5032ed95_Driver_Safety_CDL_Guidelines_or_various_medical_conditions__Condition
[Driver is Qualified if:] He/she has no established medical history or clinical diagnosis of diabetes mellitus currently requiring insulin for control. [Exceptions/Considerations] The commercial driver generally is not in a position to balance dietary and rest needs. Injury, emotional stress, unrelated illness, diarrhea, vomiting, or infection may also affect control of the diabetic condition. Additionally, residual effects of the disease may include nerve and vascular damage causing pain or numbness in the extremities and/or vision deterioration. When evaluating the condition of any diabetic, residual effects of the disease should not be overlooked. Diabetics who are well controlled with diet or oral medication usually do not pose a problem for the issuing of a commercial license. However, they too may be subject to these residual effects. Thorough review of the entries for vision and extremities on the medical report and urinalysis is required. Indications from urinalysis of uncontrolled diabetes may disqualify an applicant from operating a commercial vehicle. For the above stated reasons, the circumstances in which an insulin dependent diabetic may be qualified for a restricted intrastate commercial license will be very rare. Under federal standards, a diabetic on insulin therapy, regardless of the degree of control, does not qualify for interstate driving, unless they were issued a federal waiver or exemption. [Condition] 
Insulin-Dependent Diabetes
Driver Safety CDL Guidelines
Condition