National Registry of Certified Medical Examiners (NRCME) DOT Practice Exam

Who is the correct person to complete Form MCSA-5870 for a driver with insulin-treated diabetes mellitus?

1. Only an endocrinologist

2. The driver's primary care provider

3. The medical provider managing the diabetes

4. Any provider who evaluated the driver

The correct answer is: The medical provider managing the diabetes

The individual who should complete Form MCSA-5870 for a driver with insulin-treated diabetes mellitus is the medical provider managing the diabetes. This is because the managing provider has the most comprehensive understanding of the driver's medical history, treatment regimen, and the current status of their diabetes management. This document requires detailed information about the driver’s condition, including blood glucose control, any episodes of hypoglycemia, and the impact of their diabetes on their ability to safely operate a commercial motor vehicle. Endocrinologists certainly have expertise in managing diabetes; however, many drivers may not see an endocrinologist regularly. The primary care provider could be managing the diabetes but may not have the specialized knowledge required for this specific assessment. While any medical provider who evaluated the driver could potentially fill out the form, they might lack the specific insights into the driver’s diabetes treatment plan or sufficient detail about their condition necessary to provide a complete and accurate assessment on the form. Therefore, the medical provider directly managing the diabetes is the most suitable choice for this responsibility.