Table 2

DVLA recommendations and requirements for diabetes treated with insulin17 23 24

Insulin-treated diabetesGroups 1 and 2‘Blood glucose testing no more than 2 hours before the start of the first journey’ and ‘every 2 hours fwhile driving’.
‘if your blood glucose is 5.0 mmol/L or less, take a snack. If it is less than 4.0 mmol/L or you feel hypoglycaemic do not drive’.
‘must not start driving again until 45 min after the blood glucose has returned to normal’.
‘particular care should be taken during changes of insulin regimens, change of lifestyle, exercise, travel and pregnancy’.
Oral hypoglycemic agents (eg, insulin secretagogues such as sulfonylureas and glinides)Group 1Do not need to notify DVLA provided:
  • ‘no more than one episode of severe hypoglycaemia in the last 12 month

  • if needed, detection of hypoglycaemia is by appropriate blood glucose monitoring at times relevant to driving and clinical factors, including frequency of driving

  • under regular review’.

Group 2‘regular self-monitoring of blood glucose – at least twice daily and at times relevant to driving i.e. no more than 2 hours before the start of the first journey and every 2 hours while driving’.
Diabetes managed by other medication (including non-insulin injectables)Groups 1 and 2No specific notification and monitoring requirements have been provided and only general requirements apply.
  • DVLA, Driver and VehicleLicensing Agency.