Question about medical condition

 
  S308 Station Master

I've become increasingly interested in trains over the past few months, and it's reached the stage where I'd like to make a career move into the railways with the ultimate aim of becoming a driver.

Now I can see only one possible major barrier in the way - I'm a type 1 diabetic. I've already spent my life dealing with the fact that that precludes me from becoming a commercial airline pilot. Can anyone tell me if that is going to prevent me from becoming a loco driver as well?

Cheers.

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  seb2351 Chief Commissioner

Location: Sydney
I've become increasingly interested in trains over the past few months, and it's reached the stage where I'd like to make a career move into the railways with the ultimate aim of becoming a driver.

Now I can see only one possible major barrier in the way - I'm a type 1 diabetic. I've already spent my life dealing with the fact that that precludes me from becoming a commercial airline pilot. Can anyone tell me if that is going to prevent me from becoming a loco driver as well?

Cheers.
"S308"

This is the information I gathered from the NTC Website
MEDICAL CRITERIA FOR SAFETY CRITICAL WORKERS - DIABETES
CONDITION CRITERIA

Diabetes controlled by diet alone
A person with Diabetes controlled by diet alone, without severe complications, may perform Safety Critical Work. They should be reviewed periodically regarding progression of the illness.

Non-Insulin Requiring Type 2 Diabetes Mellitus
The criteria for Fit for Duty are not met:
• If the person has Non-Insulin Requiring Diabetes Mellitus on oral hypoglycaemic agents or with severe complications.
Fit for Duty Subject to Review may be recommended, taking into account the opinion of a specialist in diabetes or endocrinology and the nature of the work if:
• the condition is well controlled and the person is compliant with treatment; and
• there is an absence of defined hypoglycaemic episodes as assessed by the specialist;
and
• the person has awareness (sensation) of hypoglycaemia; and
• the person is taking agents that provide the minimum risk of hypoglycaemia; and
• there is an absence of end organ effects that may affect working per these Standards.
A person may be classified Fit for Duty Subject to Review pending review by a specialist if there is sufficient evidence that the person is well-controlled, including discussion with the persons treating doctor/general practitioner, with their consent.

Insulin-Requiring Diabetes Mellitus (both Types 1 and 2)
The criteria for Fit for Duty are not met:
• If the person has Insulin Requiring Diabetes Mellitus.
Fit for Duty Subject to Review may be recommended, taking into account the opinion of a specialist in diabetes or endocrinology and the nature of the work (avoidance of collapse is particularly important in Category 1 tasks) and subject to at least annual review if:
• the condition is well controlled and the person is compliant with treatment; and
• there is an absence of defined hypoglycaemic episodes as assessed by the specialist;
and
• the person has awareness (sensation) of hypoglycaemia; and
• the person is taking agents that provide the minimum risk of hypoglycaemia; and
• the person maintains a diary of blood sugar levels; and
• there is an absence of end organ effects that may affect working per these Standards.
A person may be classified Fit for Duty Subject to Review pending review by a specialist if there is sufficient evidence that the person has diabetes which is well-controlled. This may require discussion with the person’s treating doctor/general practitioner with their consent.
Fitness for duty subject to job modification, such as altered rosters or two person crews may be considered.
In the event of a defined hypoglycaemic episode occurring in a person with previously well controlled diabetes they should be immediately classed Temporarily Unfit for Duty,
"NTC Website"


You can read more and find out more about the required health standards by looking at their website and looking over this publication...
  S308 Station Master

Thanks for tracking that down seb, I wasn't sure where to find it myself.

So basically it says as long as my specialist agrees that I'm well controlled and I meet a few other conditions (which are part of being a diabetic anyway) then I'm in with a shot. This is good news. Very Happy

Thanks again.
  ryan_m Locomotive Fireman

Location: Caringbah,Sydney, NSW
Can anyone give thoughts on obtaining a guards position after having suffered a sleep seizure 7 years ago and another sleep seizure 3 years ago and is controlled by medication. Doctors have told me I can come off the medication but I have remained on it as a precaution and for peace of mind.
  seb2351 Chief Commissioner

Location: Sydney
Can anyone give thoughts on obtaining a guards position after having suffered a sleep seizure 7 years ago and another sleep seizure 3 years ago and is controlled by medication. Doctors have told me I can come off the medication but I have remained on it as a precaution and for peace of mind.
"ryan_m"


Have a read through the document link I posted. It will specify the conditions that will lead to a pass and fail. Guards come under a category 2 health rating if that helps you Smile

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