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Are applicants for a driver's license asked questions about diabetes?

Yes. The driver's license application (first-time and renewal) asks an applicant whether he or she has diabetes. If an applicant answers yes to this question, he or she is required to have a physician complete a medical report form. N.M. Stat. Ann. 66-5-14(A) (2013) (generally authorizing the licensing agency to examine driver's license applicants for "anyphysical and mental examination as [it] finds necessary to determine the applicant's fitness to operate a motor vehicle or motorcycle safely upon the highways").

What other ways does the state have to find out about people who may not be able to drive safely because of a medical condition?

The state accepts reports of potentially unsafe drivers from police officers, physicians, family members, friends, other citizens, and hospitals. The licensing agency accepts anonymous reports and does not investigate reports before a driver is contacted for medical review. Drivers also may be required to have medical evaluations if they are involved in a given number of at-fault crashes within a given time period, if they are involved in at-fault crashes resulting in a fatality, or if they have impairments which are observed by licensing agency personnel during the licensing process. N.M. Stat. Ann. 66-5-30(A)(2), (B) (2013) (authorizing the licensing agency to suspend or revoke a driver's license because of his or her involvement in an accident and providing for reinstatement after reexamination); N.M. Stat. Ann. 66-5-31 (2013) (authorizing the licensing agency to compel a medical evaluation if it has good cause to believe that a driver is incompetent or otherwise unqualified to be licensed).

What is the process for medical evaluations of drivers?

Individuals with diabetes must undergo medical evaluations when applying for driver's licenses for the first time and at all subsequent renewals. A Medical Report Form (MVD10124) is sent to an individual, which must be completed by his or her physician within 30 days. The Medical Report Form asks the physician whether the patient has diabetes, hypoglycemia, loss of consciousness, or other conditions. N.M. Motor Vehicle Division, "Medical Report," Form MVD10124 (Rev. 06/2013). If so, the physician must describe the condition and its treatment (including any medications that the patient is taking); to state whether the condition is currently controlled; and to provide test results that may be relevant. The physician also is asked to give an opinion on the following 1) whether, medically speaking, the individual is capable of safe and competent driving; 2) whether the individual suffers from any abnormal personality traits; 3) whether there should be any appropriate licensing restrictions; and 4) how often follow up any medical evaluations should be required. N.M. Motor Vehicle Division, "Medical Report," Form MVD10124 (Rev. 06/2013). Medical Report Forms are returned to the licensing agency for review and a licensing decision.

Are physicians required by law to report drivers who have medical conditions that could affect their ability to drive safely?

There is no statutory authority requiring physicians to report drivers with medical conditions that could affect their ability to drive safely to a central state agency.

Are physicians who report drivers with medical conditions immune from legal action by the patient?

There is no statutory authority providing immunity from civil or criminal liability for physicians who report or fail to report drivers with conditions that could affect their ability to drive safely to a central state agency.

Who makes decisions about whether drivers are medically qualified?

For individuals that do not take insulin or take insulin and have been under treatment for at least eight years, licensing agency personnel will issue a license so long as an individual's physician indicates on the medical evaluation form that he or she is medically fit to drive. Individuals that do not meet this condition, i.e., that have been taking insulin for less than eight years, are referred to the state's independent Health Standards Advisory Board. When diabetes cases are referred to the board, one membera general medical doctor, not an endocrinologistgenerally makes decisions, and the process generally takes four to eight weeks. The board may require additional on-the-road examinations or any other physical tests recommended by the Board. N.M. Stat. Ann. 66-5-6(B)-(C) (2013) (board may require road tests or other examinations). Although the Health Standards Advisory Board may advise licensing agency personnel with regard to licensing decisions, N.M. Stat. Ann. 66-5-6(B)-(C) (2013), ultimate authority over licensing decisions resides with the licensing agency itself. N.M. Stat. Ann. 66-5-24(A), -30(A)(1)-(11) (2013).

What are the circumstances under which a driver may be required to undergo a medical evaluation?

Upon five days' written notice, a driver may be required to undergo a medical evaluation if the licensing agency has good cause to believe that he or she is incompetent or otherwise unqualified to be licensed. N.M. Stat. Ann. 66-5-31 (2013). A driver may be required to undergo a medical evaluation if, upon review of his or her case, the Health Standards Advisory Board determines that such an evaluation is necessary to making a recommendation as to a licensing decision. N.M. Stat. Ann. 66-5-6(C) (2013). Drivers also may be required to have medical evaluations if they are involved in a given number of at-fault crashes within a given time period, if they are involved in at-fault crashes resulting in a fatality, or if they have impairments which are observed by licensing agency personnel during the licensing process. N.M. Stat. Ann. 66-5-30(A)(2), (B) (2013) (authorizing the licensing agency to suspend or revoke a driver's license because of his or her involvement in an accident and providing for reinstatement conditioned upon reexamination); N.M. Stat. Ann. 66-5-31 (2013) (authorizing the licensing agency to compel a medical evaluation if it has good cause to believe that a driver is incompetent or otherwise unqualified to be licensed).

Has the state adopted specific policies about whether people with diabetes are allowed to drive?

No. New Mexico has adopted no specific medical guidelines related to diabetes since most diabetes cases are decided on a case-by-case basis by the Health Standards Advisory Board.

What is the state's policy about episodes of altered consciousness or loss of consciousness that may be due to diabetes?

