Diabetes and DOT Physicals can seem like a lot to think through, but we got you covered!
If you are a professional driver searching for how to go about your DOT physical exam with diabetes, read on to get all your diabetes and DOT physical questions answered! This blog is full of comprehensive information about how to take your DOT physical with diabetes confidently and provide you with peace of mind.
If you’re looking for CDL medical requirements for diabetes in 2024, we’ve got you covered!
The normal blood pressure range is usually less than 120/80 mm Hg, often referred to as “120-over-80”. If your blood pressure is between 120-139 systolic and 80-89 diastolic for a DOT physical, don’t worry – it’s still acceptable for the exam.
For drivers with diabetes treated with insulin, the FMCSA requires that their blood sugar levels meet specific criteria to maintain their commercial driver’s license (CDL) and obtain a medical certificate. These criteria include:
A1C Levels: The A1C test measures average blood sugar levels over the past two to three months. For drivers treated with insulin, the FMCSA requires an A1C level of 8.0% or less to qualify for a medical certificate.
Fasting Blood Sugar: For drivers treated with insulin, fasting blood sugar levels should be between 100 mg/dL and 300 mg/dL to meet FMCSA standards.
Hemoglobin A1C (HbA1c) Test: This test provides an average of blood sugar levels over the past two to three months. For drivers not treated with insulin, the FMCSA requires an HbA1c level of 10.0% or less for qualification.
It’s important to note that these guidelines are subject to change, and drivers should consult with our NRCME’s or the FMCSA directly for the most current requirements. Additionally, drivers with diabetes should work closely with their healthcare providers to manage their condition effectively and maintain compliance with DOT regulations.
When your blood pressure is between 140-159/90-99 mm Hg, it’s Stage 1 hypertension. You can pass the DOT physical exam, but need to retake it yearly. If your readings are higher, between 160-179/100-109, you’ll get a 3-month certificate with advice on how to lower your blood pressure to a healthy level (140/90 or less).
But if your blood pressure exceeds 180/110, you can’t pass the DOT exam and are in the high-risk Stage 3 hypertension category. To keep your commercial driving license, you must lower your blood pressure to 140/90 or less. Once you achieve this, you’ll receive a six-month certification with biannual check-ups.
Tips for Drivers with Diabetes:
Located in Yorkville, IL, Sterchi Occupational Health is dedicated to providing unparalleled occupational medicine services, including our DOT physical exams. Our team of experienced professionals is committed to assisting professional drivers like you in fostering a healthy, safe, and productive work environment!
