A 55-year-old man with poorly controlled type 2 diabetes on basal-bolus insulin admits to having had several episodes of severe hypoglycaemia requirin...

Question

A 55-year-old man with poorly controlled type 2 diabetes on basal-bolus insulin admits to having had several episodes of severe hypoglycaemia requiring third-party help in the last 6 months, but he continues to drive and has not informed the DVLA. What should the doctor do?

Accepted Answer

Advise him to stop driving and inform the DVLA; if he refuses, disclose relevant information to the DVLA in the public interest

Answer

Reassure him and take no further action

Answer

Tell him to reduce his insulin dose but continue driving

Answer

Advise him to inform his employer only

Answer

Prescribe glucose tablets and do nothing else

uk-plab-1 MCQ (SBA): Fitness to drive in insulin-treated diabetes

A 55-year-old man with poorly controlled type 2 diabetes on basal-bolus insulin admits to having had several episodes of severe hypoglycaemia requiring third-party help in the last 6 months, but he continues to drive and has not informed the DVLA. What should the doctor do?