New Mexico has not adopted a policy about episodes of loss of consciousness but is working to develop such a policy. The state has adopted a policy regarding seizures, however, which requires that an individual who has had a seizure submit to the licensing agency a statement from a physician indicating that he or she has been seizure or episode-free for at least one year and that he or she either is not under medication or is taking medication without side effects before he or she will be licensed. N.M. Code R. 18.19.5.34(B) (2013). If an individual that has had a seizure has been issued a restricted license, the licensing agency may remove any restrictions early if the individual is able to produce a satisfactory physician's statement. N.M. Code R. 18.19.5.34(A) (2013).

Does the state allow for waivers of this policy, e.g., a waiver for a one-time episode of severe hypoglycemia that has mitigating factors (e.g., recent change in medication, illness, etc.) or that has been addressed with a physician?

No. There is no statutory authority providing for exceptions to New Mexico's policy regarding episodes of loss of consciousness and driver licensing. Again, if an individual that has had a seizure has been issued a restricted license, the licensing agency may remove any restrictions early if the individual is able to produce a satisfactory physician's statement, as described above. N.M. Code R. 18.19.5.34(A) (2013).

What is the process for appealing a decision of the state regarding a driver's license?

An individual may make a written request for a hearing in the county in which he or she resides, which must be received by the licensing agency within 20 days of the suspension notice. N.M. Stat. Ann. 66-5-30(B) (2013) (describing hearing process in detail). The licensing agency, in its discretion, may extend the 20-day request period. A hearing then is held so that an individual may provide proof as to his or her ability to operate a motor vehicle safely. Both the individual and the licensing agency may present evidence and testimony, and the individual may be required to undergo a driver examination. The licensing agency then will rescind, continue, modify, or extend the suspension. N.M. Stat. Ann. 66-5-30(B) (2013). Except in cases of mandatory suspension or revocation, decisions of the licensing agency also may be appealed to the district court. N.M. Stat. Ann. 66-5-36 (2013). For more information, see N.M. Motor Vehicle Division, "Hearing Requests," (Accessed 2013); N.M. Motor Vehicle Division, "Request for Hearing," Form MVD-10792 (Rev. 12/2008).

May an individual whose license is suspended or denied because of diabetes receive a probationary or restricted license?

No. However, the licensing agency may, whenever good cause appears, issue a license with restrictions, including the shortening of the licensure period, appropriate to ensure the safe operation of a motor vehicle by the licensee. N.M. Stat. Ann. 66-5-19(A) (2013); N.M. Code R. 18.19.5.32, 18.19.5.3(A) (2013) (providing for the issuance of restricted licenses, or licenses with shorter licensure periods).

Is an identification card available for non-drivers?

Yes, with proper identification, proof of residency, and payment of a fee. See N.M. Stat. Ann. 66-5-402 (2013) (describing identification and proof of residency requirements); N.M. Code R. 18.19.5.12(A) (2013) (same). An individual may not hold an identification card and a driver's license concurrently. N.M. Stat. Ann. 66-5-401(A), -402(A) (2013). An identification card is valid for a period of four years or, at the election of the holder, a period of eight years if he or she pays the applicable fee for an eight-year period. N.M. Stat. Ann. 66-5-403(A), (C) (2013). A $5.00 fee is required upon application for an identification card with a four-year term, and a $10.00 fee is required upon application for an identification card with an eight-year term. N.M. Stat. Ann. 66-5-408(A) (2013). Individuals 75 years of age or older may obtain identification cards free of charge. N.M. Stat. Ann. 66-5-408(A) (2013).

Resources

Driver licensing in New Mexico is administered by the Motor Vehicle Division of the State Taxation and Revenue Department.

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New Mexico: American Diabetes Association

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Are you constantly asking yourself, "What can I eat?" It's time to stop worrying! Living with diabetes doesn't have to mean feeling deprived. We'll help you learn to balance your meals and make the healthiest food choices.

Once you get the hang of eating a healthy diet, you can relax and dig in to a wide variety of delicious meals and snacks.

A great way to get started is with the special meal planning bundle available at shopdiabetes.org.

Learn the best and worst choices from each food group, so youll know what to focus on for meals and snacks.

How much and what type of carbohydrate containing foods you eat makes a difference in managing diabetes.

Let us guide you with quick meal ideas, healthy snack choices and tips for eating out.

Supercharge your meal plan with these ten foods full of vitamins, minerals, and fiber.

Take the time to plan before you shop, stock your kitchen so everything you need for a quick meal is on hand.

Learn about drinking alcohol if you have diabetes.

Learn ways to manage your diabetes while eating out.

Are grains and starchy vegetables good or bad?

Fill half your plate with non-starchy vegetables for a healthy meal.

Protein foods are an important part of a diabetes meal plan. Learn about your best choices.

Dont forget that the beverages you drink can also have an effect on your weight and blood glucose as you work to control your diabetes.

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86 million Americans have prediabetes, and no one is excused. Take the test. Know where you stand.

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What Can I Eat If I Have Diabetes

Take the Diabetes Risk Test

Diabetes is a costly, complex, and devastating chronic illness that poses a major public health problem. Diabetes affects over 475,000 adults and 4,500 children and adolescents in Wisconsin. It is the seventh leading cause of death in Wisconsin, costing an estimated annual $6.15 billion in health care costs and lost productivity. Each year, more than 1,100 Wisconsin residents die from diabetes and many more suffer disabling complications, such as heart disease, kidney disease, blindness, and amputations. This burden is higher among minority populations. Much of the health and economic burden of diabetes can be averted through known prevention measures.

The Wisconsin Diabetes Prevention and Control Program (DPCP) is dedicated to improving the health of people at risk for or with diabetes. We rely on our strong partnerships in the development, distribution, and implementation of resources. Please use the links to the left as well as those below to access these resources.

Popular Links

Wisconsin Diabetes Surveillance Report 2012 P-43084 (PDF, 8.6 MB)

2011 Burden of Diabetes in Wisconsin P-00284 (PDF, 2.2 MB)

Diabetes Care Guidelines

Students with Diabetes: A Resource Guide for Wisconsin Schools and Families

Diabetes Self-Care Booklet - English, P-43081 (PDF, 1.2 MB), Spanish P-43081s(PDF, 1.2 MB)

Personal Diabetes Care Record English, P-49357 (PDF, 197 KB)

Blood Sugar Log Booklet English, P-00246 (PDF, 1.3 MB)

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Wisconsin Diabetes Prevention and Control | Wisconsin ...

The Delaware Diabetes and Heart Disease Prevention and Control Program (DHDPCP) goal is to decrease the states emotional, physical, and financial burden from diabetes and heart disease by preventing the diseases and reducing their complications. Our program supports community clinical linkages, health systems interventions, environmental approaches, and epidemiology and surveillance.

The program is funded by a cooperative agreement with the Centers for Disease Control and Prevention (CDC), with additional support from the Delaware Health Fund. The program collects and publicizes current, accurate information about diabetes and heart disease, develops approaches for reducing the impact of the diseases, promotes healthy lifestyle habits for prevention and control, and coordinates efforts of public and private health organizations.

Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader. A free copy of Adobe Acrobat Reader can be downloaded directly from Adobe . If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe's Accessibility Tools page.

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DPH Disease Information: Diabetes Info - Delaware

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Pennsylvanians and Delawareans are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it!

It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's Philadelphia office is so committed to educating the public about how to stop diabetes and support those living with the disease.

We are here to help.

The Philadelphia office serves Eastern Pennsylvania and Delaware.

Additional Events

The American Diabetes Association's Eastern Pennsylvania and Delaware office serves the community with a variety of programs, workshops and awareness campaigns for people living with diabetes, their friends and family. Learn about our available programs.

The following Eastern Pennsylvania and Delaware businesses and organizations have been designated Health Champions from the American Diabetes Association. This designation recognizes organizations that inspire and encourage organizational well-being and is part of the Association's Wellness Lives Here initiative. Learn more.

Christiana Care Health System Delaware Division of Public Health Drexel University Einstein Medical System Health Partners Plans Independence Blue Cross Jefferson Health Navient Novo Nordisk Inc. Nutrisystem Quest Diagnostics The Children's Hospital of Philadelphia University of Pennsylvania Health System YMCA of Greater Brandywine

If you would like a representative from the American Diabetes Association to speak at your event or if you would like materials to distribute at a health fair or expo, please contact 610-828-5003 or bala_office@diabetes.org.

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

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Philadelphia Pennsylvania Office of the American Diabetes ...

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New Jerseyans are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it! It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's New Jersey office is so committed to educating the public about how to stop diabetes and support those living with the disease.

We are here to help.

Additional Events

The American Diabetes Association's New Jersey office provides great local programs for people living with diabetes, their friends and family. Learn about our available programs.

The following New Jersey businesses and organizations have been designated Health Champions from the American Diabetes Association. This designation recognizes organizations that inspire and encourage organizational well-being and is part of the Association's Wellness Lives Here initiative. Learn more.

BD Horizon Blue Cross Blue Shield of New Jersey JBL Electric Nestle Nutrition Quest Diagnostics Verizon

Sign upfor our monthly newsletter to learn about news and events in the New Jersey area.

If you would like a representative from the American Diabetes Association to speak at your event or if you would like materials to distribute at a health fair or expo, please call 732-469-7979. You can also email your request tobmarsicano@diabetes.org.

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

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Bridgewater, New Jersey - American Diabetes Association

What is diabetes?

Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys, and nerves. The most common is type 2 diabetes, usually in adults, which occurs when the body becomes resistant to insulin or doesn't make enough insulin. In the past three decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin by itself. For people living with diabetes, access to affordable treatment, including insulin, is critical to their survival. There is a globally agreed target to halt the rise in diabetes and obesity by 2025.

The mission of the WHO Diabetes Programme is to prevent type 2 diabetes and to minimize complications and maximize quality of life for all people with diabetes. Our core functions are to set norms and standards, promote surveillance, encourage prevention, raise awareness and strengthen prevention and control.

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WHO | Diabetes programme

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Millions of people around the world live with type 1 diabetes (T1D), a life-threatening autoimmune disease that strikes both children and adults. There is no way to prevent it, and at present, no cure. JDRF works every day to change this by amassing grassroots support, deep scientific knowledge and strong industry and academic partnerships to fund research. Learn more.

Your generosity supports groundbreaking science around the globe. Every dollar helps this work continue.

You can change real lives and raise hope by joining a JDRF event or starting a fundraising campaign.

Your words carry when you speak with One Voice for government support of T1D research and therapies.

Dedicated JDRF staff and volunteers can offer you guidance and support at all ages and stages of the disease.

Our flagship fundraising event draws more than 900,000 people who raise money for T1D research each year. Many have T1D themselves, and many more are friends, family or coworkers of someone with the disease. Come walk with others who believe together we can turn Type One into Type None.

Sign up for the most important T1D news and events

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Were creating a world without T1D. - JDRF

Chicago Diabetes Project

1 week ago

We invite you to join us as we go "All In for a Cure" at this year's third annual Poker Tournament on Friday, September 16th at The Estate by Gene & Georgetti. The exciting evening will include open bar, premium dinner buffet, prizes and a No Limit Texas Hold 'Em poker tournament. Register now at http://www.cdppoker.com or make a donation to support a functional cure. Seating is limited to the first 180 poker players. Check out these photos from last year's event! ...

Chicago Diabetes Project

1 week ago

Chicago Diabetes Project added an event. ...

