CDME Module 7: Insulin-treated Diabetes Mellitus and Renal Disease (2025)-Optional Non-Insulin Treated Diabetes Assessment Form.

Optional Non-Insulin Treated Diabetes Assessment Form.

Pdf Summary

The document in question is a sensitive form from the U.S. Department of Transportation's Federal Motor Carrier Safety Administration (FMCSA), intended for evaluation of drivers diagnosed with non-insulin-treated diabetes mellitus. It includes measures taken by a certifying medical examiner to determine if an individual meets the physical qualification standards required for operating a commercial motor vehicle within interstate commerce. The form collects detailed medical information related to the individual's diabetes management, examining aspects such as glucose control, any recent episodes of severe hypo- or hyperglycemia, and compliance with a diabetes management plan.<br /><br />It further assesses potential diabetes-related complications or target organ damage, including conditions such as renal disease, cardiovascular disease, neuropathy, and lower limb issues. For each complication, details including diagnosis date, current treatment, and stability of the condition are required. Additionally, the form requests regular monitoring reports such as Hemoglobin A1c (HbA1c) measurements and eye examination results, specifically for diabetic retinopathy.<br /><br />The document contains areas for comments from the treating healthcare provider, which are crucial for the certifying medical examiner’s final determination regarding the driver's physical qualifications. Stringent handling and disposal instructions are indicated due to the sensitive nature of the information contained within this document, emphasizing its controlled use by authorized personnel only. The handling instructions stress the importance of preventing inadvertent disclosure to protect affected individuals, underscoring the need to adhere to proper security measures when dealing with these forms.

Keywords

FMCSA

diabetes evaluation

commercial drivers

medical qualification

glucose control

diabetes complications

HbA1c monitoring

diabetic retinopathy

medical examiner

data security