is provided to minors:

Pension, because one of the parents must always be with the child and cannot go to work.
Quotas for examination and treatment in specialized centers, sanatoriums.
Free orthopedic shoes to exclude changes in the foot, which often occur in diabetics.
Benefits for utilities.
Possibility free education in universities.
Allocation of land for individual construction.
Obtaining special equipment for controlling sugar levels and its normalization (test strips, syringe, needles, insulin).

Even though medicine is time runs forward, diabetes still cannot be completely cured.

People with this diagnosis constantly have to maintain the state of the body, take drugs along with diet. This is also very expensive.

Therefore, the question of whether it is possible and how to get a disability with type 1 and type 2 diabetes is relevant in order to at least have additional benefits. This will be discussed further.

Having received a diagnosis of diabetes mellitus, a person will need to adhere to a special one all his life, as well as follow the established regimen.

This allows you to control blood sugar levels and prevent deviations from allowable rate. In addition, many of these patients are dependent on insulin. Therefore, they require timely injection.

Such circumstances worsen the quality of life and complicate it. Therefore, the question of how to get disability for type 2 and type 1 diabetes mellitus is extremely important for the patient and his relatives. In addition, in connection with the disease, a person partially loses his ability to work, often suffers from other diseases due to negative impact diabetes on the body as a whole.

What affects getting a group?

Before moving on to the question of how to apply for disability for type 2 and type 1 diabetes, it is necessary to consider the points that affect the receipt of the group. The mere presence of such a disease does not entitle you to a disability for diabetes.

This requires other arguments, on the basis of which the commission will be able to make an appropriate decision. Moreover, the absence of severe complications even with the development chronic diseases does not become a factor allowing the assignment of a disability.

When assigning a disability group, the following is taken into account:

whether there is dependence on insulin;
congenital or acquired type of diabetes;
limitation of normal life;
whether it is possible to compensate for the level of glucose in the blood;
occurrence of other diseases;
acquisition of complications on the background of the disease.

The form of the course of the disease also plays a role in obtaining disability. She happens:

light- most often early stage when the diet allows the glucose level to be kept normal, there are no complications;
average- more than 10 mmol / l is an indicator of blood sugar, the patient has eye lesions that contribute to visual impairment and development, a weak general condition is observed, others appear accompanying illnesses including lesions endocrine system, kidney failure, and gangrene. A patient with diabetes mellitus also has limitations in self-care and work activities;
heavy- Glucose levels are much higher than normal performance, drugs and diet have little effectiveness, complications appear a large number of, including other diseases, gangrene spreads, complete incapacity is noted.

To obtain a disability, such circumstances as the severity of the disease, its type, concomitant diseases are taken into account.

Group assignment

How is disability given in diabetes mellitus?

The disability group is established based on the stage of the disease, disability, the presence of complications that interfere with normal life.

To do this, you must pass a medical commission.

First of all, you need to go through an ophthalmologist and a neurologist. The first will be able to determine the likelihood of blindness, and the second will reveal the degree of damage nervous system.

What group is given for diabetes mellitus? The most serious is the 3rd group of disability, when blindness has come or is expected, heart failure, paralysis and even coma are possible. In this case, the commission is obligatory, and the decision is made collectively based on the results of observations.

Assignment of the second group of disability in diabetes mellitus is carried out when the nervous system is affected and work is disrupted internal organs.

However, self-care remains. In addition, partial vision loss and brain damage are most often observed.

The third group is given to people who have minor changes in the functioning of the nervous system and internal organs. It is given in the case when there is no opportunity to combine current work with diabetes. The action ends after finding a new job.

How to get a disability group for diabetes?

To receive a disability group, having type 1 or type 2 diabetes, you must go through the following steps:

contact the doctor with whom you are registered;
get a referral for tests and undergo an examination;
contact the doctor again, who will record all the results obtained, make an extract from the medical history, send him to the head physician to certify the form;
pass the necessary commission by presenting the necessary documents on it;
based on a personal conversation with the patient and a study of the submitted test results, the commission will decide on the assignment of a disability group.

It is important to provide full package documents and pass all tests on time.

