Metabolic Syndrome

DC 7913Endocrine38 CFR 4.119, DC 7913

A cluster of metabolic abnormalities including insulin resistance, high blood pressure, elevated blood sugar, excess body fat around the waist, and abnormal cholesterol levels. The VA rates metabolic syndrome by analogy based on the severity of its components and treatment requirements.

How the VA rates this condition

The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.

Diagnostic code

DC 7913

Rating range

10% – 60%

Rating levels

Rating criteria are defined in 38 CFR 4.119, DC 7913. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your metabolic syndrome has progressed to require insulin, a restricted diet, and regulation of activities, with episodes of hypoglycemia or hyperglycemia requiring medical intervention, plus complications that would not be compensable if separately evaluated.

What the VA looks for

Insulin therapy, restricted diet, and regulation of activities documented
Episodes of hypoglycemia or hyperglycemia requiring medical intervention
Hospitalizations for metabolic complications
Multiple medications for each metabolic component
Non-compensable complications documented
Significant impact on employment

Common Pitfalls

⚠Not filing for each component of metabolic syndrome separately — hypertension, diabetes, and dyslipidemia may each warrant their own rating.
⚠Not documenting the "regulation of activities" requirement with a specific physician statement — this is critical for the 40% rating level.
⚠Not connecting to weight gain from medications prescribed for service-connected conditions (e.g., psychiatric medications, steroids).

Related DBQ Forms

DBQ Diabetes Mellitus

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…