A 35-year-old woman with a 12-year history of type 1 diabetes mellitus was reviewed in the multidisciplinary pump clinic, because her diabetes was treated with an insulin pump. She had a group 2, C1 lorry-driving licence.
Specific driving-related questioning showed that she kept fast-acting carbohydrate in her vehicles and she reported good hypoglycaemic warnings. Data downloaded from her pump indicated significant variability in her blood glucose readings with few results below 2 mmol/L. She declared that this happened occasionally and she was able to explain the events.
According to implementation by the UK of the Third European Union Directive on driving, what is the most appropriate advice?
A . her licence must be surrendered immediately until further assessment
B . she can continue to drive
C . she must appear before a Driver and Vehicle Licensing Agency-accredited diabetes specialist for assessment within 1 month
D . she must surrender her licence for 6 months
E . she should stop driving voluntarily until blood glucose levels increase
Answer: B
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