Commercial drivers with diabetes have to follow certain rules in order to keep driving with diabetes. Learn more about these rules and the American Diabetes Association's role in making sure they are fair and do not discriminate against people with diabetes.
The Federal Motor Carrier Safety Administration (FMCSA) allows individuals with insulin-treated diabetes to operate commercial motor vehicles. Medical certification is required. For more information on the FMCSA rule, read our FAQ below.
Read FAQs about the FMCSA Rule
Key commercial driving resources
U.S. Department of Transportation, Federal Motor Carrier Safety Administration
1200 New Jersey Avenue, SE
Suite W60-300
Washington, DC 20590
Phone: 1-800-832-5660
Website: fmcsa.dot.gov
Federal Motor Carrier Safety Regulations, Physical Qualifications Requirements
Code of Federal Regulations, vol. 49, sections 391.41, 391.45, and 391.46 (NEW)
(49 C.F.R. 391.41)
MCSA-5870, Insulin-Treated Diabetes Mellitus Assessment Form
Last updated March 13, 2023
