Can DIABETICS pass the DOT physical? - IDD specific
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- เผยแพร่เมื่อ 12 ก.ย. 2024
- Dr. Nuesse gives specifics on the standards for insulin dependent diabetes as it pertains to the DOT physical exam
The form used in the video - www.fmcsa.dot....
Learn More;
easydotphysica...
DISCLAIMER:
The advice provided is Dr. Nuesse's opinion and meant to be used by patients under the care of a physician. Dr. Nuesse is a licenced chiropractor in Ohio. His use of the term "doctor' and "Dr." only refer to his degree. The information in this video is not intended to diagnose or treat any medical condition. Please consult with a medical professional about your personal health needs before changing any exercise, dietary, or nutritional regimen.
I still hope this applies to this year and so on. I've been a type 1 diabetic for 14 years on insulin and planned to do trucking. If only you people understood how much discrimination us type 1 diabetics have to face when it comes to jobs or anything. Everyone thinks we're handicap. 😕
Thank you for the info
absolutely!😁
Thank you for this info, is this form for new drivers also and if so, how can i obtain a form?
This exemption form is for new and existing drivers. I just put the link to the form in the description of the video. Thanks for watching!
@@EasyDOTPhysicals Thank you, for the link and thank you for this information, not a lot people touch this topic!
10-4
👍
Thanks Doc.
Welcome!
Doctor what that mean no later than 45 days
Thanks
I received this form but have not been diagnosed with diabetes. What do i need to do?
If you are not insulin dependent you don't need the form
What about pre diabetic?
Certification would be based on the doctors discretion
Thanks for the info! Quik question, after the DOT physical, do I submit my diabetes assessment form and my DOT certification to DMV? Because that's what I was told, I'm a little confused.
Typically the Doctors office keeps the Diabetes form and issues your medical card. This is what you would submit to the state. That is how we do it in Ohio. Different states may have different rules.
I have my dot card and everything but went for a a drug test and physical for work today and they said my sugar was to high that I need a wavier now what does that mean
Quick question can you get the non DOT physical done without the waiver?? Looking to start a non CDL hotshot company and was wondering if it was still needed for the medical card
There is no longer a waiver. You must have the IDD form completed before the physical
On the form it says the 3 month blood glucose results need to be from a machine that is down loadable? What type of glucose machine do you know of that does this? Mine only stores a certain amount and not downloadable. Thank you in advance!
All modern machines should have the ability to export the data.
My primary doctor who prescribes my insulin refused to fill out the form so I could take a non cdl DOT physical because my A1c was 7.6 reading the form I don’t even see an option for my primary to deny filling the form. As I read it the doctor doing physical is the one to make final determination and my primary is suppose to provide him with details to help make his final approval? Right before the form ask the insulin prescribing clinician to sign there is one sentence that is questionable. Can you clarify please and thank you so much.
I have had primary doctors refuse to fill out this form for various reasons. Since this is an exemption form it must be filled out by the doctor prescribing insulin for the medical examiner to be able to certify the driver. There is no exception to this unfortunately.
What if your a diabetic type 2 but don't need insulin do you still need the form filled by your primary?
please see my video on non idd
Bro what are the disqualifying numbers when it comes to ur A1C?
It's up to the individual doctor
@EasyDotPhysicals
Sup Doc!
Can someone with IDD and has had a kidney transplant be certified?
up to the medical examiner
@@EasyDOTPhysicals thanks
@@EasyDOTPhysicals would your office do that?
I’m a type 2 diabetic, my last A1C was 6.1 and I wear continuous glucose monitors that’s is measuring my glucose every minute.
Would I have a problem getting my medical card? Or certification?
It may cause an issue> It depends on what the individual doctor finds
You won’t have any problem
What if I was diagnosed as a result of a DOT physical and don’t have thoes 3 months of records
If you are taking insulin the waiver form will need to be completed in it's entirety for our office to be able to certify you. This would include blood glucose monitoring. There is a 3 month certification that you can get to obtain this data and our office would generally grant that in this situation.
I was put on medical hold for having a 12 a1c. I thought the new rule didn't put a1c as an exemption ? I did take the assessment no organ failure no issues besides sugar levels. I did a eye exam no damage. Can someone help and know the final rule about a1c?
The simple answer to your question is under 10 although blood testing is not a part of the standard DOT physical so most likely a urinalysis detected uncontrolled diabetes first.
So what exactly is kept for the log I use a freestyle LibreLink.
Just a reporting of stable blood sugar numbers
@@EasyDOTPhysicals thanks for your time. Do I include my insulin taken time of day just curious about details?
@@Musiclife120 That is not required in the paperwork that needs to be submitted to the medical examiner... and you're welcome
Do I have to get the assessment form filed every year with vision?
Yes
What if the doctor refused to issue a dot card. Even though the primary doctor has cleared the patient and in compliance with the form. Without checking the data from the primary doctor.
The certified medical examiner is the only one who can issue a medical card. Whether to certify is completely under his/her discretion.
I’m having exact opposite problem my primary won’t fill out form because he says 7.5 A1c is out of control but dot says 8.0% is max. I have no idea how a primary is even allowed to refuse filling this out for the DOT physical doctor to make the decision
@@dsta9996 I would find another primary doctor
What is the technical name of this form?
