Home > diabete, News > Patente. Commissione si o no?

Patente. Commissione si o no?

A proposito di patente, gli ultimi anni hanno portato parecchie novità a proposito del diabete. Chi come me ha dichiarato di essere diabetico alla richiesta/rinnovo della patente, sa bene che spesso e volentieri si è costretti a passare davanti alla Commissione Medica.

Pochi ancora sanno che nel 2006 è uscito una circolare del Ministero della Sanità che stabilisce le nuove linee guida per il rinnovo della patente e che potete trovare al seguente link:

http://www.ministerosalute.it/imgs/C_17_normativa_785_allegato.pdf

La circolare, sebbene scritta in politichese, stabilisce che il diabetologo ha a tutti gli effetti lo stesso potere decisionale della commissione medica. Attraverso un apposito modulo, il diabetologo può certificare lo stato di compenso ed il periodo di rinnovo della patente… e questo diventa un documento ufficiale per il rinnovo.

E’ stato pure modificato il Codice della Strada ed in particolare l’articolo 119, che riguarda direttamente gli affetti da patologie “invalidanti” (odio questa parola).

http://www.trasporti.gov.it/page/NuovoSito/site.php?p=normativa&o=vd&id=676&id_dett=1908&id_cat=34

Segnalo in particolare:

Comma 2. L’accertamento dei requisiti fisici e psichici, tranne per i casi stabiliti nel comma 4, è effettuato dall’ufficio della unità sanitaria locale territorialmente competente, cui sono attribuite funzioni in materia medico-legale. L’accertamento suindicato può essere effettuato altresì da un medico responsabile dei servizi di base del distretto sanitario ovvero da un medico appartenente al ruolo dei medici del Ministero della salute, o da un ispettore medico delle Ferrovie dello Stato o da un medico militare in servizio permanente effettivo o da un medico del ruolo professionale dei sanitari della Polizia di Stato o da un medico del ruolo sanitario del Corpo nazionale dei vigili del fuoco o da un ispettore medico del Ministero del lavoro e delle politiche sociali. In tutti i casi tale accertamento deve essere effettuato nei gabinetti medici.

Comma 2-bis.L’accertamento dei requisiti psichici e fisici nei confronti dei soggetti affetti da diabete per il conseguimento, la revisione o la conferma delle patenti di categoria A, B, BE e sottocategorie, è effettuato dai medici specialisti dell’unità sanitaria locale che indicheranno l’eventuale scadenza entro la quale effettuare il successivo controllo medico cui è subordinata la conferma o la revisione della patente di guida (1).

Comma 3. L’accertamento di cui al comma 2 deve risultare da certificazione di data non anteriore a tre mesi dalla presentazione della domanda per sostenere l’esame di guida. (2).

Comma 4. L’accertamento dei requisiti fisici e psichici è effettuato da commissioni mediche locali costituite in ogni provincia presso le unità sanitarie locali del capoluogo di provincia, nei riguardi:

[…]

d-bis) dei soggetti affetti da diabete per il conseguimento, la revisione o la conferma delle patenti C, D, CE, DE e sottocategorie. In tal caso la commissione medica è integrata da un medico specialista diabetologo, sia ai fini degli accertamenti relativi alla specifica patologia sia ai fini dell’espressione del giudizio finale (1).

Riassumendo, nel caso di patente A e B le regole le stabilisce l’asl di appartenenza (cioè la Regione alla fine) mentre per le patenti C, D si passa comunque dalla Commissione Medica. In ogni caso è bene farsi fare il certificato dal diabetologo per facilitare la procedura.

Alcune regioni permettono di evitare la visita in commissione (basta andare con il certificato del diabetologo alla scuola guida), altre invece ti fanno pagare per una visita di 2 minuti esatti in cui basta mostrare il certificato e vai a casa (regione a caso, il Piemonte! Raised Eyebrow). INFORMATEVI NELLA VOSTRA REGIONE!

Ecco alcuni consigli sparsi:

  1. Quando il rinnovo si avvicina, è bene chiedere al centro diabetologico alcuni esami importanti tipo Fondo oculare e glicata. Questi esami sono gratuiti se ve li chiede il centro, mentre sono a pagamento se ve li chiede la commissione.
  2. Le liste d’attesa in commissione sono spesso lunghe, prenotate almeno un paio di mesi prima della scadenza.
  3. Nel caso di patente nuova, il certificato è necessario per ottenere il foglio rosa. Occhio che se dovete rifare il foglio rosa, ci vuole un’altro certificato.

Per quanto riguarda la durata del rinnovo, si applica l’art. 126 del codice della strada:

Comma 4. L’accertamento dei requisiti previsti dall’art. 119, comma 1, per la guida dei motoveicoli e degli autoveicoli di cui all’art. 116, comma 8 e 8-bis, deve essere effettuato ogni cinque anni e comunque in occasione della conferma di validità della patente di guida. Detto accertamento deve effettuarsi con cadenza biennale nei confronti di coloro che abbiano superato i sessantacinque anni di età ed abbiano titolo a guidare autocarri di massa complessiva a pieno carico superiore a 3,5 t, autotreni e autoarticolati, adibiti al trasporto di cose, la cui massa complessiva a pieno carico non sia superiore a 20 t, e macchine operatrici (1).
Comma 4-bis. Per i soggetti affetti da diabete trattati con insulina gli accertamenti di cui all’articolo 119, comma 4, lettera d-bis), sono effettuati ogni anno, salvo i periodi più brevi indicati sul certificato di idoneità (2).

