This is accurate info. FMCSA for non-insulin dependent diabetics dictate an AIC of 8 or lower OR a glucose reading of 200 or lower.
@LMB: "I am sorry, I forgot to mention that I have been doing this for 40 years, I am on pills. I was just asking if this was something new this year. The way the doctor was talking like it just went in to effect. If it is not true, then next year when I see him I will tell him he is full of crap"
Actually the FMCSA Exemption program has been around for a number of years. If you are controlled with pills and meet or exceed the FMCSA guidelines for non-insulin dependent diabetes, you do not need to keep a strict record of glucose as he/she suggests. Only on the exemption program does the FMCSA require glucose readings; and, not only on meter, but in your log book, too.
If you really want answers that you can show your doctor, email the FMCSA here: FMCSAMedical@dot.gov. It's proven difficult to get accurate answers from search9ing. However, I did find someth9ing from the FMCSA that may eliminate the Exemption program for insulin-dependent diabetics. It's still in the works though. I'd say call the phone number at the bottom of this post and get some accurate answers.
Also from the Medical Exam Report Form:
Diabetes
§391.41(b)(3)
A person is physically qualified to drive a commercial motor
vehicle if that person:
Has no established medical history or clinical diagnosis of
diabetes mellitus currently requiring insulin for control.
Diabetes mellitus is a disease which, on occasion, can
result in a loss of consciousness or disorientation in time
and space.
Individuals who require insulin for control have
conditions which can get out of control by the use of too
much or too little insulin, or food intake not consistent with
the insulin dosage. Incapacitation may occur from
symptoms of hyperglycemic or hypoglycemic reactions
(drowsiness, semiconsciousness, diabetic coma or insulin
shock).
The administration of insulin is, within itself, a
complicated process requiring insulin, syringe, needle,
alcohol sponge and a sterile technique.
Factors related to
long-haul commercial motor vehicle operations, such as
fatigue, lack of sleep, poor diet, emotional conditions,
stress, and concomitant illness, compound the dangers,
the FMCSA has consistently held that a diabetic who uses
insulin for control does not meet the minimum physical
requirements of the FMCSRs.
Hypoglycemic drugs, taken orally, are sometimes
prescribed for diabetic individuals to help stimulate natural
body production of insulin.
If the condition can be
controlled by the use of oral medication and diet, then an
individual may be qualified under the present rule.
CMV
drivers who do not meet the Federal diabetes standard
may call (
703
)
448-3094
for an application for a diabetes
exemption.
(See Conference Report on Diabetic Disorders and
Commercial Drivers and Insulin-Using Commercial Motor
Vehicle Drivers at:
http://www.fmcsa.dot.gov/rulesregs/medreports.htm)
Diabetes record
Discussion in 'Trucking Industry Regulations' started by LMB, Oct 6, 2014.
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