The main concern for licensing authorities is the possibility of hypoglycaemia (low blood glucose) while driving. Diabetes-related complications like eye or feet problems are also of a concern as it affects your ability to drive safely. Read more about diabetes and driving or watch our video. Diabetes and driving This booklet provides guidance on driving if you have diabetes and the steps you can take to prevent low blood glucose while driving to ensure road safety. Download Diabetes and driving quick guide This quick guide answers common questions about diabetes and driving and provides information on where to get support. Available in other languages Download Diabetes and driving quick guide video This video answers common questions about diabetes and driving and provides information on where to get support. Available in other languages Watch now Fitness to drive guidelines In October 2016, new medical standards came into effect for drivers of both private and commercial vehicles. The new standards are contained in the Austroads document Assessing Fitness to Drive 2016. Although there are national ‘Fitness to Drive’ guidelines, all states have slightly different regulations and requirements to assess people with diabetes’ fitness to drive. The guidelines attempt to balance the safety of all road users and any unfairness against people with diabetes. For more information, refer to your local licensing agency for specific guidelines and the national guidelines for driving. Do not drive under 5mmol/L. Obtaining a driver’s licence If you have diabetes, you need to provide a medical report before a driver’s licence or learner permit can be issued. This report should be from your treating doctor or diabetes specialist stating that a medical examination has been performed and you have been assessed as fit to drive. Inform the licensing authorities If you develop diabetes you must inform the driver licensing authorities in your state or territory. In most cases, if you manage your diabetes by insulin you will require a medical certificate every two years. If you manage it by tablet, every five years. If you manage your diabetes by diet and physical activity alone—you are still required to inform them. If you are required to notify the authorities but do not, you could be charged with driving offences if you have a driving accident. Informing your motor vehicle insurer If you are diagnosed with diabetes you should inform your motor vehicle insurer to prevent problems with insurance claims.