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DOT Blood Pressure Guidelines

Written by Nick Webster

Published on May 19, 2023, 11:25 a.m.


Here are the basics of DOT blood pressure guidelines:

  • Truck drivers should maintain a blood pressure of under 140/90.
  • For those with hypertension, the target level of blood pressure should be 130/80 or lower.
  • Drivers with uncontrolled high blood pressure will not be allowed to perform safety-sensitive functions and may need to provide medical certification that their condition is controlled by taking medications.
  • Hypertensive truck drivers must test their blood pressure at least once every three months, record it on the commercial driver's medical card, and submit it to their employer.
  • Truck drivers should regularly monitor their own blood pressure at home using an automated machine and keep records of results. Visit the DOT Authority Package, which contains tips to prepare for 2022 DOT Week filings in minutes.
  • Drivers with elevated readings are encouraged to visit a physician or healthcare provider immediately.


High blood pressure, also known as hypertension, is a significant health concern in the US. Over 100 million adults - almost half of all - have systolic blood pressure higher than 130 mm Hg or diastolic above 80 mm Hg, or are on medication to control their condition. Shockingly, over three-quarters of these individuals do not know they even suffer from high blood pressure. Read here about Starting a Trucking Company Correctly.

Commercial truck drivers need to keep their blood pressure within normal range to maintain good health and pass the DOT (Department of Transportation) physical every 1-2 years. Keeping your blood pressure under control is to stay healthy and driving. So, if you're a senior truck driver, make sure to check your blood pressure regularly and speak with your doctor about any concerns. Taking steps now can ensure that you stay on the road and stay healthy well into the future. What is DOT Clearinghouse Enforcement?

Understanding the blood pressure requirements for your upcoming DOT physical can be daunting. To ensure you're prepared, we've gone over all the most frequent questions about this topic and included ways to help you lower your BP quickly before the exam. Let's dive in! How To Request the DOT PIN Number?

Can I Pass My DOT Physical While Having High Blood Pressure?

Your blood pressure is recorded as two numbers. The first number, known as the systolic pressure, measures the force of your heart when it pumps out blood to circulate around your body. The second number, diastolic pressure, is the pressure in your arteries between heartbeats. Both readings are expressed in millimeters of mercury (mm Hg). What is Unified Carrier Registration?

High or low values can indicate potential health issues and should be discussed with a doctor for proper diagnosis. Remember: Knowing your blood pressure and taking steps to keep it within normal ranges helps maintain good cardiovascular health! What is the DOT SAP Program?

If your blood pressure reading is regular, you'll pass your physical with no additional conditions. However, if it is higher than the recommended range (systolic of 140-159 and diastolic of 90-99 mm Hg), then this is classified as Stage 1 high blood pressure. In this case, you will still be able to pass the DOT physical, but you will need to retake it annually. It's important to manage high blood pressure and work toward lowering it back into the normal range over time—the importance of The FMCSA 30-Minute Break Rule.

Say your blood pressure falls between 160-179 systolic and 100-109 diastolic; it is classified as "Stage 2" high blood pressure. In this case, you will only receive a three-month certificate while being required to take action to bring your blood pressure down to 140/90 or lower. Therefore, you must take the necessary steps now to maintain a healthy blood pressure level.

If your blood pressure is higher than 180 systolic and 110 diastolic, you are classified as Stage 3 high blood pressure – placing you in the high-risk group and thus ineligible for a DOT physical. To be approved to drive commercially, you must reduce your blood pressure below 140/90. If successful, you will be granted certification for six months before needing another physical check. Biannual assessments can continue in the future, provided they stay within this range. Must visit FMCSA Hours of Service Suspended topics. Also, take a look at the Drug and Alcohol Program policy.

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What Does the DOT Consider as Normal Blood Pressure?

Normal blood pressure is generally considered to be 120/80 mm Hg or lower. If your results are within the range of 120-139 systolic and 80-89 diastolic, then you will not be flagged during your DOT physical exam. This range is known as "elevated" blood pressure. It's essential to maintain good health practices and maintain an average blood pressure level for optimal health! Visit DOT Authority Package,

What Does a DOT Physical Examiner Consider High Blood Pressure?

You may be subject to certain restrictions if your blood pressure is higher than 140 systolic or 90 diastolic. Anything below these numbers means no action needs to be taken. You must keep tabs on your blood pressure and take any necessary steps to ensure it remains within healthy limits. Doing so can help you maintain a healthy lifestyle and reduce the risk of complications associated with high blood pressure. How do you get an Oregon Trip And Fuel Permit?

At Stage 1, you must get a DOT physical annually instead of the standard two-year period. At Stage 2, you may drive but must bring down your blood pressure back to Stage 1 levels within three months. If your blood pressure reaches Stage 3 at any point, you will have to discontinue operating a truck until it is back under control. Learn here How to Prepare for a Compliance DOT Audit.

What’s the Maximum Blood Pressure Reading Regarding a DOT Physical?

If your blood pressure exceeds the maximum DOT standard of 179/109, it's essential to begin managing your hypertension immediately. High blood pressure can be dangerous to your health, and you might also run into roadblocks with passing future DOT physicals. Read about Texas DOT Numbers and USDOT Numbers.

Treatment typically involves both medications and lifestyle modifications; fortunately, there are usually speedy results when these measures are taken. To keep yourself safe on the road and ensure smooth sailing during checkups, start addressing your elevated BP as soon as possible! IFTA Sticker Registration steps.

What’s the Standard Blood Pressure Range When It Comes to a DOT Physical?

The criteria for passing a DOT physical regarding blood pressure is simple: if the reading is below 140/90, you're good to go. Any number above that requires further action. The regulations ensure safety on the road - hypertension can be easily overlooked, and early detection and management of it is essential for long-term health. So don't wait - make sure your blood pressure stays within the normal range! You will need driver qualification files.

The American Heart Association and other health authorities have encouraged people to take high blood pressure seriously by lowering the Stage 1 figures to 130/80. This is a clear indication that hypertension should be addressed immediately. High blood pressure, left unchecked, can lead to serious health complications such as stroke, heart attack, and kidney damage. Taking steps now to lower or maintain your blood pressure can help you avoid these risks in the future. If you are diagnosed with hypertension, talk with your doctor about the best ways to manage it and keep it under control. Check out The Basics of Farm Exemptions. You will then be able to maintain complete motor carrier authority or broker. What are the Top 3 DOT paper-appointed Violations?

Can Someone Pass a DOT Physical While Using Blood Pressure Medication?

If you regularly take prescribed medication for high blood pressure, there is no issue with having a Department of Transportation (DOT) physical exam. It is pretty standard and allows your blood pressure levels to return to normal, thus creating a healthier long-term outlook. You were filed out by all employees who drove for you to work. Also, take a look at what IRP or Apportioned Registration is.

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    Summary: What Are the DOT’s Blood Pressure Guidelines for Truck Drivers?

    • Drivers must keep their blood pressure below 140/90 mmHg.
    • If a driver’s systolic pressure exceeds 140 mmHg, the doctor may order an ambulatory blood pressure monitoring test. Learn About FMCSA Registration
    • A second screening is required if the first screening measures above 140/90 or if no pulse can be detected in either arm.
    • Drivers with high-risk hypertension will be referred to a specialist for treatment and follow-up evaluations.
    • If a driver's blood pressure remains uncontrolled despite lifestyle modifications and drug therapy, he or she may not qualify for driving duties until it is controlled. Must visit BOC-3
    • Drivers must check their blood pressure at least once every two years and more frequently if they suffer from certain medical conditions.
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