Diabetes Mellitus (trucker driver)
The driver with diabetes mellitus who does not use insulin is eligible for certification, unless the driver also has a disqualifying complication, comorbidity, or fails to meet one or more of the other standards for qualification.
You may choose to consult with the primary care provider and/or specialist to adequately assess driver medical fitness for duty. When requesting additional evaluation, including a copy of the Medical Examination Report form description of the driver role and medical standards is helpful.
Remember that the provider treating the driver is primarily concerned with minimizing target organ damage associated with elevated levels of blood glucose. As a medical examiner, your assessing any driver with diabetes mellitus for the risk of a severe hypoglycemic episode is the most critical and challenging safety issue.