Is Prediabetes Considered Diabetes For A DOT Physical?

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Rob T.'s Comment
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Another question is I thought I saw somewhere that if I have sleep apnea that I have to bring my actual CPAP to the appointment, is that true? I already did get my 30 day usage report to have ready but dont want to have to break down my machine to bring it in if I dont need to?

All they're going to require for your physical is usage report for your last 30 days. To be compliant you need to use it atleast 4 hours a day/night for 21 of the 30 days (70% of the time). I have the app for my ResMed machine and email the report while in office. You will be limited to 1 year card due to cpap. The doctor that does mine also looks over the 90, and 1 year report to make sure I'm compliant and not using it only the 30 days prior to my physical. He also reviews the events per hour (mine are below one) while using the machine. Using CPAP hasn't negatively impacted my career in any way other than needing a physical every year instead of every 2.

Its very confusing and there is very little I can find online that defines it. In my head I should be able to put no as on my Bellin chart for the a1c, the little range arrow has 5.4 as in the green area, 5.6 is where it turns to yellow. idk I guess it shouldn't really matter because its something that will be checked anyways right? My a1c last time it was checked in June was 5.4% it might be a bit higher now.

It may sound silly but another reason I wanted to get a job in trucking is the heightened health requirement's over normal jobs, I feel like it will be more motivating to me to start getting healthier as I will need to in order to keep my career. It has been in the last week after I realized what was entailed int he DOT physical.

Your DOT physical will be filling out a long-form asking about medical history. It's always been paper form filled out in office but my clinic made the switch this year to online so I had it filled out ahead of time. At my clinic they called me back, had me look into machine to identify flashing lights on each side (peripheral vision), identify the 3 colors on the wall (red, green, yellow), check your eyesight like a typical office visit, go pee in a cup to check for proteins/sugar. Go into room for blood pressure and pulse check. Doctor comes in looks over your form and discusses your answers if needed. They will then listen to your heart and lungs, check ears. Before Covid they also looked in mouth. They check your reflexes with their little hammer thing, have ya lay down and press on stomach. As long as everything checks out they'll give you your medical card. As long as everything checks out you're given a 2 year card. In some situations such as CPAP or blood pressure medication you're required to get yearly physicals. They also have 3 month and 6 month cards for rare instances but those are usually a one time deal, and nearly every carrier requires atleast a 1 year card to get started.

The DOT physical isn't really in depth in my opinion but will help identify potential issues beforehand.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Sleep Apnea:

A physical disorder in which you have pauses in your breathing, or take shallow breaths, during sleep. These pauses can last anywhere from a few seconds to a few minutes. Normal breathing will usually resume, sometimes with a loud choking sound or snort.

In obstructive sleep apnea, your airways become blocked or collapse during sleep, causing the pauses and shallow breathing.

It is a chronic condition that will require ongoing management. It affects about 18 million people in the U.S.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
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