DM

Question 1

The driver with diabetes mellitus who uses an oral hypoglycemic medication may have max cert of

Answer 1

Maximum certification — 1 year

Recommend to certify if:
The driver with diabetes mellitus who uses an oral hypoglycemic medication:
• Meets all the physical qualification standards.
• Has a treatment plan that manages the disease and does not:
o Include the use of insulin.
o Have side effects that interfere with safe driving.

Question 2

Recommend not to certify if:

The driver with diabetes mellitus has:

Answer 2

In the last 12 months, experienced a hypoglycemic reaction resulting in:
o Seizure.
o Loss of consciousness.
o Need of assistance from another person.
o Period of impaired cognitive function that occurred without warning.

• In the last 5 years, had recurring (two or more) disqualifying hypoglycemic reactions (as
described above).

or has

•	 Loss of position sensation.
•	 Loss of pedal sensation.
•	 Resting tachycardia.
•	 Orthostatic hypotension.
•	 Diagnosis of:
o	 Peripheral neuropathy.
o	 Proliferative retinopathy (e.g., unstable proliferative or non-proliferative).

Question 3

A1c criteria to ddx T2DM

Answer 3

a level of 6.5% or more indicates diabetes

Question 4

Diabetes mellitus is a progressive illness. Given its progressive nature, a driver with the condition may be certified for a maximum of

Answer 4

a one-year period.

Question 5

DM cannot certify if

Answer 5

• insulin use
• In the last 12 months, had a severe hypoglycemic reaction resulting in badness
• In the last 5 years, has had recurring (two or more) disqualifying severe hypoglycemic reactions
• Loss of position sensation.
• Loss of pedal sensation.
• Resting tachycardia.**
• Orthostatic hypotension.

• Diagnosis of:
o Peripheral neuropathy that interferes with safe driving.
o Proliferative retinopathy (e.g., unstable proliferative or non-proliferative).