PROBLEMS AND RECOMMENDATIONS FOR SAFE DRIVING FOR PEOPLE WITH DIABETES | DIABETOLOGIST | DIABETES MANAGEMENT

HERE ARE BELOW PROBLEMS AND RECOMMENDATIONS FOR SAFE DRIVING FOR PEOPLE WITH DIABETES- DR. BHAGYESH KULKARNI DIABETES FREE FOREVER

Noriyuki Miyatani, a 65-year-old man with diabetes, died right on June 30, 2014, in Midosuzi Street in Osaka. He acted wrongly, hitting a woman on her bicycle, causing a fracture in her ribs.
 He then returned and went in another direction, hitting a truck, before sinking into a shop wall. The police waited until Miyatani recovered from her injuries and then questioned her. He took his insulin injections on the morning of the accident and while he was driving, he got hungry and ate some sweets. However, he could not cause an accident. Miyatani was charged with dangerous driