Diabetic Condition

A diabetic customer is eligible to receive a School Bus, 7D, or 7D½ school pupil transport vehicle certificate if:

1.  The customer has never had a hypoglycemic episode or spell (as certified by the health care provider)

2.  The customer does not use insulin to control their diabetes

 

A diabetic customer who uses insulin to control his/her diabetes or has had a serious hypoglycemic event is eligible to receive a School Bus, 7D or 7D½ school pupil transport vehicle certificate upon meeting all of the following conditions:

1.  The customer possesses a currently valid operator’s certificate

2.  The customer is not diagnosed with hypoglycemic unawareness

3.  The customer has not had a serious hypoglycemic event as certified by a Massachusetts board certified or board eligible endocrinologist within the last three years

4.  The customer provides a Massachusetts board certified or board eligible endocrinologist with a complete written medical history including, but not limited to, the date insulin use began, all hospitalization reports, consultation notes for diagnostic examinations, all results of studies conducted for diabetes, and follow-up reports and reports of any hypoglycemic insulin reactions within the last three years

5.  The customer is examined by a Massachusetts board certified or board eligible endocrinologist every six months and submits a complete School Pupil Transport Diabetes Medical Evaluation Form, issued by the Registry of Motor Vehicles

 

A diabetic driver who uses insulin to control his/her diabetes must adhere to the following conditions in order to receive a School Bus, 7D, or 7D½ certificate:

1.  Carry, use, and record the readings from a portable, self-monitoring blood-glucose device that is equipped with a computerized memory including date and time of test

Note: Readings can be recorded in a log or in paper tapes generated by self-monitoring blood-glucose devices

having a printing capability

2.  Monitor blood glucose immediately prior to driving and every four hours thereafter while on duty

3.  Have log records of blood glucose values (with time and date) available to law enforcement or authorized registry personnel upon request

4.  Submit log records to the certifying endocrinologist for each renewal application

5.  Carry on his/her person at all times and use, as necessary, a source of rapidly absorbable glucose

6.  Not operate a school bus or a school pupil transport vehicle unless blood glucose measures within the target parameters of 80 and 350

a.  If blood glucose measures between 60 and 79 the operator cannot drive school children until blood glucose measure is within the target parameters defined above

b.  If blood glucose measures below 60, the operator cannot drive school children until certified as “safe to operate” by a Massachusetts board certified or board eligible endocrinologist

c.  If blood glucose measures 350 or more, the operator cannot operate a school bus or school pupil transport vehicle until certified as “safe to operate” by a Massachusetts board certified or board eligible endocrinologist

7.  Report and surrender his/her School Bus, 7D, or 7D½ certificate immediately to the Registry of Motor Vehicles if a serious hypoglycemic event should occur

8.  Submit a glucose log within fifteen days of a serious hypoglycemic event to the treating endocrinologist

9.  Acknowledge every six months through signature and in the presence of his/her treating endocrinologist that he/she understands and will adhere to the special conditions of his/her School Bus, 7D, or 7D½ school pupil transport vehicle certificate

 

To ensure that a customer meets this diabetic condition standard, he/she must provide to the Registry of Motor Vehicles a completed School Pupil Transport Diabetes Medical Evaluation Form

 

The School Pupil Transport Diabetes Medical Evaluation Form must be:

1.  Certified by the examining endocrinologist

2.  Signed by the license applicant

3.  Submitted to the Registry of Motor Vehicles every six months