Document Detail


Many diabetic patients with recurrent severe hypoglycemias hold a valid driving license. A community-based study in insulin-treated patients with diabetes.
MedLine Citation:
PMID:  20544569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We studied retrospectively the current driving license status in insulin-treated diabetic patients, who had severe hypoglycemia (SH) within an observation period of one year and who lived in two Finnish communities. METHODS: The episodes of SH were identified from local ambulance registers, the databases of local health care units and from patient questionnaires in 680 insulin-treated diabetic patients. The data on current driving licenses were obtained from local police authorities. RESULTS: Of type 1 and type 2 insulin-treated diabetic patients 31.0 and 12.3 percent, respectively, had at least one self-reported SH, whereas 53 (7.8%) of them reported even three or more episodes of SH. Of insulin-treated patients with clustering of SH 68 percent still held a driving license, and 21percent of them held even a license for commercial vehicles up to 3.5 tons. CONCLUSIONS: Recurrent episodes of SH occur in a minority of insulin-treated diabetic patients. However, two thirds of them still held a valid driving license even for commercial vehicles, which violates the medical standards for diabetes and driving.
Authors:
Mikko Honkasalo; Outi Elonheimo; Timo Sane
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Traffic injury prevention     Volume:  11     ISSN:  1538-957X     ISO Abbreviation:  Traffic Inj Prev     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101144385     Medline TA:  Traffic Inj Prev     Country:  England    
Other Details:
Languages:  eng     Pagination:  258-62     Citation Subset:  IM    
Affiliation:
Nurmijarvi Health Centre, Nurmijarvi, Finland. mikko.honkasalo@nurmijarvi.fi
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MeSH Terms
Descriptor/Qualifier:
Aged
Automobile Driving / legislation & jurisprudence*
Diabetes Mellitus, Type 1 / complications*,  drug therapy
Diabetes Mellitus, Type 2 / complications*,  drug therapy
Female
Finland / epidemiology
Humans
Hypoglycemia / epidemiology*,  etiology
Insulin / therapeutic use*
Licensure / statistics & numerical data
Male
Middle Aged
Questionnaires
Recurrence
Retrospective Studies
Severity of Illness Index
Chemical
Reg. No./Substance:
11061-68-0/Insulin

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


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