Type 2 diabetes – self monitoring of blood glucose ( SMBG )
Routine SMBG is not indicated in people with Type 2 diabetes unless-they are on insulin OR evidence of hypoglycemic episode OR they are on oral medication which increases the risk of hypoglycemia while driving or operating machinery OR they are pregnant or planning to be pregnant
Short term SMBG can be considered in people with Type 2 diabetes- if they are started on oral or IV corticosteroid OR to confirm suspected hypoglycemia
Type 2 diabetes and Intercurrent illness -People with type 2 diabetes suffering with an intercurrent illness are at increased risk of worsening hypoglycemia
Annual structured assessment self monitoring skills quality and frequency of testing do they know how to interpret bl glucose and what to do impact of SMBG on their QoL continued benefit equipment used.
RESOURCES
DVLA – Assessing fitness to drive: a guide for medical professionals Assessing fitness to drive: a guide for medical professionals – GOV.UK (www.gov.uk)
Driving and diabetes -by Diabetes UK Driving when you have diabetes | Diabetes UK
Diabetes UK on driving and diabetes Driving with Diabetes
Reference Type 2 diabetes in adults: management NICE guideline [NG28]
