Type 1 Diabetes and Driving Experience: an Eight‐year Cohort Study
Type 1 Diabetes and Driving Experience: an Eight‐year Cohort Study
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1 型糖尿病与驾驶经验：一项为期八年的队列研究
作者：
D. Eadington;B. Frier
250名1型糖尿病司机的驾驶习惯在上次评估后8年进行了审查。至少有45名患者死亡，18名患者无法追踪。对187名幸存者的邮寄问卷调查得到了89%的答复。56名患者（34%）仍然持有不受限制的驾驶执照，这表明很大一部分糖尿病驾驶员没有向发牌当局和/或其汽车保险公司申报糖尿病，并继续无视法定法规。持有重型货车牌照的患者比8年前减少。24名患者停止驾驶，因为他们的驾驶技能随着年龄的增长和健康状况的恶化而下降。除了两名被吊销驾驶执照的病人外，所有人都自愿作出这一决定。自1979年以来，39例患者共发生55起道路交通事故; 9起事故（16%）归因于低血糖。虽然依赖于患者的诚实和回忆的准确性，但男性驾驶员每百万英里4.9英里的事故率和女性驾驶员每百万英里6.3英里的事故率与相似年龄的非糖尿病驾驶人群的事故率相当。
The driving habits of 250 drivers with Type 1 diabetes were reviewed 8 years after a previous assessment. At least 45 patients had died and 18 patients could not be traced. A postal questionnaire of the 187 survivors elicited a response from 89%. Fifty‐six patients (34%) still held an unrestricted driving licence, demonstrating that a significant proportion of diabetic drivers had not declared diabetes to the licensing authority and/or their motor insurer and continued to ignore the statutory regulations. Fewer patients held Heavy Goods Vehicle licences than 8 years previously. Twenty‐four patients had ceased driving as their driving skills had diminished with advancing age and ill health. This was a voluntary decision by all but two patients whose driving licences had been revoked. Thirty‐nine patients admitted to a total of 55 road traffic accidents since 1979; 9 accidents (16%) were attributed to hypoglycaemia. Although dependent on patients' honesty and the accuracy of recall, the disclosed accident rates of 4.9 per million miles driven for male drivers and 6.3 per million miles for female drivers are comparable to the accident rate of a non‐diabetic driving population of similar age.