TP 13312

•	Foreword
•	Section 1
•	Section 2
•	Neurology
•	Cardiovascular
•	Diabetes
•	Asthma
•	Other Policies
•	Contacts
•	Alternate Formats

Non Insulin Treated Applicants With Diabetes Mellitus (DM)

1. Those applicants who can control their blood glucose by diet alone may be considered fit for all categories of licence, provided they have no cardiovascular, neurological, ophthalmological or renal complications of DM which could result in sudden or subtle incapacitation while exercising the privileges of their licence. 
     
2. Applicants who require oral hypoglycemic agents to control their blood glucose may be considered for medical certification providing certain criteria can be met. These criteria are:
     
   1. No episode of hypoglycemia requiring intervention by others in past 12 months.
        
   2. The Applicants must have taken the hypoglycemic agent for a minimum of 6 months (3 months in the case of metformin and the thiolipinogones), and the dosage should have been stable for at least 3 months.
        
   3. There must be evidence of stable blood glucose control for at least 3 months as measured by; 
       
      1. Glycated Hb (patient/upper normal ratio less than 2.0)
            
      2. Blood glucose metering shows 90% of values greater than 5.5 mmol/L.
           
   4. No neurological, cardiovascular, ophthalmological or renal complications of DM that could result in sudden or subtle incapacitation while exercising the privileges of the licence. 
        
   5. Blood glucose monitoring will be carried out using a memory chip glucose meter. This equipment together with a readily absorbable source of glucose will be carried by the applicant while exercising the privileges of the licence.
        
   6. A vision care specialist assessment is required on initial application and every year thereafter. 
        
   7. A cardiovascular assessment to include an exercise electrocardiogram is required at the age of 40 and then 5 yearly to age 50. After the age of 50 it should be completed every two years. A resting ECG will be required yearly.