Diabetes Mellitus

Ongoing Evaluation and Requirements

Medical records and glucose meter logs should be reviewed periodically by the police physician. Because of the nature of diabetes it is important that regular medical follow-up be provided to the LEO. The frequency and content of the evaluation should be determined on an individual basis by the police physician in consultation with the treating physician.

Must advise police physician of any change in type of medication (e.g., addition of a sulfonylurea or insulin).

Must advise police physician of any episodes of symptomatic hypoglycemia, severe hyperglycemia, symptomatic hyperglycemia, ketoacidosis, hyperosmolar hyperglycemic nonketotic state. 25

Must provide documentation of ongoing evaluation of cardiac, ophthal-mological, neurological, and/or renal status (see Chronic Complication Screening).

Acknowledgement

The ACOEM LEO Task Group wishes to warmly thank Daniel Lorber, MD, FACP, CDE, for his generous assistance in developing this and previous editions of the LEO Diabetes Mellitus chapter. Dr. Lorber is Director of Endocrinology at New-York Presbyterian (Queens) and Clinical Associate Professor at the Weill Medical College of Cornell University. We thank Dr. Lorber for the many hours and valued advice he has given the LEO Task Force in the preparation and development of this guidance.