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How To Pass a DOT Physical With High Blood Pressure

Written by Nick Webster

Published on Feb. 8, 2024, 11:24 p.m.


Here is how to pass a dot physical with high blood pressure:

  • Regular exercise helps reduce blood pressure, so aim for at least 30 minutes of physical activity on most days.
  • Eat a healthy diet: Eating foods that are low in salt and fat can help lower your blood pressure. Fill your plate with fruits, vegetables, whole grains, and lean proteins.
  • Monitor your blood pressure levels: Check your blood pressure regularly at home and keep track of any changes or spikes in readings.
  • Take medications as prescribed: If you have been prescribed medication to manage high blood pressure, be sure to take the medication as directed by your doctor. Take a look at what IRP or Apportioned Registration is.
  • Reduce stress levels: Try relaxation techniques like yoga, meditation, or deep breathing exercises to help relieve stress and anxiety, which can negatively affect your blood pressure.


As a commercial truck driver, you must ensure your blood pressure stays controlled to maintain good health and continue operating at peak performance. However, it may surprise you to know that almost 50% of adults – that’s over 100 million people - have blood pressure above 130 mm Hg for their systolic blood pressure or 80 mm Hg for their diastolic blood pressure, or are on medication for their hypertension.

Even more concerning is the fact that 76% of this group are not aware or in control of their condition. High blood pressure (otherwise known as hypertension) is a widespread health problem in the US, but with regular checks and the right lifestyle changes, it can be managed effectively. Read here about Starting a Trucking Company Correctly.

Are you wondering what blood pressure requirements must be met to pass the Department of Transportation (DOT) physical? If so, we've got you covered. Here are answers to some of the most frequently asked questions about blood pressure for DOT exams and tips for lowering yours before your appointment. That way, you can ensure that you'll have no problem passing the physical and getting your certification. Good luck! What is DOT Clearinghouse Enforcement?

Can Drivers Pass Their DOT Physicals With High Blood Pressure?

If you're undergoing a physical, your blood pressure will be checked. Blood pressure is measured in two figures—the systolic pressure (higher number) and diastolic pressure (lower number). How To Request the DOT PIN Number?

Your heart's pumping force is measured by systolic pressure, while the pressure in your blood vessels between heartbeats is measured by diastolic pressure, both in millimeters of mercury (mm Hg). If your reading is within the normal range, you'll pass without any concerns, but if it's too high, you'll fail. Therefore, it's crucial to monitor your blood pressure regularly. What is Unified Carrier Registration?

When your blood pressure readings range from 140-159 over 90-99 mm Hg, it's considered Stage 1 hypertension. You can pass the DOT physical, but you must take it annually. If you have Stage 2 hypertension, your readings will be between 160-179 systolic and 100-109 diastolic, and you'll receive a 3-month certificate with guidance on how to lower your blood pressure to healthy levels (140/90 or less).

If your blood pressure readings exceed 180 systolic and 110 diastolic, you won't be able to pass the DOT physical exam. This puts you in the Stage 3 hypertension category, which poses a high risk to your health. To maintain your ability to operate a commercial motor vehicle, lowering your blood pressure to 140/90 or below is crucial. Once you achieve this goal, you'll receive a six-month certification with biannual check-ups as long as your readings remain stable. What is the DOT SAP Program?

What Does the Department of Transportation Define as Normal Blood Pressure?

The accepted normal range for blood pressure is less than 120/80 mm Hg, often expressed as "120-over-80". For DOT physicals, elevated blood pressure is classified as 120-139 for the systolic reading and 80-89 for the diastolic reading. Blood pressure within these ranges will not raise any flags during your examination. What is MC Number?

What Does the Department of Transportation Define as High Blood Pressure?

If your blood pressure is above 140 systolic and 90 diastolic, you'll be given a Stage 1 DOT physical every year instead of the normal biannual one. If it still remains at this level after three months, your driving privileges will be restricted to Stage 2. If your blood pressure isn't brought under control within three months, then you will have to stop truck driving altogether until it's lowered to Stage 1 levels—the importance of The FMCSA 30-Minute Break Rule.

DOT physical, High blood pressure, Hypertension management, Blood pressure control, Medical clearance requirements.

What’s the Maximum Blood Pressure Reading for DOT Physicals?

