Document Detail


Diabetes and driving safety: science, ethics, legality and practice.
MedLine Citation:
PMID:  23531955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diabetes affects over 25 million people in the United States, most of whom are over the age of 16 and many of whom are licensed to drive a motor vehicle. Safe operation of a motor vehicle requires complex interactions of cognitive and motor functions and medical conditions that affect these functions often will increase the risk of motor vehicle accidents (MVA). In the case of diabetes, hypoglycemia is the most common factor that has been shown to increase MVA rates. When people with diabetes are compared with nondiabetic controls, systematic analyses show that the relative risk of MVA is increased by between 12% and 19% (Relative Risk Ratio 1.12-1.19). In comparison, the RRR for attention deficit hyperactivity disorder is 4.4 and for sleep apnea is 2.4. Epidemiologic research suggests that patients at risk for hypoglycemia-related MVAs may have some characteristics in common, including a history of severe hypoglycemia or of hypoglycemia-related driving mishaps. Experimental studies also have shown that people with a history of hypoglycemia-related driving mishaps have abnormal counter-regulatory responses to hypoglycemia and greater cognitive impairments during moderate hypoglycemia.
Authors:
Daniel J Cox; Harsimran Singh; Daniel Lorber
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  345     ISSN:  1538-2990     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-27     Completed Date:  2013-05-17     Revised Date:  2014-04-02    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic*
Automobile Driving*
Diabetes Mellitus / physiopathology*
Humans
Safety
Grant Support
ID/Acronym/Agency:
M01 RR000847/RR/NCRR NIH HHS; R01 DK028288/DK/NIDDK NIH HHS; R03 TW000758/TW/FIC NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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