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What happens if you drive a vehicle over 3.5 ton but under 7.5ton. Type2 with insulin?

I spend five or six months of the year on the continent , driving a vehicle in excess of 3.5 ton , not HGV, and as I understand it being Insulin dependant seriously compromises your license and insurance. GP says that other alternative medications would need to be discussed with a Consultant...

Been T2 for 14 years and reasonably well controlled. Came off Metformin last year and put on to sitagliptin. Levels now around 13/14 . GP says nothing else left to try due to my cardiac and kidney issues. He says insulin is all that's left, is this true?