Handbuch - Leitlinien gesundheitliche Eignung - Ärztekammer ...

Die gesundheitliche Eignung im Detail | Zuckerkrankheit
and physically more difficult for the driver to stop, check his BG, eat something (and wait for 20-30
minutes), than for a driver of goods.
Insulin treated drivers should not be issued a D license. An exception could be considered for drivers
with type 2 diabetes on oral medication, who require in the evolution of their disease the addition of
one insulin injection a day, because most of these persons will have a relatively low risk of hypoglycaemia.
Of course, all the prerequisites for group 2 formulated earlier stay in place.
The WG did not discuss the situation of small buses (eg D1) as a consideration separate from full
category D. 91
Emergency vehicles
Drivers with insulin treated diabetes mellitus should not drive emergency vehicles.
Another situation where any severe hypoglycaemia is also unacceptable is the driving of emergency
vehicles. Each time-delay (eg by hypoglycaemia) can have major influence on the outcome of the
victim(s) of the emergency (accident, fire, etc). Furthermore, because of the “stress” involved during
the driving of emergency vehicles it may mask the symptoms of hypoglycaemia.
Therefore, the WG stated that drivers with insulin-treated diabetes mellitus should not drive emergency
vehicles. 92
Taxi licensing
It was noted that different situation/rules exist in the Member States.
Group 2 licensing standards should apply to Taxi licensing.
The WG realised that different situations/rules exist in the Member States concerning taxi licensing:
sometimes this is done by the license authorities, sometimes by local authorities. The Group 2 standards
should apply.
The same problem exists for licensing requirements for the transportation of people if this is organised
and run by the employer: again there are huge differences between Member States. 93
m) Literatur
SCHUBERT W, SCHNEIDER W, EISENMENGER W, STEPHAN E. (Hrsg.), Begutachtungs-
Leitlinien Kraftfahreignung – Kommentar. Kirschbaum-Verlag, Bonn, 2005, mit weiteren Literaturhinweisen
Swedish National Road Administration, Provisions on the Medical Requirements for Possession of a
Driving Licence, SNRA, 1996
IMMORTAL. Effects of diabetes on driving performance.
http://www.immortal.or.at/deliverables.php#R1.6
KERNBACH-WIGHTON, G., PÜSCHEL, K., Hypoglykämie-Diagnostik bei Kraftfahrern. BUN-
DESANSTALT FÜR STRAßENWESEN (Hrsg.), Kongressbericht 2001 der Deutschen Gesellschaft
für Verkehrsmedizin e.V. Berichte der Bundesanstalt für Straßenwesen, Mensch und Sicherheit Heft
M 133, Bergisch Gladbach, 2001, S. 138-140
SCHÜTTE, E., LUTZ, F.U., Untersuchung zur Fahrtauglichkeit von insulinpflichtigen Diabetikern.
BUNDESANSTALT FÜR STRAßENWESEN (Hrsg.): Kongressbericht 2001 der Deutschen Gesellschaft
für Verkehrsmedizin e.V. Berichte der Bundesanstalt für Straßenwesen, Mensch und Sicherheit
Heft M 133, Bergisch Gladbach, 2001, S. 135-137
Diabetes-Leitlinien der ÖGD, www.oegd.at
91
Umsetzung in der FS-LL: Für Diabetiker mit therapiebedingter Unterzuckerungsgefahr wird in der Spalte
„Nicht Geeignet“ explizit der Ausschluss von Klasse D angeführt.
92 Dies liegt im Verantwortungsbereich der Blaulichtorganisationen.
93 Umsetzung: Im Empfehlungskatalog an das BMVIT wird die Schaffung einer gesetzlichen Basis für die Anwendung
der Gesundheitsstandards für Gruppe 2 für die Ausübung des Taxilenkergewerbes empfohlen.
114