Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12 Tips for Traveling With Diabetes
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter
Latest
Popular
Top Rated
Diabetes Health Reference Charts
Low Blood Sugar Archives
Print | Email | Share | Comments (0)

Medical Prerequisites for an FHWA Waiver

Feb 1, 1994

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.

Medical Prerequisites

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:

  • fasting blood studies and urinalysis within the last 6 months,
  • and insulin doses, diet, smoking and alcohol use, and other medications taken.

3) Submit a signed statement by the endocrinologist declaring that:

  • the endocrinologist is familiar with the applicant's medical history during past three years,
  • the applicant has been using insulin for three years prior to the date of the application,
  • the applicant does not have severe hypoglycemia (defined as, "episodes of altered consciousness requiring the assistance of another person to regain control"),
  • the applicant does not have hypoglycemic unawareness (defined as, "the inability to recognize the early symptoms of hypoglycemia such as sweating, anxiety, forceful heartbeat and light-headedness"),
  • the applicant has not had an incident of hypoglycemia within the past three years that has resulted in any change in mental status deemed by the endocrinologist to have been detrimental to safe driving,
  • that the applicant's diabetes will not adversely affect his or her ability to operate a CMV (Commercial Motor Vehicle),
  • that the applicant has been educated in diabetes and its management, understands the proper procedures necessary to manage his or diabetes and any complications that might arise,
  • and that the applicant has demonstrated the ability and willingness to properly monitor and manage his or her diabetes.

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.


Categories: Diabetes, Drivers License & Pilot License, Insulin, Low Blood Sugar, Type 1 Issues



You May Also Be Interested In...


Comments


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.