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FMCSA proposes to do away with driver Diabetes Exemption Program

Elaine Papp- founder of Health and Safety Works, LLC

Elaine Papp- founder of Health and Safety Works, LLC

The FMCSA has posted a Notice of Proposed Rulemaking, Qualifications of Drivers; Diabetes Standard, proposing to do away with the Diabetes Exemption Program. Although there are many drivers who feel this is a long overdue rule, others are concerned that the rule (the way it is written) would compromise the safety of the driver and the highways.



Dr Randolph Rosarion National Registry Certified DOT Medical Examiner-

Dr Randolph Rosarion- National Registry Certified DOT Medical Examiner-

Dr Randolph Rosarion, certified Medical Examiner in the US DOT FMCSA National Registry of Certified Medical Examiners (NRCME) and Elaine Papp, board certified occupational health nurse and founder of Health and Safety Works, LLC, will be our special guests  on AskTheTrucker ‘Live” Saturday 6/27/15  at 6:30 PM ET as they discuss the complex and unseen details of insulin dependent Diabetes mellitus and how it relates to the NPR and the professional driver.


FMCSA’s New Proposed Rule, amending insulin treated driver qualification standards, published, May 4th, in the Federal Register.

Qualifications of Drivers; Diabetes Standard Summary –
“FMCSA proposes to permit drivers with stable, well-controlled insulin-treated diabetes mellitus (ITDM) to be qualified to operate commercial motor vehicles (CMVs) in interstate commerce. Currently, drivers with ITDM are prohibited from driving CMVs in interstate commerce unless they obtain an exemption from FMCSA…..”

Dr Rosarion and Ms. Papp have written articles regarding the NPR. A few can be read here:

“FMCSA’s Proposed Rule could Amend Driver Qualification Standards for Insulin Treated Diabetes” by Dr Randolph Rosarion
“Qualifications of Drivers” Diabetes Standard- FMCSA ‘s Notice of Proposed Rule Making” by Elaine Papp
“FMCSA NPR to amend certification of drivers using insulin: “sketchy” at best” by Dr. Randolph Rosarion

Both Dr Rosarion and Elaine Papp are Advisers for North American Trucking Alerts (NATA)

Join the heated discussion!  Saturday June 27th
6:30 PM ET
Pros and Cons of FMCSA Proposed Rule –
Drivers with insulin dependent Diabetes

Have questions about your Diabetes or the Proposed Rule?
Call in # 347-826-9170  Then click “1” on your keypad to join in the conversation

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By: Allen Smith

Allen Smith is a 37 year veteran who started at an early age in a household goods family moving business. He began driving straight trucks in 1977 and moved to the big rigs in 1982. His experience within the industry includes; owner operator, company driver, operations manager, and owner of a long distance HHG moving business, taking many of the long haul moves himself when needed. Allen Smith, a truck driver advocate who is driven by the desire to help others succeed within an industry where injustice, unrewarded sacrifice, and lack of respect and recognition exists. Allen and his wife Donna are hosts of Truth About Trucking ”Live” on Blog Talk Radio. Other websites include AskTheTrucker, TruckingSocialMedia, NorthAmericanTruckingALerts, TruthAboutTrucking, and many Social Media websites. In 2011 Allen and Donna hosted the first Truck Driver Social Media Convention, designed to create unity and solutions for the trucking industry. This is now being extended through the North American Trucking Alerts network as those within the industry join forces for the betterment of the industry. Allen strongly supports other industry advocates who are also stepping up to the plate to help those who share honesty, guidance and direction. He believes that all those involved in trucking need to be accountable for their part within the industry, including drivers, carriers, brokers, shippers, receivers, etc… The list of supporters and likeminded people grow daily, networking together and sharing thoughts and ideas for the betterment of trucking. He has coined the popular phrase "Raising the standards of the trucking industry"

View all posts by Allen Smith →

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4 Responses to FMCSA proposes to do away with driver Diabetes Exemption Program. - Post a Comment

  1. tomejoe

    As insulin dependant diabetic they are going down the wrong road on this. The law should stay the same. I have taken the pills but once you go to shots you are putting your life and others at risk. I have bottomed out three times while driving, wrecked three trucks! Last one hit another vehicle. You are not in a office you are driving a 80,000 lb. vehicle when you bottom out you don’t know it! Trust me been driving for 30 years and this job you never eat, sleep , or take your insulin the same everyday. Lets let drunk drivers drive.. trucks there is no difference. Who’s getting a kick-back from this”?: I want to see what the insurance companies will say?

    • Allen Smith

      Thank you! I hope you will be submitting this comment on the FMCSA website. It’s perfect just the way it is.

  2. Tony Godsoe

    Diabetics suffer from numerous complications, Truck driving is very hard on the circulation, Many driver,s do not eat well or sleep well and do not get enough exercise or vitamin intake , Most diabetics take very well care of themselves, But do suffer from Hypo and Hyperglycemia on occasion, Being alone behind the wheel of a tractor trailer when something like this was to occur could lead to tragic consequences If the FMCSA changes this rule they could find themselves changing it back very soon, good luck and God bless the diabetics .

  3. Richard Weed

    Insulin dependent diabetics are currently discriminated against by the current rules. New treatment options make control of diabetes a much easier task. Should all diabetics drive commercial vehicles? The answer is no. Should all diabetics be treated like they should not drive commercial vehicles by the federal government? The answer is also NO!
    The current rules place an onerous burden on the applicant, with multiple doctors’ appointments, labwork, copays, etc, but the most valuable thing being time. Do away with the bureaucracy, there is no need for it…

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