Starting a new trucking company or becoming an owner-operator involves countless considerations, from business and profit management to DOT compliance.

DOT regulations on diabetes can be murky. Foley clears up the confusion surrounding diabetes and DOT physical requirements. To drive a commercial vehicle over 10,000 pounds, you need to pass a DOT (Department of Transportation) physical. The DOT physical isn’t something you need to be afraid of, but if you have diabetes or high blood sugar levels (or suspect you do), you may have some concerns about your ability to pass. Drivers must pass their DOT physicals at least once every 24 months, so whether you’re preparing for your first DOT physical or your fifth, it’s a good idea to familiarize yourself with the rules and restrictions surrounding diabetes and blood sugar levels. Below, we’ll answer all the most frequently asked questions regarding DOT physicals and diabetes, but if you’re new to DOT physicals, read our overview here first. Impact of Diabetes on CMV Drivers When diabetes is undiagnosed and so uncontrolled (which accounts for around 7.3 million people in the US), it can cause fatigue, stress, and sluggishness, all of which can impede your ability to drive a CMV. According to the National Institute for Occupational Safety and Health, truck drivers have a 50% higher risk of developing Type 2 diabetes than the general population. In worst-case scenarios, it can lead to hypoglycemia, which may result in loss of consciousness and seizure, so it’s important to control diabetes if you do indeed have it. Does the DOT Physical Test for Diabetes? The DOT physical will look for signs of diabetes and may recommend further investigation if they believe you have diabetes. Your examiner will ask whether you have a history of diabetes or control elevated blood sugar levels with your diet, pills, or insulin. They’ll also examine you for other conditions potentially caused by diabetes, and test your urine for the presence of sugars. Can You Pass a DOT Physical with Diabetes? Yes, however, diabetes is one of the four conditions that have objective disqualifiers – that means that if your symptoms of diabetes meet one of their disqualifying conditions, you’ll automatically fail the exam. This will not apply to most but will apply if you’ve been diagnosed with severe non-proliferative diabetic retinopathy or proliferative diabetic retinopathy. It is also subject to other standards that are “discretionary,” which means your medical examiner will determine whether they believe your condition may impede your ability to safely do your job. If you have diabetes or another health condition such as high blood pressure, you will be required to have your DOT physical annually (or more frequently) to ensure you continue to be fit enough to operate large commercial vehicles. You’ll also be required to have annual eye tests because diabetes can lead to some vision impairment. Can You Pass a DOT Physical With Type 2 Diabetes? Yes, though it will depend on the circumstances of your condition and the opinion of your medical examiner. It will be largely up to their professional opinion whether you are safe to operate a CMV. If you control your diabetes and regularly monitor your condition, you won’t likely have a problem getting the all-clear from your medical examiner. Your medical examiner may ask you: Do you regularly monitor your blood sugar level? Do you take any over-the-counter medications/supplements for diabetes? Do you have a history of feeling faint, dizzy, or any other loss of consciousness? Have you had a hypoglycemic reaction in the past? What did that look like? When did it happen? What were the circumstances? Your doctor will also test your urine for the presence of sugars. What is the FMCSA Diabetes Standard? Previously, the only way for diabetic drivers to legally operate commercial vehicles in interstate commerce was through applying for an exemption in the Diabetes Exemption Program; however, the program was officially discontinued in November 2018. Instead, the healthcare professional who prescribes insulin for a driver must now provide the Insulin-Treated Diabetes Mellitus Assessment Form (ITDM Assessment Form), MCSA-5870, to the certified medical examiner performing the DOT physical, which indicates the driver has a stable insulin regimen in place. This means the entire process is faster and less burdensome for all involved, and you no longer have to obtain a separate evaluation by the doctor treating your diabetes. Drivers who have diabetes also need to bring their latest lab work to the examination, which should include fasting blood sugar and HGA1C. This needs to be from within the last four months. If you are new to using insulin to control your diabetes, you need to have used it for four months before you can pass the DOT physical. If you have another medical condition and you're wondering how it may impact your DOT physical results, check out this Foley article for more information. How to Pass A DOT Physical with Diabetes