Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada.
Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada; Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.
Can J Diabetes. 2020 Mar;44(2):169-174.e2. doi: 10.1016/j.jcjd.2019.06.001. Epub 2019 Jun 10.
The aim of this work was to survey how well adolescents with type 1 diabetes mellitus (T1D) of legal driving age understand the risks associated with driving with diabetes and report adherence to recommendations.
This study was a cross-sectional survey of 191 adolescents, 14 to 18 years of age, with T1D.
The average (standard deviation [SD]) glycated hemoglobin of respondents with a learner's or a driver's license was 9.0% (SD, 1.9%) and 8.9% (SD, 1.9%), respectively (p=0.91). The proportions of adolescents with a learner's or a driver's license who almost always or always checked their blood glucose prior to driving was 69% and 41%, respectively (p=0.01). Eighteen percent of adolescents with a learner's license and 41% with a driver's license experienced hypoglycemia while driving. The average number of weekly hypoglycemic events in each group was 2.0 (SD, 1.4) and 2.3 (SD, 2.0), respectively. There was a higher reported frequency of weekly mild hypoglycemic events between drivers who reported pulling over at least once while driving due to symptoms of hypoglycemia (3.25±2.38) and those who reported never having pulled over for hypoglycemia (1.87±1.31) (p=0.012). Respondents with a learner's license reported higher adherence to guidelines than those with a full license.
Clinical education needs to reinforce adherence to recommendations, particularly checking blood glucose or wearing a continuous glucose monitor prior to driving, for all adolescents of driving age. The frequency of mild hypoglycemic events per week is associated with self-reported hypoglycemic events while driving.
本研究旨在调查已达到合法驾驶年龄的 1 型糖尿病（T1D）青少年对驾驶相关风险的理解程度，并报告他们对相关建议的遵守情况。
这是一项对 191 名年龄在 14 至 18 岁的 T1D 青少年进行的横断面调查研究。
有学习驾照或驾照的受访者的平均（标准差 [SD]）糖化血红蛋白分别为 9.0%（SD，1.9%）和 8.9%（SD，1.9%）（p=0.91）。有学习驾照或驾照的青少年中，分别有 69%和 41%的人几乎总是或总是在开车前检查血糖（p=0.01）。有 18%的学习驾照青少年和 41%的驾照青少年在开车时出现低血糖。每组青少年每周低血糖事件的平均次数分别为 2.0（SD，1.4）和 2.3（SD，2.0）。有报告称，因低血糖症状而至少有一次在开车时停车的驾驶员，每周低血糖轻度事件的报告频率较高（3.25±2.38），而报告从未因低血糖停车的驾驶员为 1.87±1.31（p=0.012）。有学习驾照的受访者比有完整驾照的受访者报告了更高的遵医嘱程度。
临床教育需要加强对所有达到驾驶年龄的青少年的建议遵守，特别是在开车前检查血糖或佩戴连续血糖监测仪。每周轻度低血糖事件的频率与自我报告的驾驶时低血糖事件有关。
