If the treating clinician (TC) does not have 3 months of prior blood glucose monitoring, what can they provide to the driver?

In the context of FMCSA DOT physicals, if a treating clinician does not have three months of prior blood glucose monitoring for a driver with diabetes, the appropriate action is to provide a medical certification for a specified duration. A three-month medical card is given as it allows for a shorter renewal period while monitoring the driver's condition closely. This approach ensures that both the safety of the driver and public safety are prioritized without extending the certification period longer than the available supportive medical documentation.

Shorter certification periods, such as those that last for one month or temporary certifications, would typically be utilized for more immediate concerns or transitional situations. However, a three-month certification provides a reasonable balance that allows for monitoring and reassessment of the driver’s diabetic management. This strategy aligns with the FMCSA's emphasis on ongoing evaluation for drivers with medical conditions that may affect their ability to operate commercial motor vehicles safely.