2010 BC Guide in Determining Fitness to Drive

11.8 Private drivers with diabetes treated with insulinThese guidelines apply to driver fitness determinations for privatedrivers with Type 1 or Type 2 diabetes that is treated with insulin.ApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsIf the individual: has had an episode of severe hypoglycemia within the past sixmonths, see the guidelines under 11.10 has had an episode of hypoglycemia unawareness within the pastyear, see the guidelines under 11.11, or has persistent hypoglycemia unawareness, see the guidelines under11.12.If further information is required, OSMV will request: a Driver’s Medical Examination Report, or additional information from the treating physician.Individuals may drive if they: remain under regular medical supervision to ensure that anyprogression in their condition or development of chroniccomplications does not go unattended understand their diabetic condition and the close interrelationshipbetween insulin and diet and exercise routinely follow their physician’s advice regarding prevention andmanagement of hypoglycemia when on long drives, test their blood glucose concentrationimmediately before driving and approximately every 4 hours whiledriving, and have a source of readily available, rapidly absorbableglucose do not drive when their glucose level is below 4.0 mmol/L do not begin to drive when their glucose level is between 4.0 and5.0 mmol/L unless they first take prophylactic carbohydratetreatment stop driving and treat themselves immediately if hypoglycemia isidentified or suspected, and do not drive until a least 45 minutes after effective treatment iftheir glucose is between 2.5 and 4.0 mmol/L.OSMV may find individuals fit to drive if they: understand their diabetic condition and the close interrelationshipbetween insulin and diet and exercise, and routinely follow their physician’s advice regarding prevention andmanagement of hypoglycemia.OSMV will impose the following conditions on an individual who isfound fit to drive: you must remain under regular medical supervision to ensure that93