Diabetes: what evidence wins at the Board

For diabetes appeals, how often the Board granted the issue when the record held each kind of evidence, and how often when it did not. Measured from the decisions themselves; every number carries its fraction.

What this is computed from: evidence types detected in the full text of 1,907,778 public Board of Veterans' Appeals decisions (va.gov/vetapp), joined to the issue-level outcome. The tables use only single-issue decisions with a clean parse in complete crawl years (1993–2025) — 852,152 decisions — so each evidence flag attaches to exactly one decided issue. A split is shown only when both sides have at least 30 decisions. Data build: 2026-09-02.

Service connection for Diabetes (n = 7,034)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record52% (191/366)38% (1,809/4,732)+14 pts21% (95/463)
Private physician opinion, letter or DBQEvidence in the record42% (337/794)39% (1,663/4,304)+4 pts13% (120/919)
Disability Benefits Questionnaire in the recordEvidence in the record48% (101/209)39% (1,899/4,889)+9 pts26% (74/284)
Third-party lay statements (spouse, buddy, employer)Evidence in the record44% (144/329)39% (1,856/4,769)+5 pts10% (35/365)
Service treatment records document the condition or injuryEvidence in the record32% (383/1,188)41% (1,617/3,910)-9 pts12% (171/1,377)
Service treatment records silent for the conditionEvidence in the record15% (333/2,261)59% (1,667/2,837)-44 pts4% (90/2,365)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued20% (381/1,899)51% (1,619/3,199)-31 pts3% (61/1,966)
Board hearing held or testimony takenProcedure43% (1,115/2,600)35% (885/2,498)+7 pts21% (697/3,396)
Social Security records in the fileEvidence in the record23% (41/178)40% (1,959/4,920)-17 pts8% (16/200)
Medical literature or treatise citedEvidence in the record31% (252/811)41% (1,748/4,287)-10 pts30% (355/1,168)
Functional loss / DeLuca factors argued (rating cases)Theory argued18% (14/79)40% (1,986/5,019)-22 pts20% (20/101)
Presumptive service connection discussedTheory argued37% (1,550/4,191)50% (450/907)-13 pts9% (420/4,630)
Secondary service connection (38 CFR 3.310) in playTheory argued37% (769/2,053)40% (1,231/3,045)-3 pts26% (749/2,875)
Combat service / 1154(b) in playTheory argued34% (218/642)40% (1,782/4,456)-6 pts10% (71/720)
A medical source gave a negative nexus opinionEvidence in the record31% (447/1,424)42% (1,553/3,674)-11 pts28% (563/1,998)
No nexus opinion of recordEvidence in the record5% (20/409)42% (1,980/4,689)-37 pts7% (31/442)
VA examination or VA medical opinion obtainedEvidence in the record29% (969/3,353)59% (1,031/1,745)-30 pts23% (1,045/4,448)
Board found a VA exam or opinion inadequateHow the Board read the record32% (241/749)40% (1,759/4,349)-8 pts45% (613/1,375)
Board found the VA exam or opinion adequateHow the Board read the record11% (33/287)41% (1,967/4,811)-29 pts3% (8/296)
Board found the veteran's statements credibleHow the Board read the record74% (347/468)36% (1,653/4,630)+38 pts2% (11/479)
Board found the veteran's statements not credible or inconsistentHow the Board read the record5% (9/165)40% (1,991/4,933)-35 pts1% (1/167)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record91% (882/969)27% (1,118/4,129)+64 pts0% (3/973)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record2% (53/2,331)70% (1,947/2,767)-68 pts0% (1/2,334)
Duty-to-assist error foundHow the Board read the record33% (19/57)39% (1,981/5,041)-6 pts82% (295/358)
Board ordered a new exam or addendum opinionProcedure29% (200/696)41% (1,800/4,402)-12 pts59% (1,032/1,762)
AMA favorable finding acknowledgedProcedure63% (173/276)38% (1,827/4,822)+25 pts30% (123/404)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Increased rating for Diabetes (n = 1,753)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
Private physician opinion, letter or DBQEvidence in the record16% (29/183)8% (85/1,119)+8 pts11% (22/208)
Disability Benefits Questionnaire in the recordEvidence in the record15% (16/107)8% (98/1,195)+7 pts27% (39/146)
Service treatment records document the condition or injuryEvidence in the record10% (6/62)9% (108/1,240)+1 pts4% (3/70)
Board hearing held or testimony takenProcedure12% (52/449)7% (62/853)+4 pts15% (88/580)
Social Security records in the fileEvidence in the record4% (3/74)9% (111/1,228)-5 pts5% (4/81)
Medical literature or treatise citedEvidence in the record10% (3/30)9% (111/1,272)+1 pts22% (9/41)
Functional loss / DeLuca factors argued (rating cases)Theory argued7% (4/57)9% (110/1,245)-2 pts12% (8/68)
Presumptive service connection discussedTheory argued6% (3/49)9% (111/1,253)-3 pts7% (4/56)
Secondary service connection (38 CFR 3.310) in playTheory argued9% (36/421)9% (78/881)-0 pts8% (40/475)
Combat service / 1154(b) in playTheory argued6% (3/48)9% (111/1,254)-3 pts10% (6/63)
A medical source gave a negative nexus opinionEvidence in the record9% (11/125)9% (103/1,177)+0 pts12% (17/147)
VA examination or VA medical opinion obtainedEvidence in the record8% (101/1,206)14% (13/96)-5 pts16% (231/1,456)
Board found a VA exam or opinion inadequateHow the Board read the record8% (7/85)9% (107/1,217)-1 pts34% (47/139)
Board found the VA exam or opinion adequateHow the Board read the record5% (9/171)9% (105/1,131)-4 pts2% (3/174)
Board found the veteran's statements credibleHow the Board read the record17% (10/58)8% (104/1,244)+9 pts2% (1/59)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record53% (35/66)6% (79/1,236)+47 pts0% (0/66)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record4% (31/821)17% (83/481)-13 pts0% (1/823)
Board ordered a new exam or addendum opinionProcedure4% (6/165)9% (108/1,137)-6 pts54% (217/399)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