Don’t worry, passing the DOT physical with diabetes isn’t complicated — you just need to have your diabetes under control. In other words, you need to prove that you’re healthy and properly managing your condition. If you already monitor and treat your diabetes appropriately, you shouldn’t have a problem. However, if you’re concerned you may not pass, here are a few things you can do to improve your ability to pass: Stay on top of monitoring your blood glucose and treating your diabetes appropriately Get some exercise — even just a short walk can help you keep your insulin levels in a healthy range Cut back on foods that spike your insulin levels (sugary, processed foods, sodas, salty foods, and so on) Make sure you don’t overeat — your insulin levels will spike after eating Cut back on alcohol, smoking, and caffeine Make sure you’re well-hydrated before your physical How long is a DOT physical valid with diabetes? Under the new FMCSA final rule on insulin-treated diabetes, the maximum period of medical certification is 12 months. A1c Guidelines for DOT Physical Hemoglobin A1c is blood sugar that can show in your urine test if you have poor glucose control — as would be the case if you have uncontrolled diabetes. This is the sugar that is detected that we discussed above, and so 10% is the A1c limit for the physical exam. The DOT A1c guidelines 2024 are that you must have less than 10% to pass. However, if it is higher than 8%, your medical examiner may have some concerns about your ongoing health, and so may refer you for further testing and monitoring. If you haven’t been diagnosed with diabetes, you can improve your diet and get more regular exercise to lower your A1c levels. High A1c levels are from excess sugars being produced when your cells have enough energy to function, so if you eat foods with less sugar and avoid overeating, your A1c levels will naturally start to lower. Remember that your medical examiner isn’t trying to find reasons to fail you – they’ll want to pass you but they also have to make sure you’re healthy and safe to operate CMVs, for your safety and that of others. If you find you do have high A1c levels, speak to your physician about what next steps you can take to avoid future health problems that may cause you to fail the DOT physical in the future. If you do fail due to uncontrolled diabetes or high A1c levels, you’ll be able to reapply once your condition is under control. What are the DOT Physical Blood Sugar Requirements? If you haven’t been diagnosed with diabetes but know or suspect you have blood sugar levels, then you may be concerned about having a nasty surprise when your urine is tested for excess sugar. The physical requires you to have a blood sugar level of less than 8% in this test — a normal range is less than 5.7%. What are Acceptable Blood Sugar Levels? If you have a blood sugar level of under 5.7%, you’re within a normal range. If it’s between 5.7% and 6.4%, then you’re considered “pre-diabetic,” and so your medical examiner may have some concerns and refer you for further investigation or monitoring, or recommend you make some lifestyle changes. That alone is not enough to fail the DOT physical, but you do need to be aware that it’s high and monitor it so that you don’t get diabetes or end up with a level that’s too high when you go for your next physical. New DOT Physical Requirements for Diabetes in 2025 As long as you have a diabetes management regime in place, your blood sugar levels are monitored, and your insulin-prescribing doctor provides the Diabetes Mellitus Assessment Form (ITDM Assessment Form), MCSA-5870, to the certified medical examiner performing the DOT physical, you should be in good standing to pass it. Now that you know the FMCSA diabetes guidelines for 2025, it's time to schedule your DOT physical. Foley makes it easier for owner-operators and fleet managers to schedule DOT physicals for drivers. Our NEW automated DOT physicals software automatically sends alerts whenever drivers need a physical and auto-orders them for you. Plus, the system uploads new medical certificates to drivers’ electronic files once they pass their DOT physical exams. Ready to stop tracking medical certificate expirations on your own? Get a FREE demo of the Foley DOT physical software now. Links to Related Articles in This Series: The DOT Physical: Everything You Need to Know DOT Physicals: Can Chiropractors and Other Doctors do DOT Physicals? DOT Physicals: Vision Requirements for the Eye Exam DOT Physicals: Can You Pass with a High BMI or While Overweight? DOT Physicals: Can I Get a DOT Physical in Any State? DOT Physicals: Can You Pass with a Hernia? DOT Physical Blood Pressure: Requirements & Tips for Passing DOT Physicals: Can I Pass With Sleep Apnea? DOT Physicals: What if I have a Medical Condition? DOT Physicals: Do They Include a Drug Test? How to Prepare for Your DOT Physical? DOT Physicals: What Happens When You Fail? Fail a DOT Physical? You Have a Right to a Second Opinion DOT Physicals: Understanding Medical Variances

