Surgical replacement of diseased pancreas, usually in diabetic patients with kidney failure (often combined kidney-pancreas transplant). Restores insulin production but requires lifelong immunosuppression. Complications include rejection, infection, graft dysfunction, and medication side effects. Success can eliminate need for insulin but carries transplant-related risks.
For 1 year following transplant, then re-evaluate based on residual complications and graft function
Chronic graft rejection requiring increased immunosuppression, or moderate complications
Well-functioning graft with stable immunosuppression and mild complications
Excellent graft function with minimal complications and stable immunosuppression
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how pancreas transplant affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for pancreas transplant, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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