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A high BMI doesnt automatically disqualify you from passing a DOT physical. However, it can trigger further testing, particularly for sleep apnea. If additional tests reveal untreated sleep apnea or uncontrolled diabetes, it could impact the outcome of the DOT physical.
The driver can receive a one-year certification if blood pressure is below 140/90 in three months. When the drivers blood pressure is below 140/90, they may be certified at six-month intervals. Individuals with a blood pressure reading greater than 180/110 are disqualified.
Once your blood pressure rises to more than 140/90 you will have to take action to continue to get certification on a long-term basis. Once it rises above 180/110 you will fail the physical examination, but if you can go away and reduce your blood pressure levels below 140/90 you can reapply.
If you have a BMI of over 40, or 33 and meet certain conditions, you will need to undergo further testing. To find out more about these requirements, read our article on BMI and the DOT physical.
Stage 1 Blood pressure of 140/90 to 159/99 Certification for one year. Stage 2 Blood pressure of 160/100 to 179/109 Certification for three months; if testing at three months shows a blood pressure of 140/90, may be certified for one year at that time.
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Your medical examiner is required to recommend you for a sleep study to detect sleep apnea if you have a BMI over 40, or over 33 and meet certain conditions, which well outline in the section below.
Beginning November 18, 2024, as part of new Federal regulations, drivers with a prohibited status in FMCSAs Drug and Alcohol Clearinghouse will lose or be denied their State-issued commercial driving privileges.
To pass a DOT physical, your blood pressure must be under 140/90. Drivers with blood pressure over 140/90 can still get certified to drive, but the certification will only be for 1 year or less depending on the level of hypertension.