skip to main content

Type 2 diabetes and occupational hypoglycaemia risk — SCE Endocrinology MCQ

Instant feedback + full explanation. One question, done properly.

ModerateDiabetesType 2 diabetes and occupational hypoglycaemia riskSCE Endocrinology

A 58-year-old lorry driver with type 2 diabetes has HbA1c 74 mmol/mol on metformin and gliclazide. He has had two daytime hypoglycaemic episodes while driving and is worried about losing his licence. BMI is 34 kg/m² and eGFR is 82 ml/min/1.73 m². What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: C — Stop gliclazide and use a low-hypoglycaemia regimen

Recurrent hypoglycaemia in a professional driver makes sulfonylurea therapy unsafe; a regimen with low hypoglycaemia risk is preferred. Escalating gliclazide or starting prandial insulin would worsen occupational risk. The teaching point is that diabetes prescribing must account for safety-critical work.

Reference: NICE NG28, DVLA diabetes guidance