What’s new in 2019 for DOT physicals?

The biggest change this year has to do with exemptions for people with diabetes. Below is a link to the new legislation that I have summarized here. The new legislation was announced on October 19, 2018 and went into effect on November 19, 2018. At that time FMCSA stopped providing Diabetes Mellitus Exemptions and began a new program for people who use insulin to control their diabetes. This means that those who were Grandfathered in under the old legislation will need to follow the new process before November 19, 2019 or before their one year certificate expires. It does not change anything for those with diabetes who do not use insulin.

The updated program involves a new form that can be downloaded online. It is known as MSCA- 5870. Drivers will need to bring this form to their doctor that prescribes the insulin and have them fill it out. Part of the process involves three months of ongoing blood glucose self monitoring using an electric glucometer that stores all readings, records the date and time of readings and can have the information electronically downloaded. This means that you need to be doing this for at least three months prior to seeking re-certification. If you have questions about it, it’s best to print the form and take it to your prescribing doctor early. If you don’t have the right kind of glucometer you will need to get one.

You will also need an eye exam. The same exam form MSCA-5870 has a place for the insulin prescribing doctor to fill in information concerning your eyes. That doctor will probably want a basic eye exam from an eye doctor prior to signing the form.
Once you have your form MSCA-5870 you can bring it to your DOT physical. If you pass the rest of your physical you can be certified for up to one year.

DOT Physical St LouisAbout the author:

Dr. Lance Hatch is certified by the National Registry of Certified Medical Examiners (NRCME) and is recognized by the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA) to provide DOT physicals for Commercial Drivers. Dr. Hatch practices in the St. Louis region. In addition to providing DOT physicals Dr. Hatch specializes in treating spinal injuries, chronic pain, athletic injuries and motor vehicle related injuries.

https://www.fmcsa.dot.gov/regulations/medical/new-diabetes-standard-overview-webinar

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