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Federal Regulation Changes for Truckers With Diabetes

rule change for truckers with diabetesIn 2018, the Federal Motor Carrier Safety Administration (FMCSA) changed the rules for truckers with diabetes who use insulin.

Prior to 2018, people who used insulin to treat their diabetes could only operate commercial vehicles involved in interstate commerce if they got an exemption from the FMCSA. This exemption was costly and burdensome to get and needed renewal every two years.

Beginning November 19, 2018, truckers with insulin-treated diabetes no longer need the exemption from the FMCSA. Now, they must see a doctor or treating clinician who will complete an Insulin-Treated Diabetes Mellitus Assessment Form (MCSA-5870).

The treating clinician must certify the driver has: (1) a stable insulin regime; and (2) properly-controlled insulin-treated diabetes. The MCSAS-5870 form is then given to the medical examiner that finishes the medical certification process. All of this must be done annually.

People with uncontrolled diabetes have trouble regulating their blood sugar. Episodes of high blood sugar (hyperglycemia) can cause:

  • Blurred vision
  • Headaches and fatigue
  • Weakness
  • Confusion
  • Coma

Episodes of low blood sugar (hypoglycemia) can cause:

  • Confusion
  • Vision problems
  • Seizures
  • Loss of consciousness

Truckers who suffer from hyperglycemia or hypoglycemia while on the road can cause catastrophic crashes.

Diabetes complications that interfere with someone's ability to operate a truck safely should continue to disqualify him or her from driving a commercial vehicle. For example, severe non-proliferative diabetic retinopathy and proliferative diabetic retinopathy are permanent disqualifications.

Did a Trucker’s Diabetes Cause Your Crash?

At the time of your crash, you have no way of knowing whether the commercial truck driver has diabetes, another medical problem, or a clean bill of health. A full investigation needs to be done to determine whether a medical condition, such as diabetes, was a cause of your crash. 

Steven M. Lee, PC can use legal discovery tools such as interrogatories, depositions, and requests for medical records to find out what really caused your crash. Then our legal time will fight for your full and fair recovery. To learn more about what he can do for you, visit us on Facebook.


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