Featured Research

from universities, journals, and other organizations

Association of tight glycemic control with road crashes in diabetic patients

Date:
December 8, 2009
Source:
Public Library of Science
Summary:
A study from Canada suggests an association between tighter glycemic control and an increased risk of a motor vehicle crash in diabetic adults.

A study from Canada published this week in PLoS Medicine suggests an association between tighter glycemic control and an increased risk of a motor vehicle crash in diabetic adults. Using a population-based case control analysis over a 2 year period, Donald Redelmeier and colleagues from the University of Toronto studied the association between measured glycosylated hemoglobin (HbA1c) in diabetic drivers and the risk of a motor vehicle crash.

Looking at 795 consecutive drivers with diabetes who reported to vehicle licensing authorities between January 1, 2005 to January 1, 2007, the authors found that one-in-fourteen had been involved in a crash. The mean HbA1c (a measure of diabetes control over about 8-12 weeks) was lower for those in a crash than those who were not. Hence, lower HbA1c levels were associated with an increased risk of a motor vehicle crash. In addition, the risk of a crash quadrupled when a driver had a history of severe hypoglycemia that required outside help.

Careful control of blood glucose is a cornerstone of diabetic management to reduce the long-term complications of diabetes. Some driving licensing authorities require drivers who hold commercial licenses to document glycemic control. The authors question such policies, saying that, "the data suggest that a patient's HbA1c level is neither necessary nor sufficient for determining fitness-to-drive."

Redelmeier, who is also a Professor of Medicine and Staff Physician at Sunnybrook Health Sciences Centre (Canada's largest trauma center) states that, "The basic implication of our study is to underscore the difficulty in judging fitness-to-drive in adults with severe diabetes mellitus This pitfall calls into question traffic laws that prevail in the United States, United Kingdom, Canada, Germany, Holland, Australia, and other countries."

This project was supported by the Canada Research Chair in Medical Decision Sciences.


Story Source:

The above story is based on materials provided by Public Library of Science. Note: Materials may be edited for content and length.


Journal Reference:

  1. Redelmeier DA, Kenshole AB, Ray JG. Motor Vehicle Crashes in Diabetic Patients with Tight Glycemic Control: A Population-based Case Control Analysis. PLoS Med, 6(12): e1000192 DOI: 10.1371/journal.pmed.1000192

Cite This Page:

Public Library of Science. "Association of tight glycemic control with road crashes in diabetic patients." ScienceDaily. ScienceDaily, 8 December 2009. <www.sciencedaily.com/releases/2009/12/091207210958.htm>.
Public Library of Science. (2009, December 8). Association of tight glycemic control with road crashes in diabetic patients. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2009/12/091207210958.htm
Public Library of Science. "Association of tight glycemic control with road crashes in diabetic patients." ScienceDaily. www.sciencedaily.com/releases/2009/12/091207210958.htm (accessed April 23, 2014).

Share This



More Health & Medicine News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
Study Says Most Crime Not Linked To Mental Illness

Study Says Most Crime Not Linked To Mental Illness

Newsy (Apr. 22, 2014) A new study finds most crimes committed by people with mental illness are not caused by symptoms of their illness or disorder. Video provided by Newsy
Powered by NewsLook.com
Hagel Gets Preview of New High-Tech Projects

Hagel Gets Preview of New High-Tech Projects

AP (Apr. 22, 2014) Defense Secretary Chuck Hagel is given hands-on demonstrations Tuesday of some of the newest research from DARPA _ the military's Defense Advanced Research Projects Agency program. (April 22) Video provided by AP
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins