If a driver has two episodes of impaired cognitive function due to hypoglycemia in the past year, what is the likely recommendation?

For a driver who has experienced two episodes of impaired cognitive function due to hypoglycemia within the past year, the most appropriate recommendation is to disqualify the driver. This is based on the serious nature of hypoglycemia, which can lead to sudden and severe incapacitation. Impaired cognitive function can severely affect a driver's ability to operate a commercial motor vehicle safely, as it can result in decreased awareness, reaction times, and overall cognitive capacity necessary for driving.

The FMCSA guidelines emphasize safety and preventative measures for drivers who have a documented history of medical conditions that could adversely impact their driving performance. Given the frequency and severity of the episodes reported, disqualification serves to protect both the driver and others on the road. It is crucial to ensure that drivers maintain a stable blood glucose level to mitigate the risks associated with hypoglycemia.

A warning or monitoring strategy may not adequately address the potential dangers posed by recurrent episodes of cognitive impairment, while re-evaluation might not provide a sufficient immediate remedy to safeguard public safety. Therefore, the most responsible and precautionary approach is disqualification until the driver can demonstrate stable health and control over their condition.