DVLA and Diabetes

Question 1

requirements for T2DM patients on Inuslin or hypo tablets to have a driving licence

Answer 1

No more than one hypo in the last 12 months, and has to have been 3 months since the last one

Full hypoglycaemia awareness

Regular blood glucose monitoring every 2 hours

Question 2

Are patients required to tell the DVLA if they are diet controlled or on non hypo drugs?

Answer 2

NO

Question 3

When a patient with diabetes is ill, what happens to their blood sugar?

Answer 3

Become hyperglycaemic

Question 4

What are the cardinal sick day rules?

Answer 4

Check blood glucose every 4 hours

Drink 3L of water a day

Keep taking medication as normal

If struggling to keep food down, have sugary drinks.

Question 5

Extra Rules for Insulin Sick Day Rules?

Answer 5

If ketones present, take a corrective dose of insulin (Total dose divided by 6 (Up to 15 units))

Question 6

Sick Day Criteria for Admission

Answer 6

Significant Ketosis
BM >20
Patient not able to keep fluids down or diorrhoea
Patient is vulnerable/alone