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Hypo question on Application form
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<blockquote data-quote="phoenix" data-source="post: 770689" data-attributes="member: 12578"><p>Not an answer as such DD but it is <strong>total hypo unawareness</strong> that is considered a contraindication to driving.awareness )</p><p>Many people with T1 have awareness at a lower than normal level . I don't think that it is a matter of recognising every time you slip a bit below 4 since that isn't really a level at which you have cognitive dysfunction It's just for those of us taking insulin a level to be proactive at.</p><p>If you were always aware of levels of 4mmol/l then you would never have a hypo. That isn't the case , most T1s (on average) have at least a couple of hypos (that is levels of less than 4mmol/l) every week.</p><p>If you aren't recognising some symptoms, albeit subtle (ie not always lots of sweating or shaking) below 3mmol/l then it is perhaps a different matter. .</p><p> Here is what DUK says in it's guidance and advice to 'professionals'. I think the second bit that I've highlighted is important and I would certainly lose my licence here in France if I didn't recognise hypos at levels below 3mmol/l.</p><p></p><p> How should we define hypoglycaemia unawareness?</p><p>There is no clear guidance on this. For Group 1 drivers the new regulations allow for a</p><p>licence to be revoked or refused if the patient has impaired awareness and require this if</p><p>there is complete unawareness. As there is evidence for cognitive dysfunction around</p><p>3mmol/L, people who are asymptomatic when under this glucose concentration are at risk</p><p>for impaired performance without awareness. Given the inter-person variability for this</p><p>and the margin for error in home glucose monitoring, a clinical assessment is advised.</p><p>Group 2 drivers are required to have full awareness of hypoglycaemia and any degree of</p><p>impaired awareness would result in the licence being revoked or refused.</p><p>What about confirmed asymptomatic biochemical hypoglycaemia?</p><p><strong>A person’s home glucose monitoring may show episodes of blood glucose below 3mmol/L</strong></p><p><strong>for which the patient reports no symptoms or there may be biochemical evidence of </strong></p><p><strong>asymptomatic hypoglycaemia on capillary glucose testing. This supports a diagnosis of </strong></p><p><strong>hypoglycaemia unawareness. If hypoglycaemia below 3mmol/L without any subjective </strong></p><p><strong>awareness is characteristic of someone’s hypoglycaemia experience, they may be defined as </strong></p><p><strong>completely unaware and should report this to the DVLA and be advised not to drive</strong></p><p><strong><a href="http://www.diabetes.org.uk/Documents/Professionals/News,%20updates,%20prizes%20and%20alerts/Driving-diabetes-professional-guidance0212.pdf" target="_blank">http://www.diabetes.org.uk/Documents/Professionals/News, updates, prizes and alerts/Driving-diabetes-professional-guidance0212.pdf</a></strong></p></blockquote><p></p>
[QUOTE="phoenix, post: 770689, member: 12578"] Not an answer as such DD but it is [B]total hypo unawareness[/B] that is considered a contraindication to driving.awareness ) Many people with T1 have awareness at a lower than normal level . I don't think that it is a matter of recognising every time you slip a bit below 4 since that isn't really a level at which you have cognitive dysfunction It's just for those of us taking insulin a level to be proactive at. If you were always aware of levels of 4mmol/l then you would never have a hypo. That isn't the case , most T1s (on average) have at least a couple of hypos (that is levels of less than 4mmol/l) every week. If you aren't recognising some symptoms, albeit subtle (ie not always lots of sweating or shaking) below 3mmol/l then it is perhaps a different matter. . Here is what DUK says in it's guidance and advice to 'professionals'. I think the second bit that I've highlighted is important and I would certainly lose my licence here in France if I didn't recognise hypos at levels below 3mmol/l. How should we define hypoglycaemia unawareness? There is no clear guidance on this. For Group 1 drivers the new regulations allow for a licence to be revoked or refused if the patient has impaired awareness and require this if there is complete unawareness. As there is evidence for cognitive dysfunction around 3mmol/L, people who are asymptomatic when under this glucose concentration are at risk for impaired performance without awareness. Given the inter-person variability for this and the margin for error in home glucose monitoring, a clinical assessment is advised. Group 2 drivers are required to have full awareness of hypoglycaemia and any degree of impaired awareness would result in the licence being revoked or refused. What about confirmed asymptomatic biochemical hypoglycaemia? [B]A person’s home glucose monitoring may show episodes of blood glucose below 3mmol/L for which the patient reports no symptoms or there may be biochemical evidence of asymptomatic hypoglycaemia on capillary glucose testing. This supports a diagnosis of hypoglycaemia unawareness. If hypoglycaemia below 3mmol/L without any subjective awareness is characteristic of someone’s hypoglycaemia experience, they may be defined as completely unaware and should report this to the DVLA and be advised not to drive [URL]http://www.diabetes.org.uk/Documents/Professionals/News,%20updates,%20prizes%20and%20alerts/Driving-diabetes-professional-guidance0212.pdf[/URL][/B] [/QUOTE]
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