Driving Mishaps Among Individuals With Type 1 Diabetes: A prospective study

摘要: OBJECTIVE 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 occurrence of apparent neuroglycopenia-related performance impairments. RESEARCH DESIGN AND METHODS completed initial screening 452 from three geographically diverse centers who then reported monthly occurrences “mishaps,” including collisions, citations, losing control, automatic driving, someone else taking over moderate or severe hypoglycemia while driving. RESULTS Over 12 months, 52% at least one hypoglycemia-related mishap 5% six more. These mishaps were related to mileage driven, history hypoglycemia, use insulin pump therapy. CONCLUSIONS Many individuals report events. Clinicians should explore recent experiences risk future