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. (June 2018)

• Record Type: Journal Article
• Authors: Almigbal, Turky H.; Alfaifi, Abdullah A.; Aleid, Muath A.; Billah, Baki; Alramadan, Mohammed J.; Sheshah, Eman; AlMogbel, Turki A.; Aldekhayel, Ghassan A.; Batais, Mohammed Ali
• Is Part Of: Journal of safety research. Volume 65(2018)
• Page Start: 83
• Page End: 88
• Publication Date: 2018-06
• Subjects: Diabetes mellitus -- Hypoglycemia -- Driving -- Motor-vehicle collisions -- Licensing agency; Industrial safety -- Periodicals; Accidents -- Prevention -- Periodicals; Safety -- Periodicals; Accidents, Occupational -- Periodicals; Sécurité du travail -- Périodiques; Accidents -- Prévention -- Périodiques; Accidents -- Prevention; Industrial safety; Periodicals; 363.1
• DOI: 10.1016/j.jsr.2018.03.003
• Languages: English
• ISSNs: 0022-4375

Abstract

Abstract: Introduction: The 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. Method: This cross-sectional study surveyed a representative sample of 429 current male drivers with ITDM using a structured questionnaire in Saudi Arabia. Results: Most 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. Conclusions: The 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 applications: This 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. Highlights: We study the factors that increase the risk of accidents among drivers with diabetes Most had never discussed diabetes and driving with their health care providers Most of the participants did not follow the recommended practices for safe driving Multivariable logistic regression analysis identified three predictors for accidents