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- Title
Driving and insulin – consensus, conflict or confusion?
- Authors
Flanagan, D. E. H.; Watson, J.; Everett, J.; Cavan, D.; Kerr, D.
- Abstract
AbstractAims All drivers requiring insulin treatment must be able to demonstrate satisfactory diabetic control and recognition of hypoglycaemic symptoms before being allowed to drive a motor vehicle. Clinicians have a duty to discuss fitness to drive with their patients. However, is the advice given consistent and in line with the regulations published by the Driver and Vehicle Licensing Authority (DVLA)? Methods Six ‘real-life’ case scenarios were posted to clinicians (consultant diabetologists, specialist registrars and diabetes specialist nurses) within Wessex, UK. The identical cases were also sent to the DVLA for their comments. Results Sixty-six doctors (36 consultants) and 70 diabetes specialist nurses were contacted by postal questionnaire of which replies were received from 17 consultants (47%), 17 specialist registrars (57%) and 39 diabetes specialist nurses (56%). Although there was general agreement in cases of hypoglycaemia unawareness, there was disagreement where patients had or were at risk of unstable control albeit for a short time. Conclusions Patients treated with insulin may receive conflicting information concerning their ability to drive.
- Subjects
DOSE-response relationship of insulin; AUTOMOBILE driving; DIABETES; HYPOGLYCEMIA
- Publication
Diabetic Medicine, 2000, Vol 17, Issue 4, p316
- ISSN
0742-3071
- Publication type
Academic Journal
- DOI
10.1046/j.1464-5491.2000.00279.x