Guest Blog, Grounded: Losing My Driver’s License After Disclosing T1D

This was originally posted by Steve Richert. He’s the host of Glu’s podcast series and social media campaign DiabeteSpeaks. To read more from Steve click here.

The ability to drive is a lot like your pancreas, it turns out. You don’t miss it until it’s gone and then suddenly you’re lost without it.

I recently discovered that having type 1 diabetes can put a major cramp on the ability to maintain a driver’s license in some states, when my license was suspended for not mailing in a yearly doctor’s note certifying “compliance” (that I’m receiving care from a doctor and managing my diabetes). Here’s where it gets tricky. The state in which I have my license is Utah. The state where I get my healthcare is Massachusetts. My wife is a flight attendant and we live on the road in a travel trailer—where I work as a photographer.

The choice to travel back to Massachusetts to receive my health care is deliberate—for me, it’s simply better care. I tried explaining this to the DMV when they told me that I needed to visit my doctor before I could get a valid license again. The fact that I couldn’t drive back to Massachusetts or you know, even the airport to fly across the country to accomplish this was, not surprisingly, lost on them.

The bigger issue, in my perspective, is the fact that this entire loss of privilege was predicated on the state’s tenuous grasp of what type 1 diabetes is and how it affects those of us who live with it. For example, simply having diabetes and being on insulin was a red flag with a default association of “uncontrolled.” In other words, I am non-compliant until proven otherwise. I have never (and I mean, never) gotten offended when people on the street look at me funny when I inject my insulin. I have lots of patience for questions that I get on social media about diabetes. But when the government gets their facts wrong and suddenly assumes I can’t drive, that’s another issue. I’d expect a state regulatory body to know better. It’s their job.

I know that living with diabetes is a challenge and that there are risks involved, to myself as well as others. I don’t expect a free pass if I get in an accident or wreck my car. That’s why I take my responsibility to manage my blood sugar very seriously when I get behind the wheel of a car, tie into a rope when I’m climbing a mountain, or pick up my daughter. The presumption of irresponsibility based on an arcane perception of diabetes undermines our ability to be honest about our condition. I’m looking for a chance to move my license to a new state and this time I will definitely think twice about checking the “diabetes” box on the application form. I can’t afford to be grounded and without medication.

I know that I’ll let this go eventually. I’m not even bitter about it, I promise. I just finally put my finger on what exactly makes the whole thing so frustrating. It’s bigger than an inconvenience —it’s a prejudice based on stereotypes. I’ll be honest and admit that’s not something I’ve dealt with frequently in my life and it really opened my eyes to what many people deal with in society today. It’s a lot easier to dismiss these situations until you find yourself smack in the middle of one.

Editor’s Note: Not sure about license renewal in your state? The American Diabetes Association has compiled some helpful tips you should review prior to getting/renewing your driver’s license. Click here!

I’m so sorry that this happened. I didn’t even know that a state could do this with a regular, non-commercial driver’s license! I knew that restrictions like this could/have been placed on commercial licenses (In Texas, it looks like you can’t get an interstate CDL if you use insulin?) but I wasn’t aware of general driver’s licenses.

Apparently this is a thing in Texas too. I seem to remember checking that yes I was diabetic, and yes, I used insulin way back in when I was last actually in a DMV. Despite the ADA page saying that Texas has a similar thing requiring a medical letter, they let me renew my license online in 2012 and it doesn’t expire until 2018. I guess I’ll find out if they’ve just been sloppy up until now or if something changed after 2012 when I renew again in 2018.

In all honesty, while it does sting on a personal level and cause inconvenience to get the letter, I would think twice about not checking that box. Should you fail to do so, and then end up in an accident (even if it were NOT related to your diabetes) and then it come out that you were T1, it could cause all sorts of legal issues for you with who knows what consequences - anything from insurance problems, lawsuits by the other person trying to blame it on your diabetes, or maybe even permanent loss of your license due to having lied on your application.

In the meantime, is your normal doctor familiar enough with you, your habits, etc. to know that you are careful and in control? Would they be willing to work with you via a Patient Portal, submitting labwork done locally through a local lab, or even just the your own charted BGs to provide you with a letter stating that you are compliant if you explain the situation?

@BeastOfGevaudan, this is not my personal story. It was written by a diabetes blogger.

But, I can tell you that this DID happen to me in Illinois and it took nearly 2 years to get my license reinstated. My endo as well as my PCP were my biggest advocates. But, in my case, it was in the hands of a Medical Advisory Board to make the decision. Utter nonsense if you ask me.

Sarah :four_leaf_clover:

Oops! Ha-hah. Sorry, I didn’t follow the link and thought you were reposting your own blog post. My bad!

I’m sorry you had such a rough time of it. Hopefully I don’t have any issues in 2 years.

It happens in australia too. I nearly was unable to renew mine last night and after an hour on the phone was told that 2 weeks after i faxed the medical letter they decide to write to tell me only page 1 came thru. If i had not been careful ab i ht the date and wonder why a renewal letter had not come it would simply be expired. I think the only fair thing is to make all people diabetic or not have a physical and then it would be equal treatment.

You know, considering how many people are out there running around undiagnosed… that may not be the worst thing!