What can you expect during this year's CVSA International Roadcheck? It’s nearly time again for the Commercial Vehicle Safety Alliance (CVSA) annual International Roadcheck. The 72-hour enforcement event is set to take place from Tuesday, May 13 through Thursday, May 15, 2025.

What DOT files do you need to keep and for how long? The Federal Motor Carrier Safety Administration (FMCSA) requires the companies they regulate to keep records to document their compliance with safety regulations. This documentation must be saved for varying lengths of time as established by the related regulations. During safety audits and DOT compliance reviews, auditors will carefully comb through your DOT records. By purging unnecessary records and properly organizing your files, you will simplify and streamline the review process — which can go a long way with a DOT officer. Below, we cover some of the most important DOT record-keeping requirements to help companies organize and maintain their files regularly. How Long to Keep DOT Records The following is a quick review of record-retention requirements in a few key DOT compliance areas. DOT Drug & Alcohol Testing Records Remember all DOT drug and alcohol test (DAT) records must be maintained in a secure location with controlled access. This means all DAT records must be kept in a separate file under lock and key; they should not be stored with personnel files. Because the rules make no exceptions for one-driver companies, we advise owner-operators to maintain their DAT files separately as well. The following records must be maintained for at least five years: Alcohol test results indicating a BAC of 0.02 or greater Verified positive controlled substances test results Refusal-to-test documentation Substance Abuse Professional (SAP) evaluation reports Copy of annual calendar year summary if required by 49 CFR 382.403 The following records must be maintained for at least two years: Random selections Reasonable-suspicion testing documentation Medical evaluations for "shy lung" and "shy bladder" situations The following records must be maintained for at least one year: Negative and canceled drug test results Alcohol test results with a BAC below 0.02 Additional record retention requirements: The employer’s policy, driver’s signed receipt, and all records related to employer and supervisor education and training must be retained while the individual performs safety-sensitive and/or supervisory functions and for two years thereafter. DOT Driver Qualification Files Both the Driver Qualification and Safety Performance History Files must be retained for as long as the safety-sensitive individual is employed by the company, and for three years thereafter. The following documentation may be discarded from the Driver Qualification File three years from the date of execution: Annual List of Violations Annual Inquiry to State Agencies Annual Review of Driving Record Medical Examiner’s Certificate Safety Performance Evaluation Certificate (if applicable) DOT Hours-of-Service Records The following hours-of-service records must be maintained for six months: Drivers' records of duty status (RODS) A backup copy of ELD records on a separate device from which the original is stored Supporting documents, such as: Dispatch records Receipts Statements Bills of lading Weight station tickets Phone bill statements If your drivers operate strictly on short-haul runs, you are required to document the time your drivers clock in and out, the total time worked during the current period, and the total time worked during the previous seven days. DOT Vehicle Maintenance Records For every vehicle in their control for 30 days or more, DOT-regulated companies must retain the following records for one year at the location where the vehicle is garaged and for six months after the vehicle leaves the company’s control: Identifying information (company number, make, serial number, and tire size) Inspection schedule, including type and date Other vehicle maintenance recordkeeping requirements: Post-trip inspection reports must be retained for at least three months from the report date Periodic inspection report (or copy) must be retained for 14 months from the report date Evidence of an inspector’s qualifications for one year after the inspector ceases to perform inspections for the company Use an Organized DOT Recordkeeping System from the Start Remember, it's easier to create a clean, organized DOT record-keeping system from the very beginning. Too much time can be wasted trying to use or fix a recordkeeping system that's barely keeping up with the latest federal regulations. Setting up (or switching) your DOT recordkeeping system in a secure, 100% online platform is the best way to ensure all your DOT files are organized and kept up to date according to FMCSA requirements. Ready to make your recordkeeping easier? You don't have to go very far. Foley's DOT recordkeeping experts are here to help you transfer your files to our platform and help ensure you're audit-ready every day. Get a free demo of our DOT recordkeeping software now by clicking here. Or, fill out the form below and one of our DOT compliance specialists will reach out to you shortly.

