Diabetes

Question 1

FMCSA does not define a specific _______, but ________ indicates poor control.

Answer 1

A1C

> 10%

Question 2

Indicators of potential DM complications to assess during hx taking

Answer 2

dizziness
fainting
LOC
monitoring
severe hypoglycemic episodes

Question 3

severe hypoglycemic episodes =

Answer 3

seizure
impaired or LOC
need for assistance from other persons

driver is prohibited from operating CMV until treating provider determines cause of episode has been addressed and driver remains stable on insulin
–must complete new ITDM
–no specific WP

Question 4

During PE, assess for

(s/s DM)

Answer 4

retinopathy
macular degeneration
peripheral neuropathy

Question 5

non-insulin tx

Answer 5

max cert = 1 year

DQ for 1+ severe hypoglycemic episodes in 12 months OR 2+ w/in 5 years

Question 6

Insulin-tx’d DM

Answer 6

Max cert = 1 year if obtained ITDM assess from treating physician (must show stable regimen and control)

must receive assessment no later than 45 days from signed form

driver submits 3 months of self-monitoring BGC levels while on insulin.
–if unable to provide log, cert x3 months so they can supply them

Question 7

DM DQs

Answer 7

severe hypoglycemic episode (see card)
orthostatic hypotension
peripheral neuropathy
loss of position sensation
Non-proliferative and proliferative diabetic retinopathy