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Renewing driving licence at 70 - Form D4 - Metformin

Discussion in 'Driving and DVLA' started by LittleGreyCat, Aug 21, 2020.

  1. LittleGreyCat

    LittleGreyCat Type 2 · Well-Known Member

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    I need to get my licence renewed and as I have categories C1 and D1 (small lorry and non-commercial minibus) which I don't want to lose I need to fill in forms D2 and D4.

    Covid-19 is as usual throwing a spanner in the works as the DVLA forms haven't been sent out automatically, and Form D2 can only be sent by post (I have applied on line).

    I am using form D1 (available at your local Post Office).

    This brings us to Form D4 (downloaded) which is the medical check up.

    Section 2 is for Diabetes Mellitus.
    Question 1 is about diabetes management. Items (a) to (e) all list various medication.
    Item (e) is oral hypoglycemic agents and diet. I assume this includes Metformin.
    Item (f) is Diet only.

    The confusing thing is Question 2.
    It gives a whole list of testing actions and things to have available in case of a hypo.
    As far as I know a T2 on diet or diet + Metformin doesn't need to do any of this testing before, during or after driving.
    So logically the answer to every item is NO.
    However this doesn't feel right.

    Question 3 "Is there a full awareness of hypoglycemia?".
    Again the answer is NO because I've never had a hypo, nor would I expect to.

    Bottom line - can someone who has already filled this form out reassure me that answering NO to both testing and hypo awareness is fine if you are on diet and Metformin.

    I assume someone looks at it all and goes "Metformin? OK that's fine.".
     
  2. ringi

    ringi Type 2 · Well-Known Member

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    I think "oral hypoglycemic agent" only covers drugs that create a risk of hypos.
     
    • Agree Agree x 1
    #2 ringi, Aug 22, 2020 at 12:40 AM
    Last edited: Aug 22, 2020
  3. DCUKMod

    DCUKMod I reversed my Type 2 · Master
    Staff Member Administrator

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    LittleGrayCat - You could try ringing the Diabetes UK helpline. They have usually encountered most situations on these common forms.

    https://www.diabetes.org.uk/how_we_help/helpline

    Contact details are here:

    upload_2020-8-22_10-36-19.png
     
    • Like Like x 2
  4. LittleGreyCat

    LittleGreyCat Type 2 · Well-Known Member

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    https://www.diabetes.co.uk/diabetes-medication/diabetes-and-oral-hypoglycemics.html
    includes Biguanides.
    https://www.diabetes.co.uk/diabetes-medication/biguanides.html
    says:
    "The only available biguanide medication is metformin, which is commonly used as a first-line treatment for type 2 diabetes (i.e. the first option for type 2 diabetics who are unable to control their blood sugars through diet and exercise alone)."

    I thought that that only drugs with a Hypo risk were notifiable to DVLA, which I still think is correct.

    I was surprised to see that Metformin was classed as an oral hypoglycemic.

    However the flow of the Medical assessment doesn't skip around the questions about testing and hypo awareness even if you re on diet alone.

    I think that I may be too logical for this form.
     
  5. LittleGreyCat

    LittleGreyCat Type 2 · Well-Known Member

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    @DCUKMod Good idea. I'll ring them on Monday.
     
    • Friendly Friendly x 1
  6. Mr_Pot

    Mr_Pot Type 2 · Well-Known Member

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    According to this you don't need a form D4 at the moment.
    https://www.gov.uk/renew-lorry-bus-coach-licence/45-or-over
     
  7. LittleGreyCat

    LittleGreyCat Type 2 · Well-Known Member

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