What should a medical examiner decide regarding insulin management?

The decision regarding insulin management should focus on whether the insulin regimen is stable. A stable insulin regimen indicates that the patient's blood glucose levels are being effectively controlled, reducing the risk of hypoglycemia or hyperglycemia during driving. This stability is crucial for ensuring that the individual is capable of safely operating a commercial vehicle without the risk of unexpected medical incidents related to their diabetes management.

While regular check-ups, patient education about diabetes, and history of insulin dependence are important factors in overall diabetes management, the stability of the insulin regimen directly impacts the driver's immediate ability to safely perform their job. A well-controlled condition lowers the potential for complications that could impair the driver's capacity to respond quickly and dramatically enhances safety on the road.