DVLA - Neuro, Endocrine

Question 1

Diabetes rules
Requirements for both G1 and G2 - insulin treated

Answer 1

G1 + G2 - NOTIFY

G1 - can drive if
1. adequate awareness of hypos
2. MAX 1 episode of severe hypoglycemia while awake in last 12 months + most recent episode was 3 months ago
3. regular glucose monitoring
4. vision meets standards
Licensed for 1, 2, 3 years - regularly reviewed

MUST NOT DRIVE
-1+ severe hypo whilst awake
-ANY severe hypo WHILST DRIVING

G2 - can drive if
1. FULL awareness of hypos
2. NO episodes of severe hypos in last 12 months
3. regular BM monitoring + BM meter with 6wks of readings stored
4. understands risks of hypos
5. diabetic complications meet standards
Licensed for 1 year

MUST NOT DRIVE IF
-ANY episodes of severe hypos
-ANY episodes of severe hypos WHILST DRIVING

Question 2

Diabetes rules definitions of key terms
-adequate awareness
-severe hypos
-BM monitoring for G1, G2

Answer 2

Adequate awareness
-can bring vehicle to controlled safe stop
-requires symptomatic and physiological awareness by driver

Severe hypos
-needs help of someone else

G1+ G2 monitoring
Before - test 2hours before
During - every 2 hours
More regular monitoring needed if greater risk of hypos

Question 3

Diabetes rules
-impaired hypo awareness rules for G1, G2

Answer 3

G1 - MUST NOT DRIVE + NOTIFY
-can drive once GP or diabetic consultant confirms that adequate awareness of hypos has been regained

G2 - MUST NOT DRIVE +- NOTIFY

Question 4

Diabetes rules
-requirements for PO hypo meds for both G1 and G2

Answer 4

G1 - CAN DRIVE unless
1. MAX 1 severe hypo whilst awake in last 12 months + last episode was 3 months ago
2. can monitor glucose at times relevant to driving
3. regularly reviewed

G2 - CAN DRIVE + NOTIFY but must have
1. NO severe hypos in last 12 months
2. FULL awareness of hypos
3. regular BM monitoring
4. understands risks of hypos
5. diabetic complications meet standards
Licensed for 1, 2, 3 years

Question 5

Diabetes rules
-requirements for non hypo meds for both G1 and G2

Answer 5

G1 - CAN DRIVE

G2 - CAN DRIVE + NOTIFY but must
1. diabetic complications meet standards

Question 6

Epilepsy/seizure rules
-1st unprovoked or isolated seizure for both G1 and G2

Answer 6

G1 - CAN’T DRIVE + NOTIFY
Seizure free for 6 months
Seizure free for 12 months if underlying causative factor
-structural abnormalities on brain imaging
-definite epileptiform EEG activity

G2 - CAN’T DRIVE + NOTIFY
Seizure free for 5 years
License restored if neuro assessment finds
-no annual risk greater than 2% of future seizure
-no need for AEDs for 5 years

Question 7

Epilepsy/seizure rules
-epilepsy or multiple unprovoked for both G1 and G2

Answer 7

G1 - CAN’T DRIVE + NOTIFY
Seizure free for 12 months

G2 - CAN’T DRIVE + NOTIFY
Seizure free for 10 years
License restored if no need for AEDs

Question 8

Epilepsy/seizure rules
-withdrawal of epilepsy medication

Answer 8

CAN’T DRIVE whilst tapering down + 6 months afterwards
NOTIFY if you have a seizure

Question 9

Syncope rules for G1 and G2
-1 simple faint
-1 or 1+ syncope with avoidable/reversible cause
-1 syncope with no clear trigger/cause
-2+ syncopal episodes with no clear trigger or cause

Answer 9

1 simple faint
G1 - CAN DRIVE
G2 - CAN’T + NOTIFY

1 or multiple syncopal episodes with avoidable/reversible cause
G1 - CAN DRIVE
G2 - CAN’T + NOTIFY

1 syncope with no clear trigger/cause
G1 - CAN’T DRIVE + NOTIFY
-if no cause found - 6 months
G2 - CAN’T DRIVE + NOTIFY
-if no cause found - 12 months

Multiple syncopal episodes with no clear trigger/cause
G1 - CAN’T DRIVE + NOTIFY
-if no cause found - 12 months
G2 - CAN’T DRIVE + NOTIFY
-if no cause found - 10 years

Question 10

Stroke and TIA rules for G1 and G2
-Stroke
-TIA

Answer 10

Stroke
G1 - CAN’T DRIVE
1 month if there is satisfactory recovery
NOTIFY IF 1 month + residual neuro deficits related to
-vision
-cognition
-limb function

TIA
G1 - CAN’T DRIVE
1 month off

Stroke + TIA
G2 - CAN’T DRIVE + NOTIFY
1 year if
-no risk factors
-no residual impairments that will affect safe driving