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DMV Policy for Drivers with Diabetes Who Require Insulin

It is the policy of the Department of Motor Vehicles, based on guidance and recommendations from the Medical Advisory Board, that drivers who have had a blackout, seizure or loss of consciousness due to an insulin reaction or hypoglycemia, must provide the following before they resume operating a motor vehicle:

  • A DMV Customer Medical Report (MED-2) with Parts B, F and the Customer Information sections completed. The form must be signed by their physician, certifying that the driver is medically and mentally capable of driving.
  • A copy of the individual’s personal blood sugar logs kept over a period of 15-30 days. These logs must be a glucometer-verified record that has been certified by the individual’s physician, nurse practitioner or physician assistant.

Blood sugars must remain at a level of 70-mg/dl or higher.

Monitoring and Review of the Driver

Once the driver meets the above criteria, he/she is placed on a 3-month periodic review, followed by 6-month and 1-year review cycles.

After monitoring the driver for a period of 2 years from the date of the incident, the driver may be released from periodic medical review as long as the driver has had no further incidents of blackouts, seizures or loss of consciousness in or out of a motor-vehicle.

Commercial Drivers

DMV reserves the right to monitor commercial drivers who suffer a seizure, blackout or loss of consciousness due to an insulin reaction or hypoglycemia more stringently and to have these cases reviewed by the DMV Medical Advisory Board.

Once a commercial driver is certified medically safe based on customer medical information and recommendations and guidance from the Board, the commercial driver must apply to DMV's waiver program for commercial drivers.

Additional Documentation

DMV reserves the right to request that a driver provide additional information from a specialist in order to assess their ability to safely operate a motor vehicle.