رجل عمره ٥٩ سنة عنده سكري منذ ٢٥ سنة، صار لا يشعر بأعراض الهبوط، ووُجد مرتين مشوشاً وسكره ٤٠ بدون رعشة أو تعرق. يقود سيارته للعمل يومياً. ما النصيحة الأهم؟

A 59-year-old man with diabetes for 25 years has lost hypoglycaemia awareness and has twice been found confused with glucose 40 without tremor or sweating. He drives to work daily. What is the most important advice?

1. Stop all diabetes medicines to avoid any future hypoglycaemia
2. Check glucose before driving and do not drive if low
3. Eat sweets while driving instead of checking glucose
4. Drive as usual because he has had no accident so far

Answer: B) Check glucose before driving and do not drive if low. Hypoglycaemia unawareness is dangerous, especially when driving. Test before driving, carry fast sugar and review the regimen to avoid lows; CGM may help.