2010 BC Guide in Determining Fitness to Drive

11.12 Private drivers who have persistent hypoglycemia unawarenessApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsThese guidelines apply to driver fitness determinations for privatedrivers who have persistent hypoglycemia unawareness.Driver fitness determinations will be made by case managers.If further information is required, OSMV will request additionalinformation from the treating physician.If 3 months after an episode an individual has persistenthypoglycemia unawareness, they may drive if: their treating physician has indicated to OSMV that they havestable glycemic control and are willing and able to take steps toensure they do not become hypoglycemic while driving they retain a blood glucose log and review it with their treatingphysician at intervals the physician feels are necessary to monitorcontinued glycemic control, and they follow the blood glucose monitoring guidelines forindividuals with a history of severe hypoglycemia for as long astheir hypoglycemia unawareness persists.OSMV may find individuals fit to drive if: it has been at least 3 months since the last episode ofhypoglycemia unawareness, and their treating physician indicates that they have stable glycemiccontrol and are willing and able to take steps to ensure they do notbecome hypoglycemic while driving.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 anepisode of severe hypoglycemia or hypoglycemia unawareness you must retain a blood glucose log and review it with theirtreating physician at intervals the physician feels are necessary tomonitor continued glycemic control you must test your blood glucose concentration immediatelybefore driving and approximately every hour while driving, and you must not drive, or you must stop driving, when your bloodglucose level falls below 6.0 mmol/L and you must not resumedriving until your blood glucose level has risen above 6.0 mmol/Lafter food ingestion.No restrictions are required.101