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Hypoglycaemia in confined space work — DOccMed MCQ

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HardFitness for WorkHypoglycaemia in confined space workDOccMed

A 53-year-old man works as a tunnel engineer. He has type 2 diabetes managed with gliclazide and has had two documented hypoglycaemic episodes in the past year. His role involves working underground in confined spaces. What is the most appropriate fitness assessment?

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Correct answer: D — He requires careful assessment as gliclazide is a sulphonylurea that causes hypoglycaemia, and two episodes in a year in a confined space role raises significant safety concerns

Sulphonylureas cause hypoglycaemia. Two episodes in a year in a worker performing safety-critical work in confined spaces is a significant concern. Assessment should consider alternative diabetic medications, glucose monitoring, and whether the risk can be adequately managed.

Reference: FOM Fitness for Work; DVLA principles