Can I pass a DOT physical with high blood pressure?
Usually, yes. Under FMCSA guidance for examiners, a reading of 140–159/90–99 is usually certified for one year instead of two. A reading of 160–179/100–109 gets a one-time three-month card while treatment starts. At 180/110 or higher, you're not certified until it comes down. The examiner makes the final decision.
Blood pressure: the federal guidance
| Reading at the exam | Usual result | How long the card lasts |
|---|---|---|
| Under 140/90 | Meets the standard | Up to 24 months |
| 140–159 / 90–99 | Can be certified | 1 year, then yearly if it stays at or under 140/90 |
| 160–179 / 100–109 | One-time short certificate while treatment starts or is adjusted | 3 months; then yearly once at or under 140/90 |
| 180/110 or higher | Not certified until it's lower | Every 6 months once at or under 140/90 |
This guidance is advisory: it's what FMCSA recommends examiners follow, and the examiner can weigh your full history.
Tips for exam day
- Take your blood pressure medicine as prescribed that morning.
- Bring a list of your medicines and doses.
- Arrive a few minutes early and sit quietly before your reading.
Diabetes
If you use insulin: you can be certified, for up to one year. Your treating clinician (the doctor or nurse practitioner who manages your diabetes) completes form MCSA-5870 within 45 days before your exam. Bring it, with your glucose records. If you don't have three months of electronic glucose records, the card is limited to three months until you do.
If you don't use insulin (diet, pills or non-insulin injections): there's no separate federal form, and the examiner reviews how well your diabetes is controlled and any complications, such as eye or nerve problems.
Sleep apnea and heart conditions
There's no specific federal sleep apnea rule. If you've been diagnosed, bring proof that you're using your treatment, such as a CPAP compliance report; the examiner may ask your treating provider for more. For heart conditions, bring recent notes from your cardiologist and a list of procedures or devices.
Common questions
Will high blood pressure fail my DOT physical?
Not usually. Most drivers with treated high blood pressure are certified, often for one year instead of two. Only a reading of 180/110 or higher means you aren't certified until it's lower.
Can I drive a truck if I take insulin?
Yes, if your treating clinician completes form MCSA-5870 within 45 days of your exam and the examiner certifies you. The card lasts up to one year.
Do I need to bring anything for diabetes or blood pressure?
Bring your medicine list and doses. If you use insulin, bring form MCSA-5870 and your glucose records. Records from your doctor help for any condition being treated.
Where can I get a DOT physical in Dearborn?
Walk in to Specialty Urgent Care, 13530 Michigan Ave, Suite 120, Dearborn, MI 48126, Monday to Saturday, 9 am to 6 pm. See DOT physicals.
This page explains federal rules in general terms. Only the certified medical examiner at your exam can decide whether you qualify.
