What is Diabetes Canada’s position on driving? 

People with diabetes have the right to be assessed for a license to drive a motor vehicle on an individual basis in accordance with Diabetes Canada guidelines for private and commercial driving.

Read the Diabetes Canada's full position statement on driving and licensing, including background and rationale.

What are Diabetes Canada's recommendations for private or commercial drivers?

Diabetes Canada’s recommendations for private and commercial drivers are outlined in Chapter 21 of the 2018  Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. 

I have been diagnosed with diabetes. Can I keep driving?

Most likely. In consultation with your doctor, a decision will be made as to whether you are medically fit to drive. In assessing the suitability of people with diabetes to drive, medical evaluations document any complications and assess blood glucose (BG) control, including the frequency and severity of any hypoglycemic incidents. 

Diabetes and its complications can affect driving performance due to: 

  • Impaired sensory or motor function
  • Diabetic eye disease (retinopathy)
  • Nerve damage (neuropathy)
  • Kidney disease (nephropathy)
  • Cardiovascular disease (CVD)
  • Peripheral vascular disease and stroke
  • Incidents of hypoglycemia

Motor vehicle licensing authorities can require licensed drivers to be examined for their medical fitness to drive. You should not have difficulty obtaining and maintaining an operator’s license if you: 

  • Properly manage your diabetes;
  • Are able to recognize and treat the early symptoms of hypoglycemia; and
  • Do not have complications that may interfere with your ability to drive.

Do I have to report diabetes to the motor vehicle licensing authority?

Yes. As a rule, anyone applying for a driver’s license must disclose to the motor vehicle licensing authority any disease or disability which may interfere with the safe operation of a motor vehicle. 

Is my doctor required to report that I have diabetes to the motor vehicle licensing authority?

In most jurisdictions, your doctor is required to report anyone he or she considers unfit to drive. For example, with regard to diabetes, this could include someone who is newly diagnosed and just beginning to use insulin, someone who is not recognizing the early symptoms of hypoglycemia (unawareness), someone who has just experienced a severe hypoglycemic reaction, or someone who is not managing diabetes responsibly. 

Can the motor vehicle licensing authority suspend my license?

Yes. It has the authority to issue and to suspend your driver’s license. Your license may be suspended as a result of an accident caused by a hypoglycemic reaction or if your doctor reports a change in your medical condition that may affect your ability to safely operate a motor vehicle. 

The Medical Review Section of the licensing authority reviews each case to determine whether a license will be reinstated. The Medical Review Section will request a report from a diabetes specialist as well as records of self-monitoring blood glucose readings for a specific period of time. Other reports or documents may also be required. 

What is the National Safety Code for Motor Carriers?

The National Safety Code for Motor Carriers sets minimum performance and safety standards for Canadian drivers, including medical standards. The Code creates uniform standards across Canada, so that a driver licensed in one province/territory is considered licensed in all provinces/territories. Medical standards for drivers were developed by medical advisors and provincial and territorial motor vehicle licensing authority administrators. 

What is the Canadian Medical Association’s Physicians’ Guide to Determining Medical Fitness to Drive? 

This handbook is available to physicians to assist them in determining whether their patients are medically fit to drive. Section 7.2, Diabetes Mellitus, was prepared in consultation with Diabetes Canada.

Can I drive a commercial vehicle in Canada? In the United States?

Canadians with diabetes using insulin can be licensed to drive a commercial vehicle in Canada if medical standards can be met. Motor vehicle licensing authorities require a greater level of medical fitness for drivers operating passenger vehicles (e.g. buses/commercial vans), transport trucks and emergency vehicles. Commercial drivers often spend more time driving and often under more adverse conditions than private drivers. 

However, according to the Canada/U.S. Medical Reciprocity Agreement, Canadian drivers with the following medical conditions are currently prohibited from operating commercial vehicles in the U.S. and vice versa:

  • Diabetes requiring insulin
  • Epilepsy, and
  • Profound hearing loss

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