How do you manage DOT Clearinghouse pre-employment queries and driver qualification files? The DOT Clearinghouse hasn’t been the most straightforward safety initiative for carriers since it went into effect back in January 2020. But there’s one area of the regulation that’s proving to be particularly problematic, and it's resulting in more violations than any other aspect of the Clearinghouse. We’re talking about the pre-employment query requirement. So far in 2025, there have been 828 violations of this key Clearinghouse requirement. Below, we're going to discuss . . . A quick refresher on when you need to run full pre-employment Clearinghouse queries Why a driver's written consent isn't enough to run these queries Ways to keep the pre-employment process on track (even with the extra steps required by the DOT Clearinghouse) How Foley offers the most comprehensive DOT compliance services available and will make your work life easier As a refresher, the regulation states that motor carriers must run a full pre-employment Clearinghouse query on each new safety-sensitive driver they employ. Carriers are required to get the results of the query and verify that the driver doesn’t have any violations in the Clearinghouse prior to allowing them to operate a commercial motor vehicle (CMV) for their company. If you don’t have this full query on file for each new driver, the consequences can be severe – comparable to putting a driver behind the wheel before you have a negative drug test result on file. Both are considered acute violations by the FMCSA, which can quickly put you on the dangerous path toward a conditional safety rating. This full query will reveal any information about the driver’s drug and/or alcohol violations that have occurred since the DOT Clearinghouse went into effect. Remember, Electronic Consent is Required for Full Clearinghouse Queries Unlike limited Clearinghouse queries that drivers can consent to with a written signature, drivers are required to provide electronic consent in the DOT Clearinghouse each time a motor carrier intends to run a full query of their record, as personal information is revealed. This can create a roadblock, since it means the driver must have a Clearinghouse account set up in advance. If they don’t have an account yet — or experience any complications during the registration process that cause delays — this can have a significant impact on getting that driver hired and onboarded quickly. And in some cases, it can bring the process to a screeching halt. Need a reminder of the difference between limited and full Clearinghouse queries? This Foley article will clear things up: DOT Clearinghouse Consents: What You Need to Know How to Keep the Pre-Employment Process Moving You want to do everything you can to avoid wasting your valuable time onboarding a driver whose Clearinghouse record ultimately shows that they are prohibited from operating a CMV due to DOT drug and alcohol program violations. Conducting the pre-employment Clearinghouse query early on in your pre-hire process — along with looking at the driver’s initial motor vehicle report — can save you the headache of going back to the drawing board (or job board, for that matter) to find a qualified driver who hopefully doesn’t have any Clearinghouse violations. By letting prospective hires know you need to run a pre-employment Clearinghouse query on them, you’re getting ahead in the following ways: 1. Giving the driver time to register in the Clearinghouse (if they haven’t already) 2. Putting the process of getting their electronic consent in motion 3. Finding out if the driver has violations that will prevent them from operating a CMV for your company If the driver does not have a Clearinghouse record, meaning they do not have any reported DOT drug or alcohol violations, you can then ask them to sign a blanket consent form. A completed blanket consent form will allow you to run the required annual limited queries on the driver for the duration of their employment. You’ll need to keep this document with your employee’s driver qualification file in case it needs to be provided during a compliance audit. How to Create a Better Pre-Employment Clearinghouse Query Process First, go back and verify that you have that full, pre-employment query on file for every driver you’ve hired since the regulation went into effect. If, for some reason, you don’t have the query on file, run it on all your employees who operate CMVs now. While we can’t guarantee that it will protect you from a violation, recognizing your mistake, and having proof that you took steps to correct it, can go a long way in showing that you’re working hard to be a safe motor carrier and you take your compliance requirements seriously. Next, include that pre-employment Clearinghouse query in your pre-hire process immediately. If you run into issues with drivers who don’t know how to complete the registration process, Foley can help them (and you!) through it. Lastly, consider a fully automated compliance solution that checks all the boxes when it comes to your Clearinghouse requirements. Ready to make Clearinghouse queries the least of your compliance worries? Talk to a Foley compliance expert now to learn more, or fill out the form below to request a FREE DOT compliance software demo.

