On September 19, 2018, FMCSA published Qualifications of Drivers; Diabetes Standard final rule, which revised the physical qualifications standard for insulin treated diabetes mellitus (ITDM) individuals operating commercial motor vehicles (CMVs) in interstate commerce. The revised standard allows certified medical examiners on FMCSA’s National Registry of Certified Medical Examiners, in consultation with an ITDM individual’s treating clinician, to evaluate and determine whether to grant an ITDM individual a medical examiner’s certificate (MEC) to drive a CMV in interstate commerce. FMCSA has determined, therefore, that a diabetes exemption program for ITDM individuals is no longer necessary.
On February 21, 2019, FMCSA published a Federal Register notice (FR 84 5549) withdrawing its September 3, 2003, notice concerning exemptions for certain individuals with insulin-treated diabetes mellitus (ITDM) and its November 8, 2005, revision. Select this link to view the withdrawal notice for the Federal Diabetes Exemption Program.