On November 19, FMCSA's final rule allowing individuals with properly managed insulin-treated diabetes mellitus (ITDM) to operate commercials motor vehicles went into effect. Yesterday, the required ITDM Assessment form to be used by the treating clinician (TC) was approved by OMB and published by FMCSA.   
 
This rule enables a certified medical examiner to grant an ITDM individual a Medical Examiner's Certificate, for up to a maximum of 12 months. The TC who manages and prescribes insulin for the treatment of the individual's diabetes must provide the ITDM Assessment Form to the certified ME indicating the individual maintains a stable insulin regimen and proper control of his or her diabetes. The certified ME then determines that the individual meets FMCSA's physical qualification standards and can operate CMVs in interstate commerce. 
 
Click here for a summary of the ITDM final rule. 
November 29, 2018