DOT compliance is key to passing roadside inspections during the annual enforcement event. With the Commercial Vehicle Safety Alliance (CVSA) annual International Roadcheck coming up in just under a month (yes, already!), now is the time to check on your vehicle maintenance, driver files, and FMCSA hours of service compliance. The 72-hour enforcement event will be taking place Tuesday, May 13, through Thursday, May 15, 2025. Keep in mind that Roadcheck inspections are meant to evaluate truck parts and DOT compliance you should already check and maintain regularly. Failing an inspection will result in time off the road and money lost for your company. To help you avoid violations, expensive fines, and potential out-of-service (OOS) orders, we'll answer the following questions to make sure you are prepared for this year’s event: What should I expect during the 2025 Roadcheck blitz? What paperwork should my drivers have for Roadcheck inspections? How can I prepare for hours-of-service (HOS) and electronic logging device (ELD) checks? What happens after a Roadcheck inspection? What Should I Expect During the 2025 Roadcheck Blitz? If you’ve been through a Roadcheck inspection before, you probably know what to expect by now. But if this is your first one, it’s even more important to take note of all the elements you should be checking and get to know the different CVSA inspection levels. Most roadside inspections are Level One inspections, which involve a 37-step process of checking all areas of the tractor and trailer, along with important driver paperwork. Most of the truck parts that will be inspected during a Level One inspection include: Under the hood (engine, wiring, hoses) Tires, wheels, rims, and hubs Brakes Suspension Lights Windshield wipers Seatbelts Load securement You can learn more about all the CVSA North American inspection levels here. Drivers should check most of these elements during their pre-trip inspection before they get behind the wheel. Over 3,300 out-of-service brake violations and over 2,800 tire violations were cited during Roadcheck 2024 inspections — don't let your fleet be a part of them this year! As a helpful side note, drivers should make sure their trucks are neat and clean before the enforcement event begins! A DOT officer is more likely to look closely for potential violations when they see that the truck has been neglected. What Paperwork Should Drivers Have Ready for Roadcheck 2025? To be prepared for Roadcheck 2025, you will need to make sure your drivers have the appropriate DOT compliance documentation. Inspectors will closely analyze driver operating credentials and requirements, such as whether they have a valid CDL and an updated medical certificate. A few of the documents your drivers should have ready are: Driver’s License/CDL Medical Examiners Certificate Record of Duty Status (RODS) Daily Vehicle Inspection Report Periodic Inspection Reports Shipping Papers Vehicle Inspection Certificate Skill Performance Evaluation Certificate Your drivers having these documents in their possession is just as important as ensuring their trucks and trailers are in order. If your drivers don’t have them with them during the inspection, or any of them are expired, they may be placed out of service. A DOT compliance software solution can easily manage these documents for you by automatically tracking expiration dates and incomplete driver files. It will also alert you to missing documents and outdated medical cards. How Can I Prepare for HOS & ELD Checks? During Roadcheck 2024, over 32% of driver violations were due to hours of service (HOS) issues. This is surprising considering the ELD records your HOS information automatically, and the rules are readily available to any CMV driver. Learning about how specific HOS rules apply to you and if you qualify for any HOS exemptions can help you steer clear of these DOT compliance violations yourself. Foley has numerous resources to help you brush up on FMCSA hours-of-service compliance: What You Need to Know About Spring Storms & the Adverse Driving Conditions Exception Hours of Service: Reviewing Changes to the 100-Air-Mile Exemption Compliance Review: FMCSA Hours-of-Service Rules We also advise you to make sure your ELDs are working properly before Roadcheck 2024 begins. If they're not, you’ll need to report a malfunctioning device and have a copy of the user manual, instruction sheet, and a supply of blank “records of duty” sheets for your drivers to use in each vehicle. What Happens After a Roadcheck Inspection? Once your driver's inspection is completed, they will find out if they/their CMV passed or failed. If they passed, this means the officer did not find any critical violations, and they will receive a CVSA decal to display on their CMV. If they fail, this means critical violations were found, and their vehicle will be placed out of service until you can prove the issues have been resolved. Their freight will be left at the inspection site until you arrange for another driver to pick it up and complete the route. Now is Your Last Chance to Prepare for Roadcheck 2025 More than 47,000 inspections were conducted throughout North America during last year’s International Roadcheck, and the CVSA inspection levels varied. The top vehicle violations cited braking systems, tires, lights, and cargo securement. In terms of top driver violations, hours of service issues, having revoked licenses, falsifying logs, and lack of medical cards were cited. Time is running out to ensure that you and your drivers are running compliantly before International Roadcheck 2025. If you need help, take our quiz to see how Roadcheck-ready you are, or click here to request a demo of our DOT compliance software solution that will help cover your bases for the annual roadside inspections.

