Driving mishaps among individuals with type 1 diabetes: a prospective study.

Diabetes Care
Daniel J CoxLee Ritterband

Abstract

Hypoglycemia-related neuroglycopenia disrupts cognitive-motor functioning, which can impact driving safety. Retrospective studies suggest that drivers with type 1 diabetes experience more collisions and citations than their nondiabetic spouses. We present the first prospective data documenting the occurrence of apparent neuroglycopenia-related driving performance impairments. We completed the initial screening of 452 drivers from three geographically diverse centers who then reported monthly occurrences of driving "mishaps," including collisions, citations, losing control, automatic driving, someone else taking over driving, and moderate or severe hypoglycemia while driving. Over 12 months, 52% of the drivers reported at least one hypoglycemia-related driving mishap and 5% reported six or more. These mishaps were related to mileage driven, history of severe hypoglycemia, and use of insulin pump therapy. Many individuals with type 1 diabetes report hypoglycemia-related driving events. Clinicians should explore the recent experiences with hypoglycemia while driving and the risk of future events.

References

Aug 27, 1999·JAMA : the Journal of the American Medical Association·W L ClarkeB Kovatchev
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Jan 31, 2006·Diabetes Care·Daniel J CoxWilliam Clarke

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Citations

Mar 3, 2011·JAMA : the Journal of the American Medical Association·Matthew Rizzo
Aug 7, 2012·Obesity Surgery·Jacques HimpensJan-Willem Greve
Jan 4, 2013·Diabetes Care·Daniel LorberAlan L Yatvin
May 15, 2015·Postgraduate Medicine·Mikala DømgaardBirger Thorsteinsson
Mar 28, 2013·The American Journal of the Medical Sciences·Daniel J CoxKathie Hermayer
Jan 29, 2013·Diabetes, Obesity & Metabolism·B Inkster, B M Frier
Dec 12, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·E S KilpatrickS L Atkin
Jun 5, 2014·Clinical Cardiology·Vani P SanonRobert Chilton
May 11, 2016·Journal of Emergencies, Trauma, and Shock·Ayman El-MenyarHassan Al-Thani
Oct 8, 2015·Canadian Journal of Diabetes·Robyn L HouldenJean-François Yale
Dec 4, 2010·International Journal of Diabetes Mellitus·Laura K CampbellDaniel J Cox
Jan 4, 2012·Diabetes Care·Daniel LorberAlan L Yatvin
Jan 11, 2011·Diabetes Care·Boris P KovatchevLinda Gonder-Frederick
Feb 25, 2011·Diabetes Care·Linda A Gonder-FrederickDaniel J Cox
Dec 21, 2013·Diabetes Care·Daniel LorberAlan L Yatvin
Jun 30, 2016·International Journal of Clinical Practice·S HostiucM Hostiuc
Jun 10, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·J GrabmanL Gonder-Frederick
Jan 8, 2011·Diabetes & Metabolism·S Halimi
Oct 6, 2010·Journal of Diabetes Science and Technology·Adrienne A NassarCurtiss B Cook
Jan 30, 2014·The Annals of Pharmacotherapy·Amanda Hetland, David B Carr
Apr 14, 2017·Diabetes Care·Daniel J CoxWilliam Clarke
Sep 18, 2015·Medicine, Science, and the Law·Vincent Marks
Jun 15, 2018·Pediatric Diabetes·Fergus J CameronEthel Codner
Oct 17, 2019·Traffic Injury Prevention·Pranamesh ChakrabortyMatthew Rizzo
Aug 10, 2015·Clinical Diabetes and Endocrinology·Alex J Graveling, Brian M Frier
Jun 20, 2017·Journal of Diabetes Science and Technology·Linda A Gonder-FrederickZachary R McElgunn
Jul 16, 2017·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Janice L Gilden
Jun 1, 2021·Primary Care Diabetes·Shaza Samargandy, Arwa ALJadani
Jan 1, 2019·International Journal of Automotive Engineering·Jennifer MerickelMatthew Rizzo
Jul 18, 2021·Diabetes Research and Clinical Practice·Rafaela Fenalti SallaBeatriz D Schaan
Sep 29, 2021·Indian Journal of Ophthalmology·Piyush KohliKim Ramasamy
Aug 11, 2020·Journal of Patient Safety·Laura LohanCyril Breuker
Nov 24, 2020·Diabetes Spectrum : a Publication of the American Diabetes Association·Alissa J RobertsJoyce P Yi-Frazier

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