2010 BC Guide in Determining Fitness to Drive

11.13 Commercial drivers who have an episode of severe hypoglycemiaApplicationAssessmentguidelinesFitness guidelinesOSMVdeterminationguidelinesConditionsThese guidelines apply to driver fitness determinations for commercial driverswho have had an episode of severe hypoglycemia within the previous 6months. If the episode was caused by hypoglycemia unawareness, see theguidelines under 11.14.Driver fitness determinations will be made by case managers.If further information is required, OSMV will request: a Doctor’s Report on Commercial Driver with Diabetes on Insulincompleted by the treating physician. To complete this form, the individualmust have the results of an HbA1C test taken within the previous 3months, and a Driver’s Report – Commercial Driver with Diabetes on Insulincompleted by the applicant.Individuals may drive if: they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of the readingsare below 4.0 mmol/L their treating physician has indicated to OSMV that they have reestablishedstable glycemic control and OSMV has determined that theyare fit to resume driving. The period of time required to re-establishglycemic control will vary on a case-by-case basis, and upon return to driving, they test their blood glucose immediately beforedriving and approximately every hour while driving, and do not drive iftheir blood glucose level is below 6.0 mmol/LIf after six months there are no further episodes, they may continue to drive ifthey follow the regular guidelines for drivers with diabetes.OSMV may find individuals fit to drive if: they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of the readingsare below 4.0 mmol/L, and their treating physician has indicated to OSMV that they have reestablishedstable glycemic control. The period of time required to reestablishglycemic control will vary on a case-by-case basis.OSMV will impose the following conditions on an individual who is found fitto drive: you must report to OSMV and your physician if you have an episode ofsevere hypoglycemia for the next six months, you must test your blood glucose concentrationimmediately before driving and approximately every hour while driving,and for the next six months you must not drive, or you must stop driving, whenyour blood glucose level falls below 6.0 mmol/L and you must not resumedriving until your blood glucose level has risen above 6.0 mmol/L afterfood ingestion.103