Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Motor vehicles, hypoglycemia, and diabetic drivers.

R E Ratner1, F W Whitehouse

  • 1Division of Endocrinology and Metabolism, George Washington University Medical Center, Washington, DC 20037.

Diabetes Care
|March 1, 1989
PubMed
Summary

Individuals with insulin-treated diabetes mellitus (ITDM) can now pursue more jobs. However, recurrent hypoglycemia poses an occupational hazard, requiring careful safety assessments for ITDMs in commercial driving roles.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The effect of lifestyle intervention and metformin on preventing or delaying diabetes among women with and without gestational diabetes: the Diabetes Prevention Program outcomes study 10-year follow-up.

The Journal of clinical endocrinology and metabolism·2015
Same author

A quantitative measure of diabetes risk in community practice impacts clinical decisions: the PREVAIL initiative.

Nutrition, metabolism, and cardiovascular diseases : NMCD·2013
Same author

Metabolic syndrome components and their response to lifestyle and metformin interventions are associated with differences in diabetes risk in persons with impaired glucose tolerance.

Diabetes, obesity & metabolism·2013
Same author

Effect of pioglitazone on body composition and bone density in subjects with prediabetes in the ACT NOW trial.

Diabetes, obesity & metabolism·2013
Same author

Confirming glycemic status in the Diabetes Prevention Program: implications for diagnosing diabetes in high risk adults.

Journal of diabetes and its complications·2012
Same author

Hypoglycaemia risk with insulin degludec compared with insulin glargine in type 2 and type 1 diabetes: a pre-planned meta-analysis of phase 3 trials.

Diabetes, obesity & metabolism·2012

Area of Science:

  • Occupational Health
  • Endocrinology
  • Transportation Safety

Background:

  • Individuals with diabetes are increasingly entering professions previously limited by chronic complications.
  • Advances in diabetes management, like sophisticated insulin systems, have improved glycemic control but highlighted recurrent hypoglycemia as a significant occupational risk.
  • Limited data exists on the occupational safety of individuals with insulin-treated diabetes mellitus (ITDM).

Purpose of the Study:

  • To review existing literature on diabetic drivers.
  • To examine the potential impact of certifying ITDMs as commercial drivers.
  • To project accident risks based on hypoglycemia frequency in the absence of direct data.

Main Methods:

  • Literature review focusing on diabetic drivers.
  • Analysis of studies on hypoglycemia frequency and its definitions.
  • Projection of accident rates for ITDMs as commercial drivers.

Main Results:

  • Existing studies on hypoglycemia are limited by variable definitions, ascertainment bias, and patient selection.
  • Despite study limitations, a worst-case/best-case scenario for accident rates can be discussed.
  • No significant worldwide experience data is available for ITDMs as commercial drivers.

Conclusions:

  • Expansion of employment for ITDMs requires careful monitoring.
  • Prospective studies are crucial to assess the impact of ITDMs in commercial driving on public safety.
  • Recurrent hypoglycemia remains a key consideration for occupational safety in ITDM.

Related Experiment Videos