胰岛素治疗的糖尿病患者与机动车碰撞相关的安全驾驶行为及因素：来自糖尿病与驾驶（DAD）研究的结果。

Safe driving practices and factors associated with motor-vehicle collisions among people with insulin-treated diabetes mellitus: Results from the Diabetes and Driving (DAD) study.

机构信息

College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Safety Res. 2018 Jun;65:83-88. doi: 10.1016/j.jsr.2018.03.003. Epub 2018 Mar 18.

DOI:10.1016/j.jsr.2018.03.003

PMID:29776533

Abstract

INTRODUCTION

The aim of this study was to assess the prevalence of people with insulin-treated diabetes mellitus (ITDM) who have discussed issues related to diabetes and driving with their health care providers (HCPs). We also sought to determine the safe driving practices that are currently employed by this group. Finally, we investigated the factors that might increase the risk of motor-vehicle collisions (MVCs) among this group in Saudi Arabia.

METHOD

This cross-sectional study surveyed a representative sample of 429 current male drivers with ITDM using a structured questionnaire in Saudi Arabia.

RESULTS

Most of the participants (76.5%) never discussed topics regarding diabetes and driving with their HCPs. The majority of the participants (61.8%) reported at least never doing one of the following: (a) carrying a blood glucose testing kit while driving, (b) testing their blood glucose level before driving or during a journey, or (c) having thought of a specific threshold of blood glucose level that would preclude driving. Three factors were associated with a higher risk of MVCs among participants with ITDM: (a) being on a basal/boluses regimen, (b) never having a discussion regarding diabetes and driving with their HCPs, and (c) having experienced hypoglycemia during driving.

CONCLUSIONS

The majority of people with ITDM had not had a discussion regarding diabetes and driving with their HCPs, which was reflected by a lack of safe driving practices. People with ITDM should be encouraged to take precautions while driving in order to prevent future MVCs.

PRACTICAL APPLICATIONS

This research highlights the importance of investing more effort in educating drivers who have diabetes about safe driving practices by their health care providers. Also, it will attracts the attention of policymakers for an urgent need to establish clear policies and procedures for dealing with drivers who have diabetes.

摘要

简介

本研究旨在评估与医疗保健提供者（HCP）讨论与糖尿病和驾驶相关问题的胰岛素治疗糖尿病（ITDM）患者的患病率。我们还试图确定该人群目前采用的安全驾驶实践。最后，我们调查了可能增加沙特阿拉伯该人群发生机动车碰撞（MVC）风险的因素。

方法

本横断面研究使用结构化问卷在沙特阿拉伯调查了 429 名当前男性 ITDM 驾驶员的代表性样本。

结果

大多数参与者（76.5%）从未与 HCP 讨论过与糖尿病和驾驶相关的话题。大多数参与者（61.8%）报告至少从未做过以下一件事：（a）在开车时携带血糖检测试剂盒，（b）在开车前或旅途中测试血糖水平，或（c）考虑过会禁止驾驶的特定血糖水平阈值。有三个因素与 ITDM 参与者发生 MVC 的风险增加相关：（a）使用基础/推注方案，（b）从未与 HCP 讨论过与糖尿病和驾驶相关的话题，以及（c）在驾驶过程中经历过低血糖。