Doctors, tests, examination

The main decision is made by employees of the medical and social expertise based on the conclusions of doctors, examinations and test results. The primary appeal is required to the therapist, who gives a referral to an ophthalmologist, surgeon, neurologist, cardiologist and other specialists.

The review will be carried out in the following areas:

urine for acetone and sugar;
clinical analysis of urine and blood;
glycohemoglobin;
brain work;
vision;
violation of the nervous system;
the presence of pustules and ulcers;
glucose load test;
fasting glucose levels, as well as during the day;
Zimnitsky test, KOS, urine according to the Child - in case of kidney disorders;
electrocardiography to check the condition of the heart.

What documents are needed

When passing the commission, you will need to present the following documents:

passport or birth certificate;
a statement expressing a desire to receive a disability;
referral to the ITU, necessarily drawn up in the form;
card of the patient from the outpatient clinic;
extract of the examination from the place of its conduct in the hospital;
survey results;
the conclusions of specialists who passed the patient;
a characteristic from a teacher from the place of study, if the patient is still studying;
work book and characteristics of the head from the place of work;
act on the accident, if any, together with the conclusion of the medical board and examination;
a rehabilitation program and a document on disability, if the appeal is repeated.

If you disagree with the assigned disability group, you have the opportunity to challenge it. For this, an appropriate application is submitted with the conclusion of the ITU. There may also be a trial, after which it will no longer be possible to appeal the decision.

Privileges

So, not everyone has the possibility of obtaining disability in case of diabetes.

In order to be eligible for state aid, evidence is needed that its effect on the body is pronounced, that it is extremely difficult or even impossible to lead a normal way of life on your own. After assigning a disability group, the patient can receive not only financial assistance, but also other benefits.

First of all, diabetics with disabilities receive free glucometers, insulin, syringes, medical preparations, reducing sugar, test strips that allow you to control the level of sugar.

You can get them at state pharmacies. For children, they additionally provide rest in sanatoriums once a year. In addition, diabetics are referred for rehabilitation to improve their general condition.

Factors affecting the assignment of a disability group

The disability group in diabetes mellitus depends on the nature of the complications of the disease.

The first group is assigned in the presence of:

acute kidney failure;
encephalopathy of the brain and mental abnormalities caused by it;
gangrene of the lower extremities, diabetic foot;
regular states of diabetic coma;
factors that do not allow you to work, serve your own needs (including hygiene), move around;
disturbances of attention and orientation in space.

The second group is assigned in the presence of:

diabetic retinopathy of the 2nd or 3rd stage;
nephropathy, the treatment of which is impossible with pharmacological drugs;
renal failure in the initial or terminal stage;
neuropathy, accompanied by a general decrease vitality, minor lesions of the nervous system and musculoskeletal system;
restrictions on movement, self-service and work.

Diabetics can count on the third group of disability with:

moderate impairment functional state some internal organs and systems (provided that these violations have not yet led to irreversible degenerative changes);
minor restrictions on work and self-service.

Disability in type 2 diabetes usually involves the assignment of the third group.

Before applying for disability, the patient must be aware that he will be expected to be limited in the performance of work duties. This is relevant for those employed in production and work associated with physical activity. Holders of the 3rd group will be able to continue working with minor restrictions. Disabled people of the second category will be forced to move away from activities associated with physical exertion. The first category is considered incompetent - such patients need constant care.

Diabetes Disability Form

Before you get a disability with diabetes, you need to go through several medical appointments, take tests and provide medical institution at the place of residence a package of documents. The process of obtaining the status of "disabled" should begin with a visit to the local therapist, and based on the history and results primary examination require a referral to the hospital.

In the hospital, the patient will be required get tested and tested. The list below:

urine and blood tests for sugar concentration;
results of measurements of glucose levels;
urine test for the presence of acetone;
results of a glucose load test;
tomography of the brain;
results of an examination by an ophthalmologist;
Rehberg's urine test;
data with measurements of the average daily volume of urine;
conclusion after examination by the surgeon (the presence of trophic ulcers, others degenerative changes in limbs);
results of hardware dopplerography.

In the presence of concomitant diseases, conclusions are attached on the current dynamics of their course and prognosis. After passing the examinations, the patient must begin to form a package of documents necessary for submission to medical and social expertise- the body at the place of residence, which assigns the status of "disabled".