All Diabetes issues, every benefit type (n = 9,903)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record51% (204/398)33% (2,254/6,907)+19 pts19% (97/499)
Private physician opinion, letter or DBQEvidence in the record39% (427/1,100)33% (2,031/6,205)+6 pts12% (147/1,260)
Disability Benefits Questionnaire in the recordEvidence in the record40% (146/368)33% (2,312/6,937)+6 pts25% (124/493)
Third-party lay statements (spouse, buddy, employer)Evidence in the record43% (156/360)33% (2,302/6,945)+10 pts9% (36/399)
Service treatment records document the condition or injuryEvidence in the record32% (412/1,304)34% (2,046/6,001)-2 pts12% (178/1,506)
Service treatment records silent for the conditionEvidence in the record15% (344/2,335)43% (2,114/4,970)-28 pts4% (91/2,441)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued20% (391/1,932)38% (2,067/5,373)-18 pts3% (63/2,002)
Board hearing held or testimony takenProcedure38% (1,300/3,379)29% (1,158/3,926)+9 pts19% (841/4,386)
Social Security records in the fileEvidence in the record19% (54/277)34% (2,404/7,028)-15 pts8% (24/310)
Vocational expert or assessmentEvidence in the record24% (9/37)34% (2,449/7,268)-9 pts5% (2/39)
Medical literature or treatise citedEvidence in the record31% (271/878)34% (2,187/6,427)-3 pts30% (371/1,253)
Functional loss / DeLuca factors argued (rating cases)Theory argued17% (25/151)34% (2,433/7,154)-17 pts15% (28/184)
Presumptive service connection discussedTheory argued36% (1,644/4,536)29% (814/2,769)+7 pts9% (435/5,002)
Secondary service connection (38 CFR 3.310) in playTheory argued33% (891/2,705)34% (1,567/4,600)-1 pts23% (813/3,613)
Combat service / 1154(b) in playTheory argued32% (231/716)34% (2,227/6,589)-2 pts10% (80/814)
A medical source gave a negative nexus opinionEvidence in the record30% (488/1,640)35% (1,970/5,665)-5 pts26% (592/2,251)
No nexus opinion of recordEvidence in the record5% (23/421)35% (2,435/6,884)-30 pts7% (32/456)
VA examination or VA medical opinion obtainedEvidence in the record26% (1,317/5,159)53% (1,141/2,146)-28 pts21% (1,361/6,601)
Board found a VA exam or opinion inadequateHow the Board read the record30% (269/884)34% (2,189/6,421)-4 pts43% (684/1,590)
Board found the VA exam or opinion adequateHow the Board read the record11% (53/501)35% (2,405/6,804)-25 pts2% (11/513)
Board found the veteran's statements credibleHow the Board read the record68% (379/557)31% (2,079/6,748)+37 pts2% (13/570)
Board found the veteran's statements not credible or inconsistentHow the Board read the record5% (9/179)34% (2,449/7,126)-29 pts1% (2/182)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record89% (1,005/1,131)24% (1,453/6,174)+65 pts0% (4/1,136)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record4% (129/3,463)61% (2,329/3,842)-57 pts0% (2/3,471)
Duty-to-assist error foundHow the Board read the record32% (28/87)34% (2,430/7,218)-1 pts78% (333/428)
Board ordered a new exam or addendum opinionProcedure24% (227/931)35% (2,231/6,374)-11 pts57% (1,319/2,308)
AMA favorable finding acknowledgedProcedure61% (182/296)32% (2,276/7,009)+29 pts29% (125/426)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Reading these tables honestly

Association, not cause. A positive nexus opinion appears in the records of granted appeals far more often than in denied ones. That does not mean any letter wins; it means the Board grants when the evidence supports the claim, and a nexus opinion is how that support usually reaches the file.

Appeals are not claims. Every decision here is an appealed denial. Grant rates at the Board say nothing about the share of initial claims VA grants.

Findings are outcomes in disguise. Rows under "how the Board read the record" — credibility, benefit of the doubt, an inadequate exam — describe how the judge decided, not evidence to gather. They are shown because they say which arguments the Board actually reaches for.

Detection is by text pattern. Each evidence type is found by reading the decision for finding-shaped language with negation handling; precision was read on samples before publication and is stated per feature in the method notes below. Expect a few percent of misclassified rows, not zero.

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See also: Diabetes decisions · all conditions · outcome rates.