THURSDAY, April 20, 2017 (HealthDay News) — Having type 1 diabetes can raise your chances of crashing while driving, but new research offers a checklist that helps determine whether it is safe for you to get behind the wheel.
The wrong amounts of insulin and other blood sugar-lowering medications can trigger dangerously low blood sugar levels, which can cause people to pass out or have seizures, the researchers explained.
“People with diabetes need to recognize that they’re part of a huge mass of people who have potentially impaired driving, like people with heart disease or narcolepsy. They shouldn’t think of themselves as isolated. It’s just an issue to deal with,” said the author of a new study on diabetes and driving, Daniel Cox. He’s a professor in psychiatry, internal medicine and ophthalmology at the University of Virginia Health System in Charlottesville.
“By no means are we saying that people with type 1 diabetes shouldn’t drive. But, just like pilots go through a pre-flight checklist, drivers with type 1 diabetes need to go through a pre-drive checklist,” he suggested.
Cox explained that some people with diabetes have a higher-than-average risk of driving troubles. This includes people who’ve already had a serious low blood sugar event (hypoglycemia) while driving, people who mismanage hypoglycemia, people who drive a lot, and people with diabetes who’ve lost feeling in their feet or legs (diabetic neuropathy), because they can’t feel the pedals.
But doctors don’t have a standardized assessment to determine who’s at high risk for a diabetes-related accident and who’s not.
So, Cox and his colleagues developed an 11-question test called the Risk Assessment of Diabetic Drivers (RADD). The researchers administered the test to more than 500 drivers with type 1 diabetes from Boston, central Virginia and Minneapolis.
The investigators asked the study participants about their driving “mishaps.” A driving mishap — as defined by this study — was a dangerous driving situation that resulted in an accident or could have resulted in an accident.
The assessment accurately identified 61 percent of those who were at high risk for having driving issues, and 75 percent of those who were at low risk of having driving problems.
The second part of the study included almost 500 drivers with type 1 diabetes from across the country who took the RADD test online. The study found that 372 were identified as high-risk and 118 were considered low-risk.
Half of these people were then given routine care, and the rest were asked to participate in an online intervention.
The intervention aimed to anticipate, prevent, detect and treat hypoglycemia. All of the intervention participants were given a toolkit for their car. It contained a blood sugar meter, a pre-drive checklist, a key chain with a stoplight symbol to remind drivers to stop…