Quindi, per chi ha la patente A e B al massimo è 5 anni, mentre per chi ha la patente C e D al massimo è 1 anno.

Altra alternativa da furbetto del quartiere è quella di non dichiarare il diabete all’atto del rinnovo/richiesta della patente. Ma noi italiani siamo gente onesta, no? … NO!?  

 

Aggiornamento [5 Agosto 2009]: Patente, commissione si o no? – Parte 2 

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  1. orlando
    29 settembre 2009 alle 05:56

    …nel caso di diabete “mellito 2” con trattamento medicine per via orale, serve fare tutta la trafila per il rinnovo patente (B) come per chi è trattato con insuluna?
    ci sono articoli di legge che chiariscono questo?
    Grazie anticipato, Orlando

  2. 1 ottobre 2009 alle 18:22

    Ciao Orlando,

    da quello che ho capito (art 320, DPR 495), chi è affetto da diabete tipo2 non passa dalla commissione, a meno di altre patologie o complicanze. Prova a sentire il tuo diabetologo o una scuola guida per averne conferma.

  3. valentina
    23 ottobre 2009 alle 18:59

    sono diabetica dal 1989!al momento d fare la patente ho dichiarato di essere diabetica, da allora ho ovviamente il rinnovo della patente ogni 5 anni!il primo rinnovo è andato bene, mi è bastato recarmi al centro antiodiabetico e la mia dottoressa ha sbrigato tutto. oggi mi ritrovo a dover rinnovare la patente..ho 30 anni, mai avuto incidenti, percepisco perfettamente le mie ipo e iper glicemie, sono un medico e, ok ho un cattivo compenso glicemico..la mia glicata è di 9.4!giusto sopra il cut off. la dottoressa mi ha rilasciato un certificato in cui dichiara un rischio medio..alla visita x la patente mi è stao detto xò che non m verrà rilasciata la patente neanche se vado in commissione e anche se la glicata scende a 8 al massimo mi verrà rinnovata di qualche mese…non capisco mi sembra esagerato..vorrei capire quanto di vero ci sia ed eventualmente rivolgermi altrove…tanto x ridere..il giorno dopo attraversando la strada sulle strisce un vecchio al volante mi stava investendo!che ne dite?!

  4. cristina
    23 ottobre 2009 alle 19:40

    volevo un’informazione:mio figlio e’ diabetico-ins.dipendente,a dicembre compie 14 anni e fara’ il patentino per lo scooter;anche lui avra’ delle trafile da fare? grazie saluti a tutti voi

  5. 25 ottobre 2009 alle 20:22

    @ Valentina: Una volta ho provato a passare dalla commissione con glicata 8.2 e mi hanno rinnovato la patente per un anno. Una rottura, tra tempo perso e soldi spesi… Con glicata 9.4 non vale nemmeno la pena di presentarsi in commissione. Potresti provare ad andare direttamente in scuola guida e vedere se ti rinnovano col solo certificato del diabetologo (rischio medio), ma forse è meglio se aspetti 3 mesi e provi a far calare la glicata.

    @ Cristina: So che ultimamente hanno equiparato il patentino alla patente A per quanto riguarda i requisiti psicofisici. Non so se la trafila rimane la stessa però. Prova a chiedere in una scuola guida… credo comunque che basti un certificato del medico o del diabetologo.

  6. cristina
    26 ottobre 2009 alle 14:48

    grazie,chiedero’ e poi vi diro’. Saluti

  7. valentina
    29 ottobre 2009 alle 23:11

    Volevo aggiornarvi..ho cambiato agenzia andando in una dove mi avevan detto che “rinnovano la patente anche ai diabetici senza tante complicazioni” e mi han rinnovato la patente esattamente x 4 anni come scritto dal diabetologo!ora x me è una vittoria a prescindere dal fatto che la mia glicata deve scendere almen a 8 entro Natale!ma non capisco, la legge non è legge?è soggetta a libera interpretazione?da quel che ho capito la nuova legge dovrebbe facilitare le cose non complicarle e prevede (se non ho capito male)ke sia il diabetologo a decidere!?mah rimane il dubbio di aver riavuto la patente x pura fortuna o x diritto!comunque preciso che in quell’agenzia non regalan la patente..ad una signora prima di me non è stata rinnovata x alcuni problemi di salute..per questa volta posso gioire di poter guidare ancora..e la prox volta?!Buona salute a tutti!

  8. 3 novembre 2009 alle 15:01

    Ciao Valentina,

    sono contento ti sia andata bene ^_^. Purtroppo se le disposizioni sono vaghe, ci si ritrova in situazioni diverse, a discrezione di chi ti visita. Poi ogni regione si regola per conto proprio… per dirti, la mia ex diabetologa nel certificato non metteva nemmeno la durata del rinnovo.

    Alla fine se il tuo diabetologo, che ti conosce meglio di qualunque altro medico, dice che hai rischio medio e consiglia un rinnovo di 4 anni, non vedo perchè non credergli. Anche perchè firmando se ne assume la responsabilità.

    Tanto il vero pericolo per un diabetico che guida sono gli episodi di ipoglicemia, e quelli non li vedi dalla glicata.

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