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Diabetes and Commercial Driving (and other Safety Critical Work)

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Clinical Case #2<br />

• 25 year old female, Type 1 diabetes, 15 years duration<br />

• Enjoys driving, completing a TAFE Course in computer<br />

science, but wants to commence as a full time bus<br />

driver<br />

• Bus driving in metro Sydney, involves shift work.<br />

• Had one episode of hypoglycaemia after a few alcoholic<br />

drinks at her 18 th birthday party<br />

• On Lantus once daily <strong>and</strong> Novorapid with each main<br />

meal, tds<br />

• No microalbuminuria<br />

• Vision (acuity, fields) OK, fundus shows early<br />

maculopathy.<br />

• No peripheral neuropathy<br />

• No history of macrovascular disease

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