2010 BC Guide in Determining Fitness to Drive

11.14 Commercial drivers who have an episode of hypoglycemia unawarenessApplicationAssessmentguidelinesFitnessguidelinesOSMVdeterminationguidelinesConditionsThese guidelines apply to driver fitness determinations for commercialdrivers who have had an episode of hypoglycemia unawareness within theprevious year. If the hypoglycemia unawareness is persistent (i.e., the driverhas not regained awareness), see the guidelines under 11.15.Driver fitness determinations will be made by case managers.If further information is required, OSMV will request: a Doctor’s Report on Commercial Driver with Diabetes on Insulincompleted by the treating physician. To complete this form, theindividual must have the results of an HbA1C test taken within theprevious 3 months, and a Driver’s Report – Commercial Driver with Diabetes on Insulincompleted by the applicant.Individuals who have experienced an episode of hypoglycemia unawarenessmay not drive for a minimum of 3 months after the episode. After 3 months,they may drive if: they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of thereadings are below 4.0 mmol/L their treating physician has indicated to OSMV that they have regainedglycemic awareness and have stable glycemic control, and OSMV hasdetermined that they are fit to resume driving, and they follow the blood glucose monitoring guidelines for individuals witha history of severe hypoglycemia.OSMV may find individuals fit to drive if: it has been at least 3 months since the episode of hypoglycemiaunawareness they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of thereadings are below 4.0 mmol/L, and their treating physician has indicated that they have regained glycemicawareness and have stable glycemic control.OSMV will impose the following conditions on an individual who is foundfit to drive: you must report to OSMV and your physician if you have an episode ofsevere hypoglycemia or hypoglycemia unawareness you must test your blood glucose concentration immediately beforedriving and approximately every hour while driving, and you must not drive, or you must stop driving, when your blood glucoselevel falls below 6.0 mmol/L and you must not resume driving until yourblood glucose level has risen above 6.0 mmol/L after food ingestion.105