All In for a Cure Poker Tournament

September 16, 2016, 6:00pm - September 16, 2016, 11:30pm

The Estate

Youre invited to the third annual All In for a Cure Texas Hold Em Tournament benefitting the Chicago Diabetes Project in partnership with the Special Kids Network. The event will be held on Friday, September 16th at The Estate by Gene & Georgetti. This exciting evening will include an open bar, premium buffet dinner and poker tournament. Space is limited and open to the first 180 paid poker players. Registration is now open at http://www.cdppoker.com. Sign up now to reserve your spot at the tables! View pictures from last years event: http://www.facebook.com/Impact365/photos/?tab=album&album_id=1188293404519421. Interested in sponsoring the event? Download sponsorship opportunities (www.chicagodiabetesproject.org/wp-content/uploads/2016/07/2016-POKER-SPONSORSHIP-DECK.pdf) and contact Michelle Le at 312-413-3011.

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Chicago Diabetes Project | Researching to Cure Diabetes

Living with Diabetes

The Diabetes programs within MidMichigan Health help people with diabetes take control of their illness so they can live full and active lives here in the middle of Michigan.

Diabetes is a disease that prevents the body from correctly utilizing glucose the fuel that is made from the carbohydrates we eat. There are several types of diabetes:

Learn more about risk factors, symptoms and free screenings throughout the middle of Michigan

If you have diabetes, working with a team, including your physician, a diabetes nurse and a diabetes dietitian, will help you establish a plan for treatment.Learn more about the diagnosis and treatment of diabetes.

Diabetes is a risk factor for many other conditions and complications, including heart disease, eye problems, kidney disease, foot problems and depression. But there are many things you can do to manage your disease and prevent complications:

MidMichigan is committed to providing self-management tools to help you stay in control of your diabetes, including:

You may want to check with your insurance plan to see which programs and services are covered.

The diabetes education programs at MidMichigan Medical Centersin Clare,Gladwin, Midland, and MidMichigan Health ParkMt. Pleasant havebeenrecognized by the American Association of Diabetes Educatorsfor meeting national quality standards.These programs have also earned state certification by theMichigan Department of Community Health.

The diabetes instructors at the Diabetes Center of MidMichigan Medical Center in Midland arecertified diabetes educators (CDEs), which assures that they have met specific requirements of the National Certification Board of Diabetes Educators.

Diabetes services and programs are available in severallocations in central Michigan:

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Diabetes - MidMichigan Health

Are applicants for a driver's license asked questions about diabetes?

The driver's license application (first-time and renewal) asks an applicant whether he or she has, within the past six months, had a physical or mental condition that affected his or her ability to drive and if, within the past six months, he or she has had a fainting spell, blackout, seizure, or episode of loss of consciousness. If an applicant answers yes to either of these questions, he or she is required to have a physician complete an examination and submit a medical evaluation form before he or she may be licensed. See generally Mich. Admin. Code r. 257.853(1), (3) (2013) (requiring statement of physical history before licensing if reason to believe physical disability affects safe driving).

What other ways does the state have to find out about people who may not be able to drive safely because of a medical condition?

The state accepts reports of potentially unsafe drivers from police officers, the courts, physicians, family members, friends, other citizens, and hospitals. The licensing agency does not accept anonymous reports and investigates the source of a report if the source's relationship to the driver is not clear. See Mich. Comp. Laws 257.309(1) (2013) (licensing agency may refuse to grant a license without an examination based on information of physical condition received from any source). A concerned third party may make a report by submitting a Request for Driver Evaluation (OC-88) form. This report must contain identifying information about the driver, as well as specific information to justify the reevaluation of his or her driving ability. See Mich. Dept. of State, "Request for Driver Evaluation," Form OC-88 (Rev. 09/11). Drivers also may be required to have medical evaluations if they have impairments which are observed by licensing agency personnel during the licensing process, Mich. Comp. Laws 257.309(1) (2013), if they have been involved in at-fault crashes involving a fatality, have accumulated significant numbers of accidents or points during a two-year period, or when driving privileges are to be restored following a revocation or suspension. See Mich. Comp. Laws 257.320(1)(a)-(e) (2013).

What is the process for medical evaluations of drivers?

When the licensing agency has reason to believe that a driver may be medically unqualified to operate a motor vehicle, either because the driver gave positive answers to medical questions on the license application or because of a report from one of the other sources listed above, it will require the driver to submit to a medical evaluation. Mich. Comp. Laws 257.320(1)(a) (2013); Mich. Admin. Code r. 257.853(1) (2013). When this happens, a medical evaluation form is sent to the individual, which must be completed, in part, by his or her physician. See Mich. Admin. Code r. 257.853(6)-(9) (2013) (setting forth standards for physician's statement). The Physician's Statement of Examination must be returned to the licensing agency, where it is evaluated and a licensing decision is made. See Mich. Admin. Code r. 257.853(1), (3) (2013).

The Physician's Statement of Examination (DI4P) asks the driver to indicate whether he or she has diabetes. See Mich. Dept. of State, "Physician's Statement of Examination," Form DI-4P (03/05/2013). It also asks about seizures, blackouts, or fainting. Id. The driver must explain any of the conditions listed. Further questions relate to the number of accidents or incidents of lost consciousness within the last five years, and current medications being taken. Id. The physician must indicate if they have concerns about the driver's ability to operate vehicle, and why. Id. A full section asks detailed questions about medical conditions, prescribed medicine, control of condition, and episodes of lost consciousness. Id. Finally, the physician must indicate whether restrictions or further evaluations should be conducted. Id.

