The pros and cons of the diabetes rule making

On June 27th I talked with Dr Randy Rosarian,  Allen and Donna Smith on Allen’s Radio Blog show Ask the Trucker. We talked about the diabetes  why use of insulin is important when considering whether someone is safe to operate a CMV.  We discussed  the pros and cons of the proposed diabetes rule.  We had questions about why the FMCSA did not notify the Medical Examiners on the National Registry  about the Notice  of this upcoming rule.

FMCSA published a Notice of Proposed Rule Making (NPRM) “Qualifications of Drivers; Diabetes Standard

In short, the Agency is giving the driver’s treating clinician the authority to make the decision about whether a driver can operate a CMV in interstate commerce. Of course, this isn’t spelled out but is implicit in the rule’s language. If you read the proposal carefully you will see that the only requirement is a report from the treating clinician stating the driver is managing the diabetes well and hasn’t had any serious hypoglycemic events in the last year. This, despite the National Registry of Certified Medical Examiners that requires MEs to be trained, tested and certified on the National Registry before doing a driver’s medical examination.