The Federal Motor Carrier Safety Administration (FMCSA) has identified two Houston-area doctors as non-compliant with the physical qualification examination regulations for commercial motor vehicle (CMV) drivers. As a result, the DOT medical certificates issued by these examiners have been voided.

Are you prepared to follow the latest DOT drug testing requirements? Foley can help ensure you know if your drivers test positive for any of the substances below. The FMCSA Drug and Alcohol Clearinghouse is here to stay, and unfortunately, so are the violations reported to it.

We get a lot of questions regarding the seven-year "lookback" rule for reporting adverse information. Bankruptcy cases aside, Section 605(a) of the federal Fair Credit Reporting Act limits the reporting of "any other adverse item of information, other than records of convictions of crimes which antedates the report by more than seven years." (15 U.S.C. § 1681c.)

Thurs, May 1st @ 2 PM ET The FMCSA is transitioning to a 100% digital process for DOT medical certificates on June 23rd, 2025. What does this mean for drivers and those who manage DOT compliance? Join our new webinar to find out how to comply before the deadline.

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When a commercial driver is enrolled in the DOT return-to-duty process, their employer must report specific information to the FMCSA Drug and Alcohol Clearinghouse. Many employers will be enrolling prohibited CDL/CPL drivers in the RTD process now that the FMCSA Clearinghouse-II is in effect and revoking the commercial driving privileges of drivers with DOT drug and alcohol violations. In this guide, we walk you through the step-by-step process of all the RTD reporting requirements you must meet if your drivers have been impacted by the new Clearinghouse-II.

The 2025 Unified Carrier Registration (UCR) renewal window is now open.

Starting this year, State Driver Licensing Agencies (SDLAs) will revoke commercial driver’s licenses (CDLs) or commercial learner’s permits (CLPs) based on drivers' statuses in the FMCSA Drug and Alcohol Clearinghouse.

When you run queries on your drivers in the FMCSA Clearinghouse, you may see many different statuses produced throughout the process. What are the statuses, what do they mean, and what actions do you need to take for each one?

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With 45 locations, managing compliance for drivers and warehouse employees can be complicated, but after working with Foley, the Lindenmeyr Munroe team is seeing real savings in time, as well as lower risk. Foley's real-time notifications are surfacing the right data for each location, so every important alert can be handled proactively.

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In this customer video, Bob Hickey talks about how partnering with Foley has helped their business reduce their risk exposure when it comes to compliance and insurance.

Being new to the trucking industry can feel stressful. Especially when 90% of trucking companies fail in the first 12 months.

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Foley's User-Friendly Solution Helps PKS Achieve Total Compliance and Save Time PKS Concrete Pumping Services turned to Foley to streamline their onboarding and compliance processes. With Foley's user-friendly software, PKS achieved total compliance and saved their team hours each week. The software automated tasks such as drug and alcohol testing, driver file management, DOT physicals, and MVR monitoring, making the onboarding process 75% more efficient.

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