Oklahoma Administrative Code › Title 260 - Office of Management and Enterprise Services › Chapter 135 - Service Oklahoma › Subchapter 5 - Driver Licenses and Identification Cards › Part 11 - MEDICAL ASPECTS › Section 260:135-5-50 - Metabolic diseases

Current through Vol. 41, No. 20, July 1, 2024
(a)
Diabetes
				  mellitus.
(1) A person who has
				  diabetes, about whom Service Oklahoma has received a report from a law
				  enforcement officer or from a licensed physician indicating the person is
				  incapable of properly controlling a motor vehicle, must submit proof from his
				  or her physician that the disease is under reasonable control without either
				  hypoglycemic or hyperglycemic reactions severe enough to impair driving
				  ability. Future periodic medical reports may be required.
(2) A person having been diagnosed by his or
				  her physician as having insulin-dependent diabetes shall be required to have
				  driving restriction code number six (6), "Food, fruit, or candy within reach of
				  driver," on the person's driver license.
(3) A person who is a controlled
				  insulin-dependent diabetic may obtain a Class A, B, or C intrastate commercial
				  driver license provided the license bears driving restriction code number six
				  (6), "Food, fruit, or candy within reach of driver".
(4) Service Oklahoma may adopt by reference
				  and enforce all or any portion of the federal motor carrier safety regulations
				  set forth under 49 C.F.R.
				  Section 391.41, relating to medical
				  conditions which preclude the safe operation of a commercial motor
				  vehicle.
(5) The provisions in this
				  section may be subject to the limitations imposed by
				  49 C.F.R. Section
				  391.64, which grandfathers certain drivers
				  allowing the operation of a school bus or commercial motor vehicle by
				  insulin-controlled diabetic drivers provided that:
(A)
The driver is physically examined
				  every year, including an examination by a board-certified/eligible
				  endocrinologist attesting to the fact that the driver is:
(i) Otherwise qualified under Section
				  391.41;
(ii) Free of insulin
				  reactions (an individual is free of insulin reactions if that individual does
				  not have severe hypoglycemia or hypoglycemia unawareness, and has less than one
				  documented, symptomatic hypoglycemic reaction per month);
(iii) Able to and has demonstrated
				  willingness to properly monitor and manage his/her diabetes; and
(iv) Not likely to suffer any diminution in
				  driving ability due to his/her diabetic condition. [49 C.F.R., §
														391.64(a)(1)]
				  .
(B)
The driver
				  agrees to and complies with the following conditions:
(i) A source of rapidly absorbable glucose
				  shall be carried at all times while driving;
(ii) Blood glucose levels shall be
				  self-monitored one (1) hour prior to driving and at least once every four (4)
				  hours while driving or on duty prior to driving using a portable glucose
				  monitoring device equipped with a computerized memory;
(iii) Submit blood glucose logs to the
				  endocrinologist or medical examiner at the annual examination or when otherwise
				  directed by Service Oklahoma, as prescribed by the Department of Public
				  Safety;
(iv) Provide a copy of the
				  endocrinologist's report to the medical examiner at the time of the annual
				  medical examination; and
(v)
				  Provide a copy of the annual medical certification to Service Oklahoma and the
				  employer for retention in the driver's qualification file and retain a copy of
				  the certification on his/her person while driving for presentation to a duly
				  authorized Federal, State or local enforcement official. [49 C.F.R, §
														391.64(b)(2)]