The licensing agency may request additional medical information from the physician or order further tests before making a decision. Mich. Admin. Code r. 257.853(9) (2013). Periodic follow-up medical evaluations may be required. Mich. Admin. Code r. 257.853(10) (2013).

Are physicians required by law to report drivers who have medical conditions that could affect their ability to drive safely?

There is no statutory authority requiring physicians to report drivers with medical conditions that could affect their ability to drive safely to a central state agency. Physicians and optometrists may voluntarily report a patient's physical qualifications to safely operate a vehicle. Mich. Comp. Laws 333.5139(1) (2013).

Are physicians who report drivers with medical conditions immune from legal action by the patient?

Yes. Physicians and optometrists are immune from civil and criminal liability for making a report, so long as they are acting in good faith and exercising due care. Mich. Comp. Laws 333.5139(3) (2013). Conversely, a physician who voluntarily chooses not to make a report is also immune from any liability for any subsequent injuries caused by the unsafe driver. Mich. Comp. Laws 333.5139(1) (2013).

Who makes decisions about whether drivers are medically qualified?

Licensing decisions are made by staff in the licensing agency's medical unit after reviewing an individual's medical information and giving strong consideration to the opinion of his or her physician. Mich. Comp. Laws 257.320(2) (2013) (licensing agency has authority to restrict, suspend, or revoke license). The licensing agency may appoint health consultations, Mich. Admin. Code r. 257.852 (2013), and has created a Medical Advisory Board. An expert in endocrinology may be a health consultant. Mich. Admin. Code r. 257.852(2)(n) (2013). The health consultants may advise the department concerning physical and mental standards for motor vehicle licensing. Mich. Admin. Code r. 257.852(3) (2013). Upon request, the consultants may advise the department concerning an applicant's or licensee's physical or mental ability to drive motor vehicle. Mich. Admin. Code r. 257.852(4) (2013). Nevertheless, the opinions of health consultants are advisory and the licensing agency retains ultimate authority over licensing decisions. Mich. Admin. Code r. 257.852(5) (2013). For more information, see Michigan Secretary of State, "(Terri Lynn) Land Creates Medical Advisory Board." (describing creation of Medical Advisory Board).

What are the circumstances under which a driver may be required to undergo a medical evaluation?

A driver may be required to undergo a medical evaluation if the licensing agency has reason to believe that he or she has a physical or mental disability that affects his or her ability to safely operate a motor vehicle. Mich. Comp. Laws 257.320(1)(a) (2013); Mich. Admin. Code r. 257.853(3) (2013). These reasons may include observation by licensing agency staff. Mich. Comp. Laws 257.320(1) (2013). The licensing agency may also consider information from a Request for Driver Evaluation (OC-88) submitted by a physician or optometrist or any other concerned third party. Mich. Comp. Laws 257.320(3) (2013) (physician or optometrist report should be considered for examination). A driver may also be required to undergo a medical evaluation for driving violations: 1) if he or she has in one or more instances been involved in an accident resulting in the death of a person; 2) he or she, within a 24-month period, has been involved in three accidents resulting in personal injury or damage to the property of a person for moving violations; 3) he or she has charged against him or her a total of 12 or more points within a period of two years; or 4) he or she has been convicted of violating restrictions, terms, or conditions of his or her license. Mich. Comp. Laws 257.320(1)(b)-(e) (2013); see also Mich. Comp. Laws 257.320a (2013) (providing for point system for various driving violations).

Has the state adopted specific policies about whether people with diabetes are allowed to drive?

No. Michigan has adopted no specific medical guidelines related to diabetes, except for its guidelines related to episodes of loss of consciousness. However, the Physician Examination form specifically asks the driver whether he or she has diabetes. Mich. Dept. of State, "Physician's Statement of Examination," Form DI-4P (03/05/2013).

What is the state's policy about episodes of altered consciousness or loss of consciousness that may be due to diabetes?

If an applicant or a licensee experiences an "episode," his or her license will be denied or indefinitely suspended after reexamination. Mich. Admin. Code r. 257.854(1) (2013). An episode is defined as any "condition which causes or contributes" to lapse of consciousness, blackout, seizure, fainting spells, syncope, or other impairments of the level of consciousness. Mich. Admin. Code r. 257.851(1)(e)(i)-(ii) (2013). It also includes any condition which causes or contributes to "violent or aggressive action" related to driving a motor vehicle. Mich. Admin. Code r. 257.851(1)(e)(iii) (2013). In order to regain his or her license, the driver must submit a Physician's Statement of Examination (DI-4P). Mich. Admin. Code r. 257.854(1) (2013). The physician must certify that the driver's condition is under control by medical or other treatment. All symptoms or conditions which would affect safe driving must have been controlled for at least 6 months. Mich. Admin. Code r. 257.854(2)(a) (2013). The physician must certify that the individual has not experienced an episode of loss of consciousness within the previous 6 months. Mich. Admin. Code r. 257.854(2)(b) (2013); see also Mich. Admin. Code r. 257.853(4)-(8) (2013) (specifying what information the Physician's Statement of Examination must contain). For chauffeurs and persons endorsed to operate trucks or buses, the requirements of the Physician's Statement of Examination are identical with the exception that the relevant episode-free period is 12 months. Mich. Admin. Code r. 257.854(3)(a)-(b) (2013). The licensing agency may require that an individual submit periodic follow-up medical evaluations as a condition of licensure. Mich. Admin. Code r. 257.853(10) (2013).

Does the state allow for waivers of this policy, e.g., a waiver for a one-time episode of severe hypoglycemia that has mitigating factors (e.g., recent change in medication, illness, etc.) or that has been addressed with a physician?

