Insulin-treated diabetes and driving: what is the patient’s knowledge of current regulations?

Jackson-Koku, Gordon; Morrison, G.; Morrison, Clive L.; Weston, Philip J.

doi:10.1177/1474651409355115

Cited by 7 publications

(8 citation statements)

References 11 publications

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“…Less than half of insulin-treated drivers always adhered to these measures. These findings in a nationwide survey are similar to those of previous smaller local surveys, 2,8,9 and demonstrate the need to ensure that people with diabetes receive education about driving safety and the importance of measuring blood glucose before and during driving ( Table 3).…”

Section: Discussionsupporting

confidence: 76%

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Blood glucose testing by drivers with diabetes: a survey of glucose meter users

et al. 2015

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Aims: To assess knowledge of, and adherence to, current driving recommendations in drivers with insulin-or tablettreated diabetes. Methods: People on a large customer database were contacted by ordinary mail (73,000) or email (95,000) and invited to complete a 17-point survey about diabetes and driving. Only drivers with diabetes receiving treatment with glucose-lowering medications and/or insulin were included. Data from respondents were analysed by an independent research company. Results: The response rate was 14% (n=23,742), of whom 16,172 (10% of the total database) were eligible for inclusion in the analysis. Only 66% of eligible participants were fully cognisant of driving safety recommendations. Adherence to blood glucose testing before driving and during long journeys was limited in insulin users at 47% and 41% respectively. Hypoglycaemia while driving was experienced by 13.1% of insulin users and 1.5% on tablets; 203 (1.3%) of drivers surveyed reported that a motor vehicle accident had been a consequence of hypoglycaemia. Conclusions: Drivers with diabetes appear to have a significant deficit in knowledge about driving safety recommendations and glucose monitoring. This may impose a greater risk of hypoglycaemia while driving, and enhance accident risk. Br J Diabetes Vasc Dis 2015;15:20-23

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Section: Discussionsupporting

confidence: 76%

“…Previous studies have indicated that other barriers may include restrictions on test strip provision, 9 and a feeling that the advice was unreasonable or inconvenient. 3 It is essential that reasons causing reluctance to measure blood glucose are addressed.…”

Section: Discussionmentioning

confidence: 99%

Blood glucose testing by drivers with diabetes: a survey of glucose meter users

et al. 2015

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“…They showed that patients' education needs to be improved. 8,9 In another study from the United Kingdom, 117 patients with insulin-treated diabetes and 106 doctors were interviewed. In this country patients are obliged to inform the Driving and Vehicle Licensing Agency if they are on insulin.…”

Section: Discussionmentioning

confidence: 99%

Driving with diabetes: What is the Portuguese doctors’ and patients’ knowledge?

Moniz

Ferreira

Serra

et al. 2015

Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo

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a b s t r a c tIntroduction: In the last years there was an increasing interest about diabetes and driving. Nowadays there are strict rules for diabetic drivers in most countries. The aim of this study was to assess whether the patients and the doctors were aware of the rules and recommendations in Portugal. Methods: An anonymous questionnaire was applied to diabetic patients who were drivers attending our center for 8 weeks. A web-based questionnaire was e-mailed to the Endocrinology, Diabetes and Metabolism Portuguese Society and Diabetes Portuguese Society associates. Results: Ninety-three patients were surveyed. Only 20 patients had discussed this subject with their doctor and 69.9% thought there was not any risk to driving by being a diabetic. Twenty-nine percent never tests blood glucose prior to driving and for the majority it is safe to drive until blood glucose is 60 mg/dl. One patient reported a crash due to hypoglycemia. Eighty-eight doctors completed the questionnaire. Fourteen did not associate diabetes with an increased risk of car accidents and 59.1% discuss the driving and diabetes issue with less than 50% of their diabetic patients. Only 54% advise their patients to test blood glycaemia prior to driving and for 46.6% it is safe to drive with blood glucose lower than 90 mg/dl. Sixteen did not know recurrent hypoglycemia was a contraindication to driving and eight that impaired awareness of hypoglycemia might also be a contraindication. Discussion/conclusions: This study shows a lack of patients' knowledge about safe driving and the rules they must follow. In our opinion, it is fundamental to improve doctor's and patients' knowledge in this subject. Palavras-chave: Acidentes Conduç ão Diabetes Mellitus Complicaç ões da Diabetes Seguranç a r e s u m o Introduç ão: Nos últimos anos tem-se registado aumento do interesse sobre o tema Diabetes e Conduç ão. Existem regras definidas, na maioria dos países, para os condutores com diabetes. O objectivo deste estudo foi avaliar o conhecimento dos médicos e dos doentes sobre as regras e recomendaç ões vigentes em Portugal. Métodos: Foi aplicado um questionário anónimo aos doentes diabéticos condutores observados no nosso centro durante 8 semanas. Um questionário electrónico foi enviado aos sócios da Sociedade Portuguesa de Endocrinologia, Diabetes e Metabolismo e da Sociedade Portuguesa de Diabetes.Resultados: Foram inquiridos 93 doentes. Vinte haviam discutido este tema com o seu médico. Para 69,9% não há risco em conduzir sendo diabético, 29% nunca testam a glicemia capilar antes de iniciar a conduç ão e a maioria considerou ser seguro conduzir com um valor de glicemia até 60 mg/dl. Um doente referiu um acidente por hipoglicemia. Oitenta e oito médicos responderam ao questionário. Catorze não associavam a diabetes a aumento do risco de acidentes e 59,1% discutiam este tema com menos de 50% dos seus doentes diabéticos. Apenas 54% aconselhava a realizar pesquisa de glicemia antes de conduzir e 46,6% considera C. Moniz et al. / Rev Port Endocrinol Diabetes Met...

