@article{ref1,
title="Driving mishaps among individuals with type 1 diabetes: a prospective study",
journal="Diabetes care",
year="2009",
author="Cox, Daniel J. and Ford, Derek and Gonder-Frederick, Linda A. and Clarke, William and Mazze, Roger and Weinger, Katie and Ritterband, Lee",
volume="32",
number="12",
pages="2177-2180",
abstract="OBJECTIVE: Hypoglycemia-related neuroglycopenia disrupts cognitive-motor functioning, which can impact driving safety. Retrospective studies suggest that drivers with type 1 diabetes experience more collisions and citations than their nondiabetic spouses. We present the first prospective data documenting the occurrence of apparent neuroglycopenia-related driving performance impairments. RESEARCH DESIGN AND METHODS: We completed the initial screening of 452 drivers from three geographically diverse centers who then reported monthly occurrences of driving &quot;mishaps,&quot; including collisions, citations, losing control, automatic driving, someone else taking over driving, and moderate or severe hypoglycemia while driving. RESULTS: Over 12 months, 52% of the drivers reported at least one hypoglycemia-related driving mishap and 5% reported six or more. These mishaps were related to mileage driven, history of severe hypoglycemia, and use of insulin pump therapy. CONCLUSIONS: Many individuals with type 1 diabetes report hypoglycemia-related driving events. Clinicians should explore the recent experiences with hypoglycemia while driving and the risk of future events.<p /> <p>Language: en</p>",
language="en",
issn="0149-5992",
doi="10.2337/dc08-1510",
url="http://dx.doi.org/10.2337/dc08-1510"
}