Dr. Philip Bachman Workmed Midwest - Occupational Medicine

     New federal guidelines for insulin: On November 19th, 2018 a new standard to allow CME drivers to use              insulin. Eliminating a requirement that drivers seek an the exemption from the agency.

  •  The treating clinician – the healthcare professional who manages, and prescribes insulin for, the treatment of the drivers diabetes – provides the ITDM Assessment Form, MCSA-5870, to the certified  indicating the individual maintains a stable insulin regimen and proper control of his or her diabetes.
  • At minimum, and insulin-dependent driver must demonstrate the following:
  • Adequate control of their diabetes
  • Insulin regimen must be stable
  • Absence of severe retinopathy
  •  See  https://www.fmcsa.dot.gov/regulations/medical/insulin-treated-diabetes-mellitus-assessment-form-mcsa-5870, Drivers please see form is completed prior to exam.


CBD Oil/Hemp/Marijuana

In regards to federal drug testing which includes all drivers under federal alcohol and drug law, if you test for THC positive,in any state, it is still considered a positive test. Although, many states have passed laws in regards to medical marijuana, as well as recreational marijuana the federal government has not changed the agency's position. The problem with CBD oil, although  if pure it should not have the psychoactive drug, some or most preparations, still continue to have enough THC to cause a positive drug test. In addition, CBD oil as well as use of Hemp is not considered an explanation for a positive marijuana THC test. The FDA in regards to the CBD oil has a very narrow limited use in regards to certain seizures. The FDA has not approved CBD oil for other health use.

CDC new TB guidelines:. Sosa LE, Njie GJ, Lobato MN, et al. Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019. MMWR Morb Mortal Wkly Rep 2019; 68:439