Group 2 licence holders ‘must be told’ flash glucose monitoring is not legally recognised

By Editor
25th March 2021
DVLA, Self-monitoring of blood glucose Type 1 diabetes

Healthcare professionals are being urged to warn lorry and bus drivers with type 1 diabetes that flash glucose monitoring is not recognised for Group 2 licence holders.

According to ABCD, there are currently 1,428 drivers in the UK who have type 1 diabetes and also hold a licence for driving a lorry or bus.

Several years ago, the law was changed to allow insulin treated individuals with diabetes to hold a Group Licence and drive (Lorry or Bus). DVLA produced regulation that Group 2 drivers must continue to finger prick test twice a day even when they do not drive.

The DVLA introduced a new system of assessment for these drivers in 2012, which requires an independent specialist in diabetes, who is not routinely involved in day to day care of these individuals, to carry out individual assessment of the person.

Group 2 drivers are required to have three months’ worth of blood glucose readings when they see the independent assessor and this evidence must be recorded on a blood glucose monitor, through finger prick tests.

If Group 2 drivers use flash glucose monitoring, DVLA guidance recommends that these individuals must also continue to test finger prick glucose for driving purposes.  In addition to this, some of these drivers are also being denied test strips by their GPs, unaware of the DVLA guidance.

In a post on the ABCD website Dr Dinesh Nagi said: “ABCD would like to urge specialist diabetes teams to ensure that this guidance is made clear to people who are being given access to FSL for monitoring purpose and primary care colleagues ensure that an ample supply of test strips is being made available.”

Photo by Super Straho on Unsplash

Comments (2)

  1. Niaz Muhammad Khan says:

    No more

  2. Anthony Fisher says:

    One factor that people seem to be unaware of is that many blood glucose meters are very inaccurate. The rules as what qualify are quite lax, something like within 15% for 80% of the time. So a reading of 10 mmoll/ml (180 mg/dl) could actually be 8.5 (153) or 11.5 (207) and for 20% of the time could be even more out!
    The most accurate meter is generally accepted to be the Contour Next with a Mard of around 5. (With Mard the lower the number the better).

    I have an article on my blogsite bgonmywatch.com called “Calibration needs accurate blood glucose meters” that goes in to this in more detail with links to various meter surveys.

    Given the danger of driving with a hypo this problem should be addressed by making sure only the most accurate meters are used. In my view it is hard to understand why some meters are allowed when much more accurate ones are available. Maybe Diabetes Times should take this issue up? The current rules date back to before more efficient meters were developed.

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