![]() He/she has no clinical diagnosis of any cardiovascular disease which is accompanied by syncope, dyspnea (shortness of breath), collapse, or congestive cardiac failure. 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. Injury, emotional stress, unrelated illness, diarrhea, vomiting, or infection may also affect control of the diabetic condition. The commercial driver generally is not in a position to balance dietary and rest needs. He/she has no established medical history or clinical diagnosis of diabetes mellitus currently requiring insulin for control. The driver must take a drive test in the type of vehicle to be driven, unless previously tested and qualified. Exceptions may be made and a restricted commercial license may be issued. ![]() The driver may be granted a waiver pursuant to Title 49, ยง391.49 upon determination that the impairment will not interfere with the driver's ability to control and safely operate a motor vehicle. Loss or impairment of an extremity or any significant limb defect or limitation does not interfere with the ability to perform normal tasks associated with operating a motor vehicle. Back to Top of Page Federal Motor Carrier Safety Regulations guidelines for various medical conditions.
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