Ahmed Almoutaz A
Gurayat Diabetes Center, Gurayat North, Saudi Arabia.
Ann Saudi Med. 2010 Nov-Dec;30(6):464-7. doi: 10.4103/0256-4947.72268.
The lack of awareness of the effects of hypoglycemia on safe driving is a real issue for diabetic patients and a challenge for health care providers. Taking the form of questions and answers, this review addresses the issue of road traffic accidents and drivers with type 1 diabetes mellitus. While there is little evidence showing higher accident rates among diabetic drivers, there is research indicating that hypoglycemia compromises driving performance, resulting in slower response times and reduced cognitive function. Unawareness of an early fall in plasma glucose is another important issue that affects some diabetic drivers. The driver with type 1 diabetes is obliged to check their blood glucose before driving. The physician's duty is to familiarize the patient with the risk of hypoglycemia. If hypoglycemic unawareness is present, the physician should advise the patient to stop driving until the condition is reversed. The doctor should consider informing authorities if he concludes there is a risk and the driver cannot be persuaded to stop driving.
低血糖对安全驾驶的影响缺乏认知，这对糖尿病患者来说是一个现实问题，对医疗服务提供者也是一项挑战。本综述采用问答形式，探讨了道路交通事故及1型糖尿病患者驾驶的问题。虽然几乎没有证据表明糖尿病司机的事故率更高，但有研究表明低血糖会损害驾驶性能，导致反应时间变慢和认知功能下降。对血浆葡萄糖早期下降缺乏认知是影响一些糖尿病司机的另一个重要问题。1型糖尿病患者有义务在开车前检查血糖。医生的职责是让患者了解低血糖的风险。如果存在低血糖无意识现象，医生应建议患者停止驾驶，直到情况好转。如果医生断定存在风险且无法说服司机停止驾驶，应考虑通知有关部门。