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“…Reasons for not regularly performing blood glucose testing before driving include inconvenience and not having access to a blood glucose meter or strips . As recently as 2010, a UK study reported only 65% of insulin using drivers would ‘consider’ blood glucose testing before driving and the mean length of time they would drive before re‐checking their glucose level was 2.8 h . Adequate hypoglycaemic awareness is a pre‐requisite for driving and the expected response on experiencing hypoglycaemic symptoms is to stop, however, many drivers continue to drive .…”

Section: Discussionmentioning

confidence: 99%

Could FreeStyle Libre^™ sensor glucose data support decisions for safe driving?

Rayman

Kröger²,

Bolinder

2017

Diabet. Med.

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AimMany countries require individuals with diabetes to adhere to standards regarding blood glucose testing in order to be granted or retain a driving licence. Currently, interstitial glucose results may not be used. The aim of this study was to determine whether interstitial glucose measurements using flash glucose‐sensing technology can provide additional information to augment safe driving.MethodsSensor data from two European studies (NCT02232698 and NCT02082184) of the FreeStyle Libre Glucose Monitoring System™ in insulin‐treated Type 1 and Type 2 diabetes, 241 and 224 participants respectively, were used to determine the frequency of a low interstitial sensor glucose result (< 3.9 mmol/l) up to 4 h subsequent to a daytime (07:00–21:00 h) capillary blood glucose result ≥ 5 mmol/l.ResultsWithin 4 h of a capillary blood glucose result ≥ 5 mmol/l a sensor glucose result of < 3.9 mmol/l occurred on 22.0% of occasions (2573 of 11 706 blood glucose readings) for those with Type 1 diabetes, and 8.4% of occasions (699/8352) for those with Type 2 diabetes; 13.8% (1610/11 628) and 4.4% (365/8203) within 2 h, and 10.0% (1160/11 601) and 3.1% (254/8152) within 1.5 h. Analysis of sensor glucose results 5–7 mmol/l demonstrated the glucose trend arrow descending on 14.7% (1163/7894, Type 1 diabetes) and 9.4% (305/3233, Type 2 diabetes) of occasions.ConclusionsSensor‐based glucose information with directional arrows has the potential to support assessment of safe glucose levels associated with driving and offers distinct advantages over blood glucose testing for individuals with Type 1 and Type 2 diabetes to concord with driving safety standards.

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Insulin-treated diabetes and driving: what is the patient’s knowledge of current regulations?

Cited by 7 publications

References 11 publications

Blood glucose testing by drivers with diabetes: a survey of glucose meter users

Blood glucose testing by drivers with diabetes: a survey of glucose meter users

Driving with diabetes: What is the Portuguese doctors’ and patients’ knowledge?

Could FreeStyle Libre^™ sensor glucose data support decisions for safe driving?

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Insulin-treated diabetes and driving: what is the patient’s knowledge of current regulations?

Cited by 7 publications

References 11 publications

Blood glucose testing by drivers with diabetes: a survey of glucose meter users

Blood glucose testing by drivers with diabetes: a survey of glucose meter users

Driving with diabetes: What is the Portuguese doctors’ and patients’ knowledge?

Could FreeStyle Libre™ sensor glucose data support decisions for safe driving?

Contact Info

Product

Resources

About

Could FreeStyle Libre^™ sensor glucose data support decisions for safe driving?