If a negative decision is made regarding the patient, then he has the right to challenge the verdict in the regional office by attaching a corresponding statement to the package of documents. If the regional ITU bureau similarly denied, the diabetic has 30 days to appeal to Federal Bureau ITU. In all cases, the response from the authorities must be given within a month.

The list of documents to be submitted to the competent authority:

copy of the passport;
the results of all analyzes and examinations described above;
doctors' opinions;
application of the established form No. 088 / y-0 with the requirement to assign a disability group;
sick leave;
an extract from the hospital on passing examinations;
medical card from the institution at the place of residence.

Employed citizens are additionally required to attach a copy of the work book. If a person quit earlier due to poor health or has never worked, he needs to include certificates in the package confirming the presence of diseases incompatible with professional activity, and the conclusion about the need for rehabilitation.

If disability is issued for a diabetic child, then parents provide a birth certificate (up to 14 years old) and a reference from a general education institution.

The process of collecting and submitting documents is simplified if the examination of patients and the ITU are administered by the same medical institution at the place of residence. The decision to assign a disability to the corresponding group is made no later than one month from the date of submission of the application and documents. The package of documents and the list of analyzes are the same regardless of whether the applicant intends to issue a disability for type 1 or type 2 diabetes.

Disability in type 1 diabetes, like disability in type 2 diabetes, requires periodic confirmation.

Upon re-passing, the patient provides a certificate confirming the previously assigned degree of incapacity and a rehabilitation program with marks of current progress. Groups 2 and 3 are confirmed annually. Group 1 is confirmed once every two years. The procedure takes place at the ITU office at the place of residence.

Benefits and other types of social assistance

A legally assigned category of incapacity allows people to receive additional funding. Diabetics with disabilities of the first group receive allowances as part of the disability pension fund, disabled people of the second and third groups - when they reach retirement age.

Regulations oblige diabetics with disabilities to be supplied free of charge (in accordance with quotas):

insulin;
syringes;
glucometers and test strips to determine the concentration of sugar;
drugs to lower glucose levels.

Patients with type 2 diabetes are entitled to spa treatment, the right to study for a new labor specialty. Also, patients of all categories should be provided with drugs for the prevention and treatment of complications of diabetes. Also, for these categories, utility bills are reduced by half.

A child who has received the status of "disabled" due to diabetes is exempted from passing military service. During study, the child is exempted from final and entrance examinations, certification takes place on the basis of average annual grades. More

Diabetic women can count on a two-week increase in maternity leave.

Pension payments for this category of citizens are in the range of 2300-13700 rubles and depend on the assigned disability group and the number of dependents living with the patient. Disabled people with diabetes can generally use the services social workers on a universal basis. If a person's income is 1.5 living wages or less, then the services of a social service specialist are provided free of charge.

Diabetes mellitus is very serious illness, which, despite the rapid development of medicine, is not treatable. The danger of this disease lies also in the fact that it is often the cause of dangerous complications and also affects important internal organs human body. How to get a disability for diabetes mellitus, how to properly apply for a disability for diabetes, read further in the article.

Why is a person eligible for diabetes disability?

A person who has been diagnosed with this diagnosis must strictly adhere to special diet, as well as a certain regimen, which together allow you to effectively control the level of sugar, and maintain it at acceptable level. Often, diabetes mellitus makes the patient dependent on insulin, and, consequently, the person suffering from given by disease should in certain time to be able to receive the necessary injection. Naturally, the above facts have a rather negative effect on the quality of life, and also somewhat complicate it. That is why the question of how to get disability for diabetes is of great concern not only to patients, but also to their relatives.

A person who has been diagnosed with diabetes mellitus partially loses his ability to work, has a tendency to many diseases, due to the complications that this disease has on the body. In the event that the diagnosis was made at an age when it is still quite far from retirement, you need to think about how to apply for disability for yourself.

Basic conditions how to get a disability for diabetes mellitus?

You can apply for disability subject to the availability of extracts on treatment, as well as certificates that confirm the presence of the disease. At the same time, it should be borne in mind that disability will be issued only if a person, as a result of an illness, has completely or partially lost his ability to work due to persistent health disorders.

