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Diabetes and hypoglycaemia — DOccMed MCQ

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HardFitness for WorkDiabetes and hypoglycaemiaDOccMed

A forklift driver with type 1 diabetes has had two episodes of severe hypoglycaemia at work requiring colleague assistance in the last 6 months. He says he feels safe because he checks glucose before shifts. What is the most appropriate advice regarding fitness for work?

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

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Correct answer: C — Remove from forklift driving pending specialist review and stable control

Safety-critical driving requires reliable awareness and control of hypoglycaemia risk. Recent severe episodes requiring assistance indicate unacceptable risk until reviewed and stabilised. Occupational advice should focus on restriction from forklift duties, diabetes specialist input and consideration of alternative work during reassessment.

Reference: DVLA Assessing Fitness to Drive; HSE Workplace Transport Guidance