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 |
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| Institution: | 1. College of Medicine, King Saud University, Riyadh, Saudi Arabia;2. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;3. Diabetes Centre, King Salman Hospital, Riyadh, Saudi Arabia;4. Buraydah Diabetes Centre, King Fahad Specialist Hospital, Buraydah, Saudi Arabia;1. King Saud University College of Dentistry, Riyadh, Saudi Arabia;2. Medical University of Innsbruck, Division of Clinical and Functional Anatomy, Innsbruck, Austria;3. Medical University of Innsbruck, Department of Radiology, Innsbruck, Austria;1. Division of Endocrinology and Metabolism, Department of Medicine, Queen''s University, Kingston, Ontario, Canada;2. Winnipeg Regional Health Authority, Health Sciences Centre Winnipeg, Winnipeg, Manitoba, Canada;3. Division of Endocrinology and Metabolism, Department of Medicine, University of Toronto, Mississauga, Ontario, Canada;4. Medicine and Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada;5. Division of Endocrinology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada;6. Section of Endocrinology and Metabolism, John Buhler Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada;7. McGill Nutrition and Food Science Centre, McGill University, Montréal, Quebec, Canada |
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| Abstract: | IntroductionThe 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.MethodThis cross-sectional study surveyed a representative sample of 429 current male drivers with ITDM using a structured questionnaire in Saudi Arabia.ResultsMost 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.ConclusionsThe 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 applicationsThis 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. |
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