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Insulin-treated diabetes in a forklift operator — DOccMed MCQ

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ModerateFitness for WorkInsulin-treated diabetes in a forklift operatorDOccMed

A 44-year-old warehouse operative drives a forklift on rotating shifts. He has type 1 diabetes, two recent severe hypoglycaemic episodes at work and incomplete glucose records; he wants to return to full forklift duties tomorrow. 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: D — Advise temporary restriction from forklift driving until hypoglycaemia risk is reviewed

Forklift driving is safety-critical, and recent severe hypoglycaemia requires risk review before return to driving tasks. Insulin treatment does not automatically preclude work, but evidence of stability, monitoring and awareness is needed. Supervisor-led glucose checks are inappropriate and raise confidentiality and competence issues. Alternative non-driving duties can preserve employment while control is assessed.

Reference: DVLA Assessing Fitness to Drive; FOM Fitness for Work guidance