In legislation Russian Federation it is clearly stated that a person who has lost his ability to work as a result of diabetes mellitus has the right to apply for disability. Depending on the degree of disruption of the internal organs caused by diabetes mellitus or its complications, medical board can assign the first, second or third group of disability. In the event that diabetes mellitus requires constant use of insulin injections, disability is assigned on an indefinite basis, which eliminates the need for annual re-examination of the disease.

How to apply for diabetes disability?

The first step on the way to how to apply for a disability for diabetes is to contact a local doctor, who must write out a referral for a series of examinations to the patient. After an ECG examination has been completed, tests have been taken, and an extract from the medical history has been made, it will be necessary to undergo medical and social commission.

Having received a special extract from the head physician of the clinic you applied to, you must contact the medical and social commission of your district. In order to pass this examination, you must provide all available medical documents as well as a passport. The last step is the application for certification. Based on the documents and certificates you have, the members of the commission will make a decision and assign you one of the disability groups. In cases where the commission, or the doctors of the polyclinic, decided that in your case there are no grounds for registering a disability, it is possible to seek help from the courts, and you can also apply for consideration of your issue in the regional medical and social commission.

It is important to remember that you must fight for your rights and use all available means for this, since disability implies state support.

Diabetes is a very serious disease. If you do not properly control your blood sugar levels, your vital functions may be impaired. important organs, leading to partial or total loss human performance. Obtaining a disability requires contacting a local doctor.

Reasons for applying for diabetes disability

Disability (disability) in case of diabetes mellitus can be issued in view of the presence of serious reasons. To establish a disability group, one disease is not enough; for this, only the presence of complications that were obtained during the course of the disease is mandatory. They include dysfunction a separate body or the entire system of the human body. This state of affairs already suggests that the type of diabetes in the patient does not have any slightest significance. Violation of the normal functioning of the patient is the main reason for his application for disability registration.

Who gets disability for diabetes?

The assignment of disability to a child with diabetes mellitus (insulin-dependent) is possible only if he has not reached the age of majority. Then the registration of disability occurs without assigning a group. For all other patients, it is usually assigned, guided by the severity of the course of the disease, the nature of the complications that have appeared and the level of disability of the patient.

Only patients with such complications of the disease have the right to apply for disability (disability) in diabetes:

diabetic foot(common in diabetic patients). It occurs due to a violation of the blood circulation of the lower extremities, which leads to suppuration and necrosis, and subsequently to the amputation of the foot or part of it.
All kinds of paralysis that occurs when damaged nerve fibers and disruption of innervation.
Unstable functioning of the urinary system.
Visual impairment - from a decrease in acuity up to blindness.

How to draw up a disability for diabetes and a list of documents?

To figure out how to properly apply for disability for diabetes, first of all, study the list required documents, and then follow the instructions below.

an extract from your medical history with the conclusion of examinations;
direction;
the passport;
medical policy;
pension insurance certificate;
statement.

Step-by-step instructions: how to get a disability for diabetes

First of all, in order to correctly issue a disability for diabetes, consult a doctor. If your illness is already quite long, then your attending physician is aware of this, which means that you have all the marks on the treatment completed in your card. Diabetes is an area that endocrinologists are in charge of, however, a referral to an expert medical and social commission should be written by a district therapist.

You will receive a referral general analyzes, tests for blood sugar, urine (with exercise, without exercise), ECG, examination of organs affected by an excess of sugar.

To correctly issue a disability for diabetes, after the examination, go back to the therapist. The doctor will record the results on a card that you later present to the commission and make an extract from the medical history with brief description diseases and courses of treatment. With a new direction. With a new direction, you must get an appointment with the head physician, and certify the form with the necessary seals at the registry.

Since the tests are only valid for 14 days, during this time you must have time to pass the commission in order to avoid re-taking the tests.

For the commission, you provide an application, a passport, a medical policy, an insurance pension certificate, a referral and an extract from the medical history.

After reviewing the results of the examinations and personally talking with you, the commission will determine the disability group provided to you, and it depends on the degree of organ damage and the level of disability.