We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hypoglycemia and Driving Mishaps in Japan.
- Authors
Yasuda, Keigo; Hayashi, Makoto; Yamakita, Noriyoshi; Takeda, Noriyuki
- Abstract
Intensive blood glucose control in diabetes is accepted throughout the world as a result of DCCT. Although it may increase in the occurrence of hypoglycemia, no clear data are available on the relationship between hypoglycemia and driving mishaps. Total of 1009 (749 male and 246 female) diabetics without visual impairment visiting to 16 diabetes specialty outpatient clinics (20∼86 yrs, 58.3±11.3 yrs, M±SD, 118 type 1,862 type 2 and 26 other types of diabetes, 556 treate with insulin, 360 with sulfonylurea or glinide, and 90 patients with the other oral antidiabetics and diet) completed the questionnaire consisting of 42 items on driving situation and hypoglycemia in the last 2 years. The mean age and HbA1c of type 1 diabetes (45.5 ± 13.7 yrs and 7.7 ± 1.4%) and type 2 diabetes (60.0 ± 10.4 yrs and 7.2 ± 1.1%) were significantly different (P<0.001). Statistical analysis was performed by Category and Advanced Model of SPSS. Mean driving km per year in type I diabetes was significantly shorter than type 2 diabetes (5400 and 6600 km/yr, P<0.01). Out of 1009 patients 450 had experience of hypoglycemia. The hypoglycemia during driving was observed in 93 patients out of 450 patients (21.0%). Of them, crash and violations due to hypoglycemia were 5 (4 type 1 and 1 type 2 diabetes) (5.4%) and 21 (22.6%), respectively. There were no significant differences between sex and also between types of diabetes (Chi square test). Categorical regression analysis was performed specifying crash due to hypoglycemia as dependent variable and 10 factors (age, sex, type of diabetes, treatment, HbA1c, driving km/yr, hypoglycemia frequency, hypoglycemia unawareness, hypoglycemia needed assistance, hypoglycemia with impaired consciousness) as independent variables. Four factors, hypoglycemia unawareness, hypoglycemia with impaired consciousness, driving km/yr and HbA1c, in this order (P=0.001∼0.016), significantly associated with crash during hypoglycemia. Odds ratios of these variables were 80.5, 7.1,3.7, and 2.7, respectively. Patients with type 1 diabetes might control themselves from driving. This study indicates that ascertainment of the high risk patients and immediate measures to them including educatin are important to prevent driving mishaps in diabetes.
- Subjects
HYPOGLYCEMIA; TRAFFIC accidents; PEOPLE with diabetes; DIABETES; HYPOGLYCEMIC agents; MOTOR vehicle driving
- Publication
Diabetes, 2007, Vol 56, pA582
- ISSN
0012-1797
- Publication type
Article