2010 BC Guide in Determining Fitness to Drive

11.9 Commercial drivers with diabetes treated with insulinThese guidelines apply to driver fitness determinations forcommercial drivers with Type 1 or Type 2 diabetes that is treatedwith insulin.ApplicationAssessment guidelinesIf the individual: has had an episode of severe hypoglycemia within the past sixmonths, see the guidelines under 11.13 has had an episode of hypoglycemia unawareness within the pastyear, see the guidelines under 11.14, or has persistent hypoglycemia unawareness, see the guidelinesunder 11.15.OSMV will request: a Doctor’s Report on Commercial Driver with Diabetes on Insulincompleted by the treating physician (see a sample form in 11.16).To complete this form, the individual must have the results of anHbA 1 C test taken within the previous 3 months. a Driver’s Report – Commercial Driver with Diabetes on Insulincompleted by the applicant (see a sample form in 1.17), and an Examination of Visual Function form completed by anoptometrist or ophthalmologist, or the results of a visionexamination including testing of visual fields completed withinthe previous year.The individual must have available for the treating physician: records of medical care for the previous 24 months for initialassessment and 12 months for re-assessment, and a log of blood glucose measurements performed at least twicedaily for the previous six months or since diagnosis if diagnosedless than six months previous.Fitness guidelinesIndividuals may drive if: they obtain and retain an initial certificate of competency in bloodglucose measurement from an approved diabetic clinic they carry the following supplies whenever they are driving:o blood glucose self-monitoring equipment, ando a source of readily available, rapidly absorbable glucose they test their blood glucose concentration 1 hour or less beforedriving and approximately every 4 hours while driving they do not begin or continue to drive if their glucose level fallsbelow 6 mmol/L (108 mg/dL) and do not resume driving untiltheir glucose level has risen to 6.0 mmol/L or higher followingfood ingestion, and their work schedule has been approved by their treating physician95