If you have any questions, as an employer.A DOT physical is a checkup that’s required for commercial vehicle drivers by the Federal Motor Carrier Safety Administration (FMCSA). This exam makes sure you’re able to meet the physical.
![]() Dot Physical Form For Ups Drivers By TheMaintain a glycosylated hemoglobin (Hemoglobin A1C or “HBA1C”) of 10% or less.The HBA1C is a measure of the average amount of sugar in the blood over the last 3 months. According to DOT guidelines, a person with diabetes, whether controlled with diet alone or diet plus medication, must meet the following criteria: The maximum certification for a person with diabetes is one year. The following information provides answers to common questions and clears up misconceptions about diabetes and DOT certification. The DOT definition of diabetic control often causes confusion for individuals seeking certification, as well as their employers. Individuals with known or suspected diabetes are required to provide specific medical information to the DOT-certifying physician regarding diabetic control. The HBA1C correlates very well with end organ (blood vessels, nerves, kidneys, heart, or eyes) damage and therefore is a popular marker for disease control. If the level is above 6.4%, then the person is diabetic. These individuals should be closely monitored. Values between 5.7 and 6.4% are classified as being in the pre-diabetic range. Mozilla firefox version 20 for macNeed for Assistance from another person(b) Signs of End Organ Damage: 1. The driver must not have a history of the following:(a) One or more hypoglycemic episodes in the past 12 months, or 2 or more occurrences in the past 5 years resulting in:3. Obviously, it takes about 3 months for the HBA1C to drop, generally by 1 percentage point. Therefore, the glycosylated hemoglobin can be a good estimate of the average blood sugar and is much more accurate in assessing diabetic control than a fasting blood sugar that varies from day to day. Glucose sticks to the hemoglobin in red blood cells. Diabetics who require insulin for control cannot be approved for DOT certification unless they have a waiver. To avoid delays in certification, SameDayDOT Physical Drug & Alcohol Testing recommends individuals meet with their primary care physician in advance of the examination to obtain copies of the required laboratory information, then bring that information to the DOT appointment. This information should be available as part of routine diabetes care through the individual’s primary care physician. Kidney FailureDiabetic individuals seeking DOT certification must provide current (within six months) diabetic control information to the examining physician. Peripheral Vascular Disease 7. “The DOT team at Same Day DOT Physical Drug & Alcohol Testing understands the DOT regulations and their importance in promoting driver health, wellness and public safety. “These medical guidelines can be quite complex,” says Michael Tigges, DC, Nationally Registered Certifed Medical Examiner. The process for obtaining a waiver is cumbersome and only a small number of drivers have received this exemption since the waiver program was instituted in 1996. If this is 250 or less the driver will receive a 3 month certificate in which he should see his primary care physician and obtain an AIC lab. If, after 3 months, the new AIC levels are 10% or less at the end of the 3 months, the driver will receive a 9 month certificate based on the previous physical exam.If the driver does not have the lab results available or his or her urine is positive for sugar, a random blood test (RBT) will be done. If the A1C levels are between 10-12% then the driver will receive a 3 month certificate. The driver will receive a one year certificate if cleared. This lab value must be 10% percent or less and be done within the last 3 months. Keep healthy snacks with you. Avoid sugary drinks and processed foods. Eat healthy food portions at least three times a day. However, some drivers may qualify for a waiver which is a special process requiring additional clearance from your primary care physician and endocrinologist as well as more frequent assessments to maintain the driver’s medical certification.More information is available through the FMCSA through the Federal Diabetes Exemption Program at : Insulin has the potential to cause very low blood sugars which can cause drivers to black out or go into a coma therefore diabetic drivers who require insulin for treatment cannot be approved for DOT certification. ![]()
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