Yes. The 6-month or 12-month period may be reduced or eliminated based upon a departmental review of the specific recommendation of a qualified physician or any other information that may come to the licensing agency, including evidence that the episode of loss of consciousness resulted from medical intervention or medically supervised experimentation with prescribed medication, as well as the evaluation of other evidence. Mich. Admin. Code r. 257.854(4) (2013). Additionally, the licensing agency maintains that any action taken on the basis of a physical or mental condition or disability will be reassessed upon receipt of new medical evidence and documentation that the condition or disability has changed or abated or no longer exists. Mich. Admin. Code r. 257.853(11) (2013). All medical information submitted is reviewed by licensing agency personnel and at times in consultation with the Medical Advisory Board.

What is the process for appealing a decision of the state regarding a driver's license?

A driver may seek appeal to the licensing agency's administrative hearing officer or the circuit court. See Mich. Comp. Laws 257.322-.323 (2013); see also Mich. Admin. Code r. 257.856 (2013) (providing the right to appeal final decisions of the licensing agency). A request for an administrative hearing must be made in writing within 14 days of the denial or suspension of the license. Mich. Comp. Laws 257.322(2) (2013). To request a hearing, an individual may submit a Driver's License Appeals Hearing Request. At the hearing, an individual may present evidence and testimony, and before its commencement, the hearing officer may compel production of documents and transcripts of testimony. Mich. Comp. Laws 257.322(2)-(3) (2013). Following the hearing, the hearing officer may affirm, modify, or set aside the final determination of the licensing agency. Mich. Comp. Laws 257.322(5) (2013).

Alternately, an individual may request review of the licensing agency's decision in the circuit court of the county where the suspension or revocation was imposed or that of his or her residence by filing a petition within 63 daysor within 182 days with a showing of good cause. Mich. Comp. Laws 257.323(1) (2013). The court will set a date for a cause for hearing not more than 63 days after receipt of the petition for review. Mich. Comp. Laws 257.323(2) (2013). After presentation of evidence and testimony, the court will affirm, modify, or set aside the final determination of the licensing agency. Mich. Comp. Laws 257.323(3) (2013). The circuit court will not grant an individual restricted driving privileges, and it will set aside the licensing agency's final determination only if the petitioner's substantial rights have been prejudiced. Mich. Comp. Laws 257.323(4) (2013).

May an individual whose license is suspended or denied because of diabetes receive a probationary or restricted license?

Yes. The licensing agency may issue limited or restricted licenses or endorsements to individuals that have experienced episodes of loss of consciousness on a case-by-case basis. Mich. Admin. Code r. 257.854(4) (2013); see also Mich. Comp. Laws 257.312 (2013) (providing for restricted operator's and chauffeur's licenses); Mich. Admin. Code r. 257.3 (2013) (describing specific license restrictions).

Is an identification card available for non-drivers?

Yes, with proper identification and payment of a fee. Identification cards are issued at no charge to persons age 65 and over and to individuals whose licenses have been suspended due to medical reasons. See Mich. Dept. of State, "Driver's License or ID Requirements," Form SOS-428, (04/13). For more information, see Michigan Secretar of State, "Driver's License and State ID."

Resources

Driver licensing in Michigan is administered by the Department of State.

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Michigan: American Diabetes Association

What is diabetes?

Diabetes is a disease in which the body is unable to properly use and store glucose (a form of sugar). Glucose backs up in the bloodstream causing ones blood glucose (sometimes referred to as blood sugar) to rise too high.

There are two major types of diabetes. In type 1 (fomerly called juvenile-onset or insulin-dependent) diabetes, the body completely stops producing any insulin, a hormone that enables the body to use glucose found in foods for energy. People with type 1 diabetes must take daily insulin injections to survive.This form of diabetes usually develops in children or young adults, but can occur at any age. Type 2 (formerly called adult-onset or non insulin-dependent) diabetes results when the body doesnt produce enough insulin and/or is unable to use insulin properly (insulin resistance).This form of diabetes usually occurs in people who are over 40, overweight, and have a family history of diabetes, although today it is increasingly occurring in younger people, particularly adolescents.

People with diabetes frequently experience certain symptoms. These include:

In some cases, there are no symptoms this happens at times with type 2 diabetes. In this case, people can live for months, even years without knowing they have the disease. This form of diabetes comes on so gradually that symptoms may not even be recognized.

Diabetes can occur in anyone. However, people who have close relatives with the disease are somewhat more likely to develop it. Other risk factors include obesity, high cholesterol, high blood pressure, and physical inactivity. The risk of developing diabetes also increases as people grow older. People who are over 40 and overweight are more likely to develop diabetes, although the incidence of type 2 diabetes in adolescents is growing. Diabetes is more common among Native Americans, African Americans, Hispanic Americans and Asian Americans/Pacific Islanders. Also, people who develop diabetes while pregnant (a condition called gestational diabetes) are more likely to develop full-blown diabetes later in life.

There are certain things that everyone who has diabetes, whether type 1 or type 2, needs to do to be healthy. They need to have a meal (eating) plan. They need to pay attention to how much physical activity they engage in, because physical activity can help the body use insulin better so it can convert glucose into energy for cells.Everyone with type 1 diabetes, and some people with type 2 diabetes, also need to take insulin injections. Some people with type 2 diabetes take pills called "oral agents" which help their bodies produce more insulin and/or use the insulin it is producing better.Some people with type 2 diabetes can manage their disease without medication by appropriate meal planning and adequate physical activity.

