University of Virginia Health Sciences Center, Charlottesville, Virginia, USA.
Diabetes Care. 2009 Dec;32(12):2177-80. doi: 10.2337/dc08-1510.
Hypoglycemia-related neuroglycopenia disrupts cognitive-motor functioning, which can impact driving safety. Retrospective studies suggest that drivers with type 1 diabetes experience more collisions and citations than their nondiabetic spouses. We present the first prospective data documenting the occurrence of apparent neuroglycopenia-related driving performance impairments.
We completed the initial screening of 452 drivers from three geographically diverse centers who then reported monthly occurrences of driving "mishaps," including collisions, citations, losing control, automatic driving, someone else taking over driving, and moderate or severe hypoglycemia while driving.
Over 12 months, 52% of the drivers reported at least one hypoglycemia-related driving mishap and 5% reported six or more. These mishaps were related to mileage driven, history of severe hypoglycemia, and use of insulin pump therapy.
Many individuals with type 1 diabetes report hypoglycemia-related driving events. Clinicians should explore the recent experiences with hypoglycemia while driving and the risk of future events.
低血糖相关的神经低血糖会破坏认知-运动功能，从而影响驾驶安全。回顾性研究表明，1 型糖尿病患者比非糖尿病配偶经历更多的碰撞和罚单。我们首次提供了记录明显与神经低血糖相关的驾驶表现障碍发生情况的前瞻性数据。
我们从三个地理位置不同的中心完成了对 452 名驾驶员的初步筛选，然后报告了每月驾驶“事故”的发生情况，包括碰撞、罚单、失去控制、自动驾驶、他人接管驾驶以及驾驶时出现中度或重度低血糖。
在 12 个月期间，52%的驾驶员报告至少发生过一次与低血糖相关的驾驶事故，5%的驾驶员报告发生过六次或更多次事故。这些事故与行驶里程、严重低血糖史以及胰岛素泵治疗的使用有关。
许多 1 型糖尿病患者报告了与低血糖相关的驾驶事件。临床医生应探讨最近驾驶时出现低血糖的经历以及未来发生事件的风险。