It's important to control your high blood pressure if it is above 140/90, both for your well-being and to pass the DOT Physical. While Commercial Truck Drivers can pass with a blood pressure of 179/109, it may raise some concerns with the Medical Examiner. Fortunately, treating high blood pressure usually shows results quickly through medication and lifestyle changes! It's essential to take steps to keep your blood pressure within normal limits. California DOT number?

What Are Some More Tips for Reducing My Blood Pressure Before the DOT Physical?

If your blood pressure is too high, taking action and lowering it for your long-term health and well-being as a commercial truck driver is important. Lowering your blood pressure can help you pass the DOT physical and drive without problems. Fortunately, there are multiple ways to lower blood pressure, although some may not be quick fixes. Taking proactive steps now can help you stay healthy and on the road in the future. Learn here How to Prepare for a Compliance DOT Audit.

Slipping into those skinny jeans or fitting into your favorite dress is only one of the many benefits of shedding excess weight. Shedding just a few pounds can also help reduce your blood pressure, as it takes less effort for your heart to pump blood around your body. So start working towards that healthier weight and watch your health improve!

Commercial drivers don't always have the luxury of hitting up the gym. A great way to still get in regular exercise is by walking. Even just 20 minutes daily can significantly lower your blood pressure by up to 8 mm Hg! Try parking at the back of a lot when stopping for a meal or to shop; it'll mean you automatically walk further and clock up some extra steps. It's an easy way to keep active without making time to go to the gym. Read about Texas DOT Numbers and USDOT Numbers.

Reducing your sodium intake is essential for keeping your blood pressure in check. Instead of reaching for the salt shaker, look for low-sodium alternatives. Eating healthily doesn't mean you have to go all veggies; lean proteins such as fish and poultry are excellent sources of nutrition. Fast food is convenient but loaded with sugar and salt - so opt for homemade meals instead! Skip sugary drinks and reach for the low-calorie options whenever possible. Your body will thank you! IFTA Sticker Registration steps.

If you want to keep your blood pressure in check, watch how much alcohol you consume. A small glass of beer or wine can actually be beneficial for lowering it, but drinking too much will raise it instead. Though smoking is dangerous for many reasons, it also has the temporary effect of increasing blood pressure after each cigarette -- so make sure not to smoke before taking the DOT physical. Together with regular exercise and a healthy diet, limiting your intake of alcoholic drinks and quitting smoking altogether can help ensure that you pass the DOT physical with flying colors! What is the UCR program?

Do DOT Physicals Have a Standard Blood Pressure Range?

If your blood pressure is below 140/90, you can consider yourself in the clear! The DOT physical exam relies on these requirements to ensure truck drivers remain safe and healthy. It's essential to get hypertension under control early – after all, it's a risk factor that often goes overlooked. Keeping an eye on your numbers and taking steps to manage high readings is the key to living a long and healthy life. How Much Does a Dot Number Cost?

The American Heart Association and other health authorities recognize the importance of high blood pressure, evidenced by their revised guidelines that set Stage 1 figures to 130/80. This underscores the need to take hypertension seriously.

Lifestyle modifications, Medication adherence, Fitness for duty criteria, Physician guidance, Regulatory compliance.

What If I’m Taking BP Medicine?

It is pretty normal to take prescription medication for high blood pressure. Taking these meds can help bring your numbers back down to safe levels so that you can enjoy a better long-term prognosis. Check out The Basics of Farm Exemptions. Don't worry if you need to take this kind of medication regularly - it's widespread.

How Would I Fail My DOT Physical Because of High Blood Pressure?

If your blood pressure is higher than 140/90, you must take steps to ensure that your certification remains valid. You will not pass the physical examination if it goes above 180/110. However, if you can lower your levels to below 140/90, you are eligible to reapply. Taking proactive steps to reduce your blood pressure is essential for maintaining certification. You will need driver qualification files.

Summary: How Do I Pass My DOT Physical While Having High Blood Pressure?

  • See your doctor regularly, and follow their advice on managing your blood pressure.
  • Make sure to show up for the DOT physical with all of your recent medical records in hand, if possible.
  • Speak to the examiner about any conditions you may have that might affect the exam results, such as high blood pressure. What are the Top 3 DOT paper-appointed Violations?
  • Follow any treatment plans your doctor prescribes, such as taking medications or monitoring your diet and exercise.
  • Have a healthy lifestyle - eat a balanced diet, get regular exercise, and practice relaxation techniques like yoga or meditation. This can help manage your blood pressure naturally without needing medication.
  • Talk to your doctor about any other steps you can take to ensure you pass the physical while having high blood pressure.
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