OPAM Workshop: DOT FMCSA NRCME Course-263074

263074 - Article 23

Pdf Summary

This document outlines the Insulin-Treated Diabetes Mellitus Assessment Form issued by the U.S. Department of Transportation's Federal Motor Carrier Safety Administration (FMCSA). The form, coded MCSA-5870, is an official document used to assess whether individuals with diabetes who are under insulin treatment meet the physical qualification standards required to operate commercial motor vehicles. The document emphasizes the importance of safeguarding this sensitive information, highlighting that its mishandling could adversely affect individuals involved.<br /><br />The form requires completion by a treating clinician, who is defined as a healthcare professional managing and prescribing insulin treatment authorized by the respective state licensing authority. Information required includes personal details like the individual's name, driver's license number, date of birth, and medical history relating to diabetes management and potential complications. The form addresses essential factors like blood glucose self-monitoring practices, the occurrence of severe hypoglycemic episodes, the frequency of Hemoglobin A1C (HbA1C) measurements, and whether the individual experiences any diabetic complications or progressive eye diseases that might impair their ability to safely operate a commercial vehicle. The certified medical examiner uses this information to decide on the individual's physical qualification to drive.<br /><br />Clinicians must complete the form based on their knowledge of the individual's medical history, but they are not responsible for the ultimate decision on the individual's qualification to drive, which lies with certified medical examiners listed in the FMCSA’s National Registry. There are instructions on maintaining and presenting the form during medical certification examinations, particularly following a severe hypoglycemic episode. The document stresses compliance with information collection regulations, including displaying a current OMB Control Number and submitting any comments to the Information Collection Clearance Officer at the FMCSA.

Keywords

Insulin-Treated Diabetes Mellitus

FMCSA

MCSA-5870

commercial motor vehicles

physical qualification standards

blood glucose monitoring

hypoglycemic episodes

Hemoglobin A1C

diabetic complications

medical certification