Driving and hypoglycemia: driving standards for people with diabetes per the DVLA licensing standards and the European Commission Directive (2006/126/EC and Amending Directive 2009/113/EC)17–19
| European directive | DVLA | |
| Group 1 license | Must not have recurrent severe hypoglycemia. | No more than 1 episode of severe hypoglycemia while awake in the preceding 12 months or the most recent episode occurred more than 3 months ago. |
| Must not have impaired awareness of hypoglycemia. | Adequate awareness of hypoglycemia. | |
| Understanding of the risk of hypoglycemia and adequate control of the condition. | Not regarded as likely risk to public while driving. | |
| Group 2 license | Full hypoglycemic awareness. | Full awareness of hypoglycemia. |
| No severe hypoglycemic events in the previous 12 months. | No episode of severe hypoglycemia in the preceding 12 months. | |
| Adequate control of the condition (demonstrate regular blood glucose monitoring, at least twice daily and at times relevant to driving). | ||
| Understanding of risks of hypoglycemia. | ||
| No other debarring complications of diabetes. | ||
| Severe hypoglycemic event reporting (all categories) | During waking hours, event unrelated to driving should be reported and give rise to reassessment of licensing status. | Following a recent update, current UK severe hypoglycemia event reporting is similar to EU for group 1 licenses (severe hypoglycemia while awake). |
DVLA, Driver and Vehicle Licensing Agency; EU, European Union.