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Hypoglycaemia and driving — SCE Endocrinology MCQ

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ModerateDiabetesHypoglycaemia and drivingSCE Endocrinology

A 44-year-old man with type 1 diabetes and impaired awareness of hypoglycaemia has a severe episode requiring paramedic glucagon. HbA1c is 52 mmol/mol. He asks about driving a car. What is the most appropriate advice?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Stop driving and notify the DVLA until awareness improves

Severe hypoglycaemia and impaired awareness raise safety concerns for driving and require DVLA guidance. A single safe glucose reading does not mitigate recurrent unpredictable hypoglycaemia. The teaching point is that driving advice is a core diabetes safety issue, not a lifestyle add-on.

Reference: DVLA Diabetes Guidelines; NICE NG17