2010 BC Guide in Determining Fitness to Drive

11.10 Private drivers who have an episode of severe hypoglycemiaApplicationAssessmentguidelinesFitness guidelinesOSMVdeterminationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privatedrivers who have had an episode of severe hypoglycemia within theprevious 6 months. If the episode was caused by hypoglycemiaunawareness, see the guidelines under 11.11.Driver fitness determinations will be made by case managers.If further information is required, OSMV will request additionalinformation from the treating physician.Individuals may drive if: their treating physician has indicated to OSMV that they have reestablishedstable glycemic control and OSMV has determined thatthey are fit to resume driving. The period of time required to reestablishglycemic control will vary on a case-by-case basis. upon return to driving, they test their blood glucose immediatelybefore driving and approximately every hour while driving, and they do not begin or continue to drive if their blood glucose levelfalls below 6.0 mmol/L and they do not resume driving until theirblood glucose level has risen above 6.0 mmol/L after food ingestionIf after six months there are no further episodes, they may continue todrive if they follow the regular guidelines for drivers with diabetes.OSMV may find individuals fit to drive if their treating physicianindicates that they have re-established stable glycemic control. Theperiod of time required to re-establish glycemic control will vary on acase-by-case basis.OSMV will impose the following conditions on an individual who isfound fit to drive: you must report to OSMV and your physician if you have an episodeof severe hypoglycemia for the next six months, you must test your blood glucoseconcentration immediately before driving and approximately everyhour while driving for the next six months, you must not drive, or you must stopdriving, when your blood glucose level falls below 6.0 mmol/L andyou must not resume driving until your blood glucose level has risenabove 6.0 mmol/L after food ingestion.No restrictions are required.OSMV will re-assess as recommended by the treating physician. Atthat time, if the treating physician indicates that there have been noepisodes of severe hypoglycemia within the past six months, theapplicable guidelines for private drivers with diabetes will apply.98