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The American Diabetes Association has suggested a series of medical prerequisites for all commercial vehicle waiver applicants. The prerequisites are intended to ensure that people with diabetes who are issued waivers "will not be contrary to public interest and will be consistent with the safe operation of commercial vehicles." The conditions, listed below, focus on applicants' ability to prove they do not suffer from severe hypoglycemia, hypoglycemic unawareness, or retinopathy, and to demonstrate their willingness and capability to properly monitor and manage their disease.
1) Provide a board-certified or board-eligible endocrinologist with a complete medical history (including the date of commencing insulin use, all hospitalizations, consultation notes for diagnostic exams, special studies regarding diabetes, and follow-up reports), and reports of any hypoglycemic insulin reactions within the last three years.
2) Have received a complete medical exam from a board certified or board eligible endocrinologist after July, 29, 1993, including:
3) Submit a signed statement by the endocrinologist declaring that:
4) Submit a separate signed statement from an examining ophthalmologist that the applicant has been examined after July 29, 1993, and does not have unstable proliferative diabetic retinopathy, and has stable visual acuity (at least 20/40 vision) in each eye, with or without corrective lenses.
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