Please prepare the following for your appointment:

  1. Request Letter for an Endocrinology Report from VicRoads (this will be issued by VicRoad following submission of the VicRoads Medical Report by your GP) or a VicRoads Medical Report form
  2. Bring in all your current glucometer(s) and blood glucose monitoring records with at least 1 month blood sugar recordings (at least 3 months for commercial vehicle drivers on insulin)
  3. Recent blood tests result within the last 3 months


Measures to comply with Assessing Fitness to Drive medical standards for licensing and clinical management guidelines

Avoid Hypoglycaemia
Appropriate precautionary steps to help avoid a ‘severe hypoglycaemic event’:

  1. Not driving if your blood glucose is less than 5 mmol/L
  2. Not driving for more than two hours without considering having a snack
  3. Not delaying or missing a main meal
  4. Self-monitoring blood glucose levels before driving and every two hours during a journey, as reasonably practical
  5. Carrying adequate glucose in the vehicle for self-treatment
  6. Treating mild hypoglycaemia if symptoms occur while driving including:
  • safely steering the vehicle to the side of the road
  • turning off the engine and removing the keys from the ignition
  • self-treating the low blood glucose
  • checking the blood glucose levels 15 minutes or more after the hypoglycaemia has been treated and ensuring it is above 5 mmol/L
  • not recommencing driving until feeling well and until at least 30 minutes after the blood glucose is above 5 mmol/L.

 

Satisfactory Control of Diabetes and Associated Complications to meet National Medical Standards

  • Regular monitoring with 1-3 months of blood glucose monitoring records
  • No recent severe hypoglycaemia episode (i.e. able to treat hypoglycaemia on his own without requiring a third party, no hypoglycaemic complicated by loss of consciousness or seizures) in the last 6 weeks
  • Maintenance of hypoglycaemia awareness
  • No/minimal sensory peripheral neuropathy and intact peripheral pulses
  • No known ischaemic heart disease or known stable ishaemic heart disease managed by a cardiologist
  • No symptoms suggestive of sleep apnoea such as daytime somnolence or known stable and treated sleep apnoea managed by a sleep physician

Reference: Austroads Assessing fitness to drive for commercial and private vehicles drivers. Medical standards licensing and clinical management guidelines. Dec 2016.