The ABCD (association of diabetologists) suggest that for a Group 1 licence, where a patient’s home monitoring results show blood glucose levels of below 3mmol/L but reports no symptoms, this should be classed as hypoglycaemia unawareness. If hypoglycaemia below 3mmol/L without any awareness is typical of a patient’s hypos, then this may be classed as completely unaware and the patient should report this to the DVLA and be advised not to drive. When blood glucose levels are below 3 and there are no symptoms, cognitive dysfunction during the hypoglycaemia is likely to be present and there is a risk of severe hypos. People with these types of hypos should be referred to specialist care for a review of their regime.
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