Motor vehicle driving and diabetes mellitus – medical aspects
Authors:
Jan Brož 1; Lenka Syčová Kriváňová 1; Zuzana Fedáková 1; Lilit Petrosyan 2; Milan Kvapil 1; Jan Polák 3
Authors‘ workplace:
Intení klinika 2. LF UK a FN Motol, Praha
1; Yerevan State Medical University, Armenia
2; Centrum pro výzkum diabetu, metabolizmu a výživy 3. LF UK a FN Královské Vinohrady, Praha
3
Published in:
Vnitř Lék 2016; 62(3): 223-225
Category:
Reviews
Overview
Diabetes mellitus is a disease which may affect the eligibility to hold a driving license and increase the risk of a road accident. Hypoglycemia while driving is considered to be the most risky situation, with diabetes increasing the mentioned risk for instance due to impaired vision in the case of possible retinopathy. The group of drivers with diabetes being at the greatest risk as to accidents are those with a case history of severe hypoglycemia or hypoglycemia occurred while driving, or possibly of a road accident. Measuring glycaemia before driving and their knowledge how to prevent and treat hypoglycemia – those are the two crucial preventive elements indispensable for insulin treated diabetes patients in order to secure safe road traffic.
Key words:
diabetes mellitus – driving – hypoglycemia
Sources
1. Skurtveit S, Strom H, Skrivarhaug T et al. Road traffic accident risk in patients with diabetes mellitus receiving blood glucose-lowering drugs. Prospective follow-up study. Diabet Med 2009; 26(4): 404–408.
2. Stevens AB, Roberts M, McKane R et al. Motor vehicle driving among diabetics taking insulin and non-diabetics. BMJ 1989; 299(6699): 591–595.
3. Songer TJ, LaPorte RE, Dorman JS et al. Motor vehicle accidents and IDDM. Diabetes Care 1988; 11(9): 701–707.
4. Cox DJ, Kovatchev B, Vandecar K et al. Hypoglycemia preceding fatal car collisions. Diabetes Care 2006; 29(2): 467–468.
5. Songer TJ, Dorsey RR. High risk characteristics for motor vehicle crashes in persons with diabetes by age. Annu Proc Assoc Adv Automot Med 2006; 50: 335–351.
6. Cox DJ, Penberthy JK, Zrebiec J et al. Diabetes and driving mishaps: frequency and correlations from a multinational survey. Diabetes Care 2003; 26(8): 2329–2334.
7. Cox DJ, Ford D, Gonder-Frederick L et al. Driving mishaps among individuals with type 1 diabetes: a prospective study. Diabetes Care 2009; 32(12): 2177–2180.
8. Campbell LK, Gonder-Frederick LA, Broshek DK et al. Neurocognitive Differences Between Drivers with Type 1 Diabetes with and without a Recent History of Recurrent Driving Mishaps. Int J Diabetes Mellit 2010; 2(2): 73–77.
9. Cox DJ, Gonder-Frederick LA, Shepard JA et al. Driving safety: concerns and experiences of parents of adolescent drivers with type 1 diabetes. Pediatr Diabetes 2012; 13(6): 506–509.
10. Cox DJ, Ford D, Gonder-Frederick L et al. Driving mishaps among individuals with type 1 diabetes: a prospective study. Diabetes Care 2009; 32(12): 2177–2180.
11. Redelmeier DA, Kenshole AB, Ray JG. Motor vehicle crashes in diabetic patients with tight glycemic control: a population-based case control analysis. PLoS Med 2009; 6(12): e1000192. Dostupné z DOI: http://dx.doi.org/10.1371/journal.pmed.1000192.
12. Pedersen-Bjergaard U, Færch L, Allingbjerg ML et al. The Influence of new European Union driver’s license legislation on reporting of severe hypoglycemia by patients with type 1 diabetes, Diabetes Care 2015; 38(1): 29–33.
13. Brož J, Brabec M, Janíčková Žďárská D et al. Fear of driving license withdrawal in insulin-treated diabetes mellitus patients negatively influences their decision to report severe hypoglycemic events to physicians. Patient Prefer Adherence 2015; 9: 1367–1370. Dostupné z DOI: http://dx.doi.org/10.2147/PPA.S87393.
14. Cox DJ, Gonder-Frederick LA, Kovatchev BP et al. The metabolic demands of driving for drivers with type 1 diabetes mellitus. Diabetes Metab Res Rev 2002; 18(5): 381–385.
15. Warren RE, Frier BM. Hypoglycaemia and cognitive function. Diabetes Obes Metab 2005; 7(5): 493–503.
16. Inkster B, Frier BM. The effects of acute hypoglycaemia on cognitive function in type 1 diabetes. Br J Diabetes Vasc Dis 2012; 12(5): 221–226. Dostupné z DOI: http://dx.doi.org/10.1177/1474651412466273.
17. McCrimmon RJ, Deary IJ, Huntly BJ et al. Visual information processing during controlled hypoglycaemia in humans. Brain 1996; 119(Pt 4): 1277–1287.
18. Cox DJ, Gonder-Frederick L, Clarke W. Driving decrements in type I diabetes during moderate hypoglycemia. Diabetes 1993; 42(2): 239–243.
19. Cox D, Gonder-Frederick L, Kovatchev B et al. Progressive hypoglycemia’s impact on driving simulation performance. Occurrence, awareness and correction. Diabetes Care 2000; 23(2): 163–170.
20. Zammitt NN, Warren RE, Deary IJ et al. Delayed recovery of cognitive function following hypoglycemia in adults with type 1 diabetes: effect of impaired awareness of hypoglycemia. Diabetes 2008; 57(3): 732–736.
21. Sommerfield AJ, Deary IJ, Frier BM. Acute hyperglycemia alters mood state and impairs cognitive performance in people with type 2 diabetes. Diabetes Care 2004; 27(10): 2335–2340.
22. Cox DJ, Kovatchev BP, Gonder-Frederick LA et al. Relationships between hyperglycemia and cognitive performance among adults with type 1 and type 2 diabetes. Diabetes Care 2005; 28(1): 71–77.
23. Yale SH, Hansotia P, Knapp D et al. Neurologic conditions: assessing medical fitness to drive. Clin Med Res. 2003; 1(3): 177–188.
24. Inkster B, Frier BM. Diabetes and driving. Diabetes Obes Metab 2013; 15(9): 775–783.
25. Assessing fitness to drive: a guide for medical professionals. Driver and Vehicle Licensing Agency (DVLA): Swansea 2014. Dostupné z WWW: https://www.gov.uk/guidance/assessing-fitness-to-drive-a-guide-for-medical-professionals.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2016 Issue 3
Most read in this issue
- Victoza changes diabetes and lives of patients 5 years already
- Diabetes mellitus and pancreas cancer
- Motor vehicle driving and diabetes mellitus – medical aspects
- Obesity paradoxes