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Insulin and driving — GPhC CRA MCQ

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HardEndocrine TherapeuticsInsulin and drivingGPhC CRA

A delivery driver using basal-bolus insulin asks about driving after two recent hypos at work. One episode required a colleague to give glucose gel. He checks glucose before driving but sometimes skips lunch. What would you advise the patient?

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

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Correct answer: C — check glucose before driving, avoid driving during hypoglycaemia and follow DVLA rules on severe episodes

Insulin-treated drivers must take steps to prevent and manage hypoglycaemia, including checking glucose before and during longer journeys. They should not drive during hypoglycaemia and must follow DVLA requirements, particularly after severe hypoglycaemia requiring assistance. Skipping meals increases risk and should be addressed. Insulin omission is unsafe without specialist advice.

Reference: BNF; DVLA medical guidance; NICE CKS: Diabetes type 1