Department of Endocrinology, Christian Medical College and Hospital, Ludhiana, Punjab, 141008, India.
Medical Officer, The Duncan Hospital, Raxaul, East Champaran, Bihar, 845305, India.
Prim Care Diabetes. 2022 Feb;16(1):34-40. doi: 10.1016/j.pcd.2021.11.007. Epub 2021 Dec 4.
Currently there are no regulations regarding diabetes and driving licensing in India. The study was planned to gather information about attitudes to driving among patients with diabetes mellitus.
Adult patients with diabetes mellitus holding a current valid driving license on treatment with insulin or secretagogue were interviewed using a validated structured questionnaire.
150 patients were interviewed with a mean age of 52 years, males (86%), insulin users (34%) and only secretagogue users (66%). 16 (10.6%) patients had severe hypoglycemia in the past year with 9.3% having hypoglycemic unawareness. Only 32% patients were aware of the relation between hypoglycemia and driving, 88.6% never checked glucose prior to driving and only 23% patients carried carbohydrates for treatment of hypoglycemia during driving. 25 (16.7%) of subjects had hypoglycemia during driving and in 6 (4%) this involved a traffic accident in the past one year.
Around 4% of patients on hypoglycemia causing treatment have a traffic accident/event every year. In the absence of regulations currently, focus should be on patient education. However, on the long-term appropriate regulations will make the roads safer for patients with diabetes.
目前印度尚无关于糖尿病和驾驶执照的相关规定。本研究旨在收集糖尿病患者驾驶态度相关信息。
对正在使用胰岛素或促分泌素治疗、且持有当前有效驾驶执照的成年糖尿病患者进行问卷调查。
共对 150 名患者进行了访谈，平均年龄为 52 岁，男性占 86%，其中胰岛素使用者（34%）和仅使用促分泌素者（66%）。过去一年中，有 16 名（10.6%）患者发生过严重低血糖，其中 9.3%的患者对低血糖无意识。仅 32%的患者知晓低血糖与驾驶的关系，88.6%的患者从未在开车前检测血糖，仅有 23%的患者在开车时携带碳水化合物来治疗低血糖。25 名（16.7%）受试者在开车时发生低血糖，其中 6 名（4%）患者在过去一年中因低血糖导致了交通事故。
每年约有 4%接受低血糖治疗的患者会发生交通事故/事件。目前尚无相关规定，应重视对患者的教育。但从长远来看，适当的规定将使糖尿病患者驾驶更安全。
