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Testing on alogliptin
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<blockquote data-quote="HSSS" data-source="post: 2661382" data-attributes="member: 480869"><p>This comes up now and again because the leaflets are a bit vague. Usually it’s in relation to gliclizide but it seems to apply to any diabetes medication that can cause hypoglycaemia. The standard leaflets are <a href="https://assets.publishing.service.gov.uk/media/5d8b92dc40f0b6098d33fefe/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf" target="_blank">https://assets.publishing.service.gov.uk/media/5d8b92dc40f0b6098d33fefe/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf</a> for insulin users which also does explain when to test in relation to driving and <a href="https://assets.publishing.service.gov.uk/media/5cb4542f40f0b668699e253f/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf" target="_blank">https://assets.publishing.service.gov.uk/media/5cb4542f40f0b668699e253f/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf</a> for everyone else</p><p></p><p>If you are on gliclazide or other meds that carry a risk of hypos you should have testing equipment provided as it’s necessary for driving within the law as well as the direct risks of the hypo. Look at NICE NG28 <a href="https://www.nice.org.uk/guidance/ng28" target="_blank">https://www.nice.org.uk/guidance/ng28</a> and in there is guidance for drs <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1084397/assessing-fitness-to-drive-may-2022.pdf" target="_blank">https://assets.publishing.service.g...84397/assessing-fitness-to-drive-may-2022.pdf</a> which says (the bold is mine to highlight the relevant parts) </p><p></p><p></p><p></p><p>The below official documents also say you should test before driving on hypo causing medications. Should you have a driving incident and be found to be hypoglycaemic then you are potentially liable for driving whilst unfit due to drugs (the diabetes prescribed ones), careless or dangerous driving as a result. It could and should be clearer on the usual leaflet for non insulin users but that makes no mention of testing one way or other. </p><p></p><p><a href="https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence#hypomeds" target="_blank">https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence#hypomeds</a> (says to ask your medics if you are at risk of hypos and they are advised to tell you to test as above)</p><p></p><p><a href="https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence" target="_blank">https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence</a>. Scroll half way down the page to rules for group 1 and “Other medication that can cause hypos (like sulphonylureas)</p><p></p><p><a href="https://gpnotebook.com/en-GB/pages/paediatrics/non-insulin-diabetes-mellitus-and-driving" target="_blank">https://gpnotebook.com/en-GB/pages/paediatrics/non-insulin-diabetes-mellitus-and-driving</a> is a guide for drs which has in their bold for hypo causing drugs “<strong>should practise appropriate glucose monitoring at times relevant to driving”</strong></p></blockquote><p></p>
[QUOTE="HSSS, post: 2661382, member: 480869"] This comes up now and again because the leaflets are a bit vague. Usually it’s in relation to gliclizide but it seems to apply to any diabetes medication that can cause hypoglycaemia. The standard leaflets are [URL]https://assets.publishing.service.gov.uk/media/5d8b92dc40f0b6098d33fefe/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf[/URL] for insulin users which also does explain when to test in relation to driving and [URL]https://assets.publishing.service.gov.uk/media/5cb4542f40f0b668699e253f/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf[/URL] for everyone else If you are on gliclazide or other meds that carry a risk of hypos you should have testing equipment provided as it’s necessary for driving within the law as well as the direct risks of the hypo. Look at NICE NG28 [URL]https://www.nice.org.uk/guidance/ng28[/URL] and in there is guidance for drs [URL='https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1084397/assessing-fitness-to-drive-may-2022.pdf']https://assets.publishing.service.g...84397/assessing-fitness-to-drive-may-2022.pdf[/URL] which says (the bold is mine to highlight the relevant parts) The below official documents also say you should test before driving on hypo causing medications. Should you have a driving incident and be found to be hypoglycaemic then you are potentially liable for driving whilst unfit due to drugs (the diabetes prescribed ones), careless or dangerous driving as a result. It could and should be clearer on the usual leaflet for non insulin users but that makes no mention of testing one way or other. [URL]https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence#hypomeds[/URL] (says to ask your medics if you are at risk of hypos and they are advised to tell you to test as above) [URL]https://www.diabetes.org.uk/guide-to-diabetes/life-with-diabetes/driving/driving-licence[/URL]. Scroll half way down the page to rules for group 1 and “Other medication that can cause hypos (like sulphonylureas) [URL]https://gpnotebook.com/en-GB/pages/paediatrics/non-insulin-diabetes-mellitus-and-driving[/URL] is a guide for drs which has in their bold for hypo causing drugs “[B]should practise appropriate glucose monitoring at times relevant to driving”[/B] [/QUOTE]
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