Heavy Duty Trucking Logo
MenuMENU
SearchSEARCH

FMCSA Removes Red Tape for Diabetic Truck Drivers

The Federal Motor Carrier Safety Administration announced a final rule that makes it easier for individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus to become qualified to operate a commercial vehicle in interstate commerce.

September 18, 2018
FMCSA Removes Red Tape for Diabetic Truck Drivers

 

Credit: FMCSA

2 min to read


The Federal Motor Carrier Safety Administration announced a final rule that makes it easier for individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus to become qualified to operate a commercial vehicle in interstate commerce.

The new rule revises federal regulations which previously required drivers with insulin-treated diabetes to obtain an exemption in order to drive in interstate commerce. The action removes administrative and financial burdens for CMV operators with this type of diabetes while still maintaining a high level of safety, according to the agency.

Ad Loading...

A certified medical examiner is now able to grant an individual with ITDM a Medical Examiner’s Certificate, MCSA-5876, for up to 12 months.  To do so, the treating clinician – the healthcare professional who manages, and prescribes insulin for, the treatment of the individual’s diabetes – provides an ITDM Assessment Form, MCSA-5870, to the certified examiner, indicating that the individual maintains a stable insulin regimen and proper control of his or her diabetes.  The certified medical examiner can then determine if that individual meets FMCSA’s physical qualification standards for operating a commercial vehicle in interstate commerce.

This eliminates the exemption program that currently requires drivers with ITDM to pay recurring costs to renew and maintain their exemptions. FMCSA estimates that this will save the 5,000 drivers with ITDM about $5 million total per year compared to what was required under the exemption program. The final rule will also save new ITDM exemption applicants and their associated motor carriers approximately $215,000 annually in opportunity and compliance costs related with the exemption program’s waiting period, according to the FMCSA.

“This final action delivers economic savings to affected drivers and our agency, and streamlines processes by eliminating unnecessary regulatory burdens and redundancy,” said Raymond P. Martinez, FMCSA administrator.  “It’s a win-win for all parties involved.”

Ad Loading...

More Drivers

Photo illustration combining laboratory sample tubes, marijuana, pills, white powder, and a syringe above a highway with tractor-trailers.
Safety & Compliance•by Deborah Lockridge•November 2, 2026

FDA Eases Path for Oral-Fluid Testing

Federal actions could advance oral-fluid drug testing for truck drivers, but lab certification delays and marijuana rescheduling questions remain.

Read More →
Truck driver in a blue-tinted cab beside a hand holding cash, with the headline “Competing for Drivers.”
Drivers•by Deborah Lockridge•October 29, 2026

Why Hiring Truck Drivers Is Getting Harder

Higher recruiting costs, a shrinking driver pool, and renewed pay competition are raising the stakes for fleets heading into 2027.

Read More →
Two red heavy-duty Class 8 trucks with Roehl branding
Drivers•by News/Media Release•October 27, 2026

Roehl Offers Truck Drivers $10,000 Retention Incentive

Payments begin after the first load and continue in mileage-based installments for eligible experienced drivers joining the fleet.

Read More →
Ad Loading...
PS Coach tablet interface showing a driver’s coaching inbox, safety event video and coaching advice for a harsh-braking event.
Fleet Management•by News/Media Release•October 21, 2026

Platform Science Adds Dispatch and Safety Tools

Four additions to PS Fleet help fleets monitor loads, manage driver coaching, share truck locations and adjust video system settings.

Read More →
Man with police badge on his arm by an open commercial truck door examining paperwork
Safety & Compliance•October 15, 2026

When Language Stops the Truck: The Return of ELP Out-of-Service Orders

English language proficiency rules for commercial drivers aren’t new, but renewed out-of-service enforcement has raised the stakes. Here’s what carriers need to know before a driver reaches a roadside inspection.

Read More →
Illustration of silver robot waving his hand and a Samsara AI prompt on screen to call drivers
Fleet Management•by Staff•October 13, 2026

Samsara Launches Custom AI Agent Builder

Agent Studio lets fleets create AI tools for hours-of-service monitoring, reporting and driver support, including agents that communicate by phone.

Read More →
Ad Loading...
Illustration of trucks parked in lot with Trucker Path app on phone screen superimposed on top
Drivers•by News/Media Release•October 6, 2026

Trucker Path Expands Reserved Parking Network

Trucker Path has added close to 6,000 more truck parking spaces to its Trucker Path Reserved Parking Network with the addition of Safe Truck Parking.

Read More →
photo of older driver standing with arms crossed with truck in the background, with a photo illustrating equal opportunity law inset upper left.
Drivers•by Staff•September 28, 2026

EEOC Sues Texas Trucking Company Over Driver Age Limits

The agency says Trancasa USA rejected applicants over 65 and applied tougher driving-record standards to those over 60.

Read More →
Red Nussbaum Class 8 tractor pulling white and red trailer with aero fairings and skirts
Drivers•by Staff•September 23, 2026

Nussbaum, Roehl Announce Second Driver Pay Increase This Year

This year has seen a swath of major truck driver pay increases as freight capacity has tightened.

Read More →
Ad Loading...
Photo of smiling truck driver Harold Perry with arms crossed in front of Southeastern Freight Lines truck
Drivers•September 17, 2026

From One Generation to the Next: How Mentorship Builds Safer Truck Drivers

After three decades in trucking, Harold Perry shares what he's learned about driver safety, mentorship, and helping the next generation build confidence behind the wheel.

Read More →