INSULIN-TREATED DIABETES MELLITUS ASSESSMENT FORM
I've been an insulin dependent diabetic for 40 years. I barely have any complications. Can I still get a CDL?
The video answers this
@@EasyDOTPhysicals Thank you. You gave me hope
Where do you get this form
So if I have dietbedtics but it’s controlled by meds .. can I still be a trucker or pass my dot
yes, if taking insulin you will need a specific exemption. This can be determined at your physical.
@@EasyDOTPhysicals no insulin
@@aquaticamigo6439 you can still pass. it will be up to the doctor doing the exam
@Easy DOT Physicals
I am a type 1 diabetic and have a DOT Exam in 2 days. I'm sure that I am overthinking everything but, I am wondering.
I've recently received my DOT Medical card from my last job through my family doctor who has cleared me for the DOT exam. Now, my new job with a different company wants me to retake my DOT Exam and I am a little worried. I am worried because I recently lost my testing meter and do not have 3 months of logs and really can't afford to fail this DOT exam. My a1c was around 8 - 9 when I got my medical card for my previous employer.
My questions are.
1.) Can I provide my current DOT(has not expired) to this upcoming exam and not have to retake it?
2.) Would me not having 3 months of BS logs prolong or even fail me in this exam?
3.) Can the examiner get my A1c from my urine test alone? If, so how long would it take to get the results back?
4.) What are they looking for in my urine, sugar/A1c?
5.) Can I provide my current DOT from my family doctor to the examining doctor to help me pass this exam?
6.) What can cause me to fail this exam as a diabetic?
Thanks much
The diabetic,
Hi, I will try to answer all of your questions with one concise explanation. Insulin dependent diabetics must have their treating physician fill out the diabetic exemption form. Part of this is the 3 month blood glucose. I am assuming you have already had this done because you have a medical card. Bring this in to your DOT physical and they may accept it. No other forms of doctor notes can be accepted. I have a video on exactly what we are looking for on the urinalysis.
Hello Dr I have a question is stage 1 or 2 kidney disease disqualifying or is it only kidney failure ? Just out of curiosity. I don’t have kidney disease but I am a type 2 diabetic.
This would be up to the doctor doing your exam. I would personally not certify someone with IDD if they had a complication such as kidney disease.
I find it amusing where you exclusively avoid telling viewers what the value charts are to qualify... The fed gov has a cut off of 8 for A1C but what they dont tell anyone is these glucose values are a standard table used from a *Non Diabetic* ! They place a standard that maybe 1 out of 15,000 could even meet? Type 1 or 2 doesnt matter its all a standard ment to fail you! As a mass average Diabetics favor either the low or Hypoglycemic or the higher Hyperglycemic traits? Either one can usually be treated via diets, exercises, or a slight medication combo?
Now I have had type 1 for 40 years and I am what they refer to as * violently brittle* which means my sugar without warning can snap from 30 to 600 and vice-versa in a matter of minutes and also some times I take shots and my body will completely not respond to it? All doctors have failed to treat me or temper the problems associated with, and when I say Im not some statistic to be treated from a chart they get mad! So I doctor myself and have for past 25 out of 40 years and here is the Important part so pay attention.... I have absolutely perfect blood works, perfect cholesterol, perfect organ function and I have not been hospitalized once in over 25 years doing shit my way!!.
Now 2 things that fail me from DOT pass. My BP is consistently 2 to 4 points over their chart.. has been at said levels my whole life. I have no cardiovascular issues. Been stress tested throughout my life. Doctors cant explain??
2nd my A1C usually runs 9.1 to 10.1 because I have spent a career in the gas an oilfield working 100 plus hrs a week doing extremely harsh physical labor amd as such I have to eat alot of sweets at random circumstances. Now again these occurrences cant be predicted they just hit when they hit. But I deal with it without issues. I am awake same hours daily. I eat the same time daily, i take insulin same time daily. A structured life works!! No its not perfect by no means. I have watched alot of Diabetics die in matter of few years with less severe issue as mine, but my point is this. Im getting older and I can't stay in the oilfield industry with the injuries ive sustained over the years thats never healed. So I thought I could be a truck driver in its place? Boyyy was I wrong.. EOE my ass.. Ive hired lawyers to fight these clowns and it literally is a waste of money to even try..
I don’t mention specific values because the FMCSA doesn’t provide any
All that spit swallowing is killing me
My A1C’s has been looking okay, not perfect but the last 2 A1C measurements were 7.8 and 7.7. My issue is is that I don’t have consistent daily blood sugar logs. Is that a disqualification?
if you have insulin dependence we would require this
@@EasyDOTPhysicals I actually take insulin as needed. I am prescribed insulin (Lantus). But I only take I absolutely feel I need to, not every day. My worry is the occasional diarrhea that metformin gives me
I thought I was the only one that get diarrhea from metformin..I thought I was tripping until u said something..
dear Lord spme of youidrivers are DETERMINED to he that dead driver being pulled out of his truck by paramedics in the truckstop parking lot
Thanks for the comment!
Rip
10-4
C'mon it's not that bad😂😂😂
@@wisconsinbadgersfootball3327 2 things i'll NEVER do: 1) take the satanic COVID vaccine and 2) crawl back up into a sleeper cab truck again