Everyone who has diabetes should be seen at least once every six months by a diabetes specialist (an endocrinologist or a diabetologist). He or she should also be seen periodically by other members of a diabetes treatment team, including a diabetes nurse educator, and a dietitian who will help develop a meal plan for the individual. Ideally, one should also see an exercise physiologist for help in developing a physical activity plan, and, perhaps, a social worker, psychologist or other mental health professional for help with the stresses and challenges of living with a chronic disease. Everyone who has diabetes should have regular eye exams (once a year) by an eye doctor expert in diabetes eye care to make sure that any eye problems associated with diabetes are caught early and treated before they become serious.

Also, people with diabetes need to learn how to monitor their blood glucose. Daily testing will help determine how well their meal plan, activity plan, and medication are working to keep blood glucose levels in a normal range.

Your healthcare team will encourage you to follow your meal plan and exercise program, use your medications and monitor your blood glucose regularly to keep your blood glucose in as normal a range as possible as much of the time as possible. Why is this so important? Because poorly managed diabetes can lead to a host of long-term complications among these are heart attacks, strokes, blindness, kidney failure, and blood vessel disease that may require an amputation, nerve damage, and impotence in men.

But happily, a nationwide study completed over a 10-year period showed that if people keep their blood glucose as close to normal as possible, they can reduce their risk of developing some of these complications by 50 percent or more.

Maybe someday. Type 2 diabetes is the most common type of diabetes, yet we still do not understand it completely. Recent research does suggest, however, that there are some things one can do to prevent this form of diabetes.Studies show that lifestyle changes can prevent or delay the onset of type 2 diabetes in those adults who are at high risk of getting the disease. Modest weight loss (5-10% of body weight) and modest physical activity (30 minutes a day) are recommended goals.

Find more information about diabetes in What You Need to Know about Diabetes A Short Guide available from the Joslin Online Store.

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Diabetes Facts & Information | Joslin Diabetes Center

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Illinoisans are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it! It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's Chicago office is so committed to educating the public about how to stop diabetes and support those living with the disease.

We are here to help.

Additional Events

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

Read more:
Chicago Illinois Office of the American Diabetes Association

Welcome

Our group'smission is to provide personal servicefor patients who have a variety of medical concerns, with an emphasis on Diabetes, Endocrinology, and Internal Medicine. The Physicians withVirginia Diabetes & Endocrinology,P.C.have proudly served the greater Richmond area for over 20 years.

Ourhealth care teamincludes board certified Endocrinologists, Internists, and Nurse Practitioners, as well asa friendly, compassionatesupport staff.Pleaseexplore our website to learn more about Virginia Diabetes & Endocrinology, P.C., our health care providers, and the care and services we offer.

As part of our ongoing effort to provide the highest quality of care, we are proud to introduce our web-based patient portal. This gives patients the opportunity to use the power of the "Web" to track your health care progress in our medical office. We encourage you to take advantage of this new opportunity to play an active role in managing your healthcare.

Visit the portal at health.eclinicalworks.com/vadiabetes To pay your bill on line please click the following link or paste it in your browser https://www.medfusion.net/secure/portal/index.cfm?fuseaction=home.login&dest=paymybill&gid=4116

For patients interested in obtaining individual health and nutrition goals, Specialty Nutrition and Health is arewardingoption. Their Dietitians are available in our Midlothian office. Visit http://www.specialtynutritionandhealth.comto find out more about the practice, their staff and additional locations.

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Virginia Diabetes and Endocrinology

The Jefferson Diabetes Center in Philadelphia consists of a clinical diabetes program catering to patients with Type 1 and Type 2 diabetes (outpatient and inpatient), a research center performing state-of-the-art clinical trials and a weight management center. Our Center provides guidance and management of prediabetes, diabetes and its complications.

The Jefferson Diabetes Center offers multidisciplinary care coordinated closely with your referring physician and provides the latest in treatment and technology for patients with diabetes.

The Center is supervised by specialists within the Division of Endocrinology, Diabetes and Metabolic Diseases who consult with ophthalmologists, nephrologists, podiatrists, neurologists, cardiologists, vascular surgeons and obstetrician/gynecologists as needed. You will receive instruction in diabetic self-care and diet management from certified diabetes nurse educators and registered nutritionists with a special expertise in diabetes.

The comprehensive treatment offered to patients with diabetes includes convenient access to essential services including:

Patients have access to leading-edge treatment for even the most complicated cases. With a comprehensive, one-stop location for diabetes care, patients are better able to manage their symptoms from diabetes and possibly avoid potential complications from uncontrolled blood glucose levels.

Our diabetes education classes are unique in the area. We offer various types of education targeting patients with Type 2 diabetes (basic and advanced classes), Type 1 diabetes (intensive insulin management) and patients with metabolic syndrome/borderline diabetes/obesity. For patients with Type 1 diabetes (and some patients with Type 2 diabetes), we provide an excellent courseon insulin pumps and continuous glucose sensors, using the latest technology.

In addition, patients interested in significant weight loss can join our Comprehensive Weight Management Program, which consists of a medically supervised liquid fast paired with lifestyle education and ongoing personalized support.

Patients interested in participating in volunteer research can enroll in one of our many clinical trials. We have a very active Diabetes Research Center with extensive experience in both federally funded and pharmaceutical industrysponsored clinical trials. Most of our trials are related to diabetes and obesity. Volunteers contribute to the advancement and future of health care.

The treatment of acute and chronic illnesses improves every year because of advancing science and research. Advances in medical treatments are made possible through clinical studies. A clinical study (clinical trial) is the scientific evaluation of an experimental drug or device. By taking part in these studies, volunteers may gain access to the latest in medical care that is only available through this process.

Academic Title: Professor

Division Director, Endocrinology

Director, Diabetes Center

Director, Comprehensive Weight Management Program

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Diabetes Center | Jefferson University Hospitals | Serving ...

Contact Us:

275 E. Main St.Frankfort, KY 40621 (502) 564-7996

The Diabetes Prevention and Control Programis a population-based, public health initiative consisting of a network of state, regionaland local health professionals whose mission is to reduce new cases of diabetes as well as the sickness, disability and death associated with diabetes and its complications.

Go to Diabetes Resources Directory. This site allows searches for diabetes resources such as classes, support groups and coalitions by county and surrounding area. In addition, this site contains direct links to sites that list diabetes specialists and educators by location.

The National Diabetes Prevention Program (DPP) led by CDC incorporates lifestyle changes which are proven to prevent type 2 diabetes.

Organizations offering the DPP program in Kentucky:

The National Diabetes Education Program (NDEP) is a joint program of the Centers for Disease Control and Prevention, the National Institutes of Health and more than 200 partners working together to improve the treatment and outcomes of diabetes in individuals, families, communities and health care systems.

The NDEP uses public awareness and educational tools to inform people with diabetes about the importance of knowing their blood glucose values, reaching their blood glucose goals and keeping their blood glucose under control.The NDEP also provides messages and tools to help those at risk for type 2 diabetesmake the lifestyle changes that may prevent or delay the development of diabetes.

The NDEP also has diabetes education resources and tools designed especially for health care professionals, business professionals engaged in planning and conduction business health strategies and school personnel. Whether in clinical practice, classroom, or workplace, managing diabetes effectively is complex and requires a team approach. Click on the pictures below to take advantage of NDEP resources and tools based on the latest scientific research.

If you area person with diabetes,it is very important to be prepared for any disaster.The valuable information below can help you survive in the event of a disaster.Please print and save any of this information.

Kentucky Diabetes Prevention and Control Program Disasters and Diabetes Curriculum

Being Prepared for a Disaster When You Have Diabetes

Additional Resources and References

The rest is here:
Kentucky: Cabinet for Health and Family Services - Diabetes

Diabetes Basics: What is Diabetes? | Who's at Risk? | Symptoms | Diagnosis | Complications | Other Health Issues

Diabetes is a chronic disease that affects as many as 16 million Americans. For reasons that are not yet clear, diabetes is increasing in our population to the point where public health authorities are calling diabetes an "epidemic" that requires urgent attention.

Of the 16 million people with diabetes, about one-third of them don't even know they have it. Every year, 800,000 additional cases are diagnosed. It affects over six percent of the population now, and it is projected that nearly nine percent of all Americans will have diabetes by the year 2025. Health care costs for diabetes are estimated to be nearly $100 billion per year in the US.

People with diabetes are unable to use the glucose in their food for energy. The glucose accumulates in the bloodstream, where it can damage the heart, kidneys, eyes and nerves. Left untreated, diabetes can develop devastating complications. It is one of the leading causes of death and disability in the United States.

However, the good news is that with proper care, people with diabetes can lead normal, satisfying lives. Much of this care is "self-managed," meaning that if you have this condition, you must take day-to-day responsibility for your own care.

Most important to managing the disease is to know as much about it as you can. The first thing to know is what kind of diabetes you have. There are three types:

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Diabetes Basics - What is Diabetes? - Lifeclinic

I am a 76 year old woman who has had Diabetes for the past twenty years. Recently my blood sugar counts went completely out of whack and I became frightened. Remembering how I gave my mother daily insulin injections, I did not want this procedure to take over my life. Well, I have to express my thanks to Palm Beach Diabetes & Endocrine Specialists for their help. I thought I knew it all on how to keep myself under control. Oh was I wrong. First the Doctor reevaluated and readjusted my medication. Then I attended two very informative classes where Diabetes was explained in great detail. The exchange of thoughts with the other attendees gave me great insight of myself and what I had been doing up to then. This was followed by two one-on-one sessions with a very knowledgeable nutritionist who answered all my special questions. Then came the best learning tool ever. I attended a Supermarket Tour with a counselor from your office. I learned to properly read food labels, to understand the size of portion control, and one can still eat. Publix also gave out some very interesting literature on varied food items and products. In the past twenty years, I have attended many courses, schools, workshops, and sessions privately and community based. None ever taught me or helped me as this integrated program. My husband was able to attend all these sessions with me so helps me greatly now. I have lost some weight, as I should. The greatest point is that my medication is being reevaluated. Again, I thank you all for making my life livable.

Anon

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Home - Palm Beach Diabetes

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Louisianans are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it! It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's Louisiana office is so committed to educating the public about how to stop diabetes and support those living with the disease.

We are here to help.

The American Diabetes Association's New Orleans office covers Louisiana and Mississippi.

The American Diabetes Association's Greater Louisiana office provides great local programs for people living with diabetes, their friends and family. For information about programs, please contact Treva Lincoln at 888-3422383 ext. 6074 or tlincoln@diabetes.org.

The I Decide to Stop Diabetes campaign, formerly known as ID Day, is a nationwide annual three-week effort (from Nov. 9 to Nov. 30) that encourages faith and community-based organizations to join with other organizations across the country to Take the Pledge to live a healthier life to Stop Diabetes.

Workplace Giving

Interested in workplace giving? The American Diabetes Association Louisiana is a proud member of Community Health Charities Louisiana & Mississippi.

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

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Louisiana Office of the American Diabetes Association

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North Carolinans are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it! It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's Raleigh office is so committed to educating the public about how to Stop Diabetes and support those living with the disease.

We are here to help.

The goal of this program is to increase awareness regarding the seriousness of diabetes and the importance of early diagnosis and treatment within the African American community. The program includes informative church and communitybased activities such as Project POWER and Choose to Live.

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

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Raleigh North Carolina Office of the American Diabetes ...