Who is responsible for prescribing and managing insulin for a driver?

The treating clinician is the appropriate choice for prescribing and managing insulin for a driver. This is because the treating clinician, often an endocrinologist or primary care physician, has the necessary training and specialized knowledge to monitor and adjust diabetes management plans, including insulin prescriptions. They are responsible for conducting a comprehensive assessment of the patient's medical history, current health status, and any potential complications related to diabetes.

In the context of commercial driving, it is crucial that the managing clinician thoroughly evaluates the driver's diabetes and its management to ensure safety on the road. The treating clinician remains accountable for adjusting the insulin regimen based on the driver's specific needs and responses to treatment, thus enabling them to maintain optimal health and operational safety.

Generally, while medical examiners may have a role in evaluating the driver's fitness to drive, they do not prescribe medications or manage chronic conditions like diabetes. The driver themselves typically follow the treatment plan, but they do not have the medical expertise required to modify insulin usage without guidance from a qualified medical professional. The employer’s physician may be involved in certain assessments or screenings but does not typically take charge of prescribing and managing a driver’s medical treatment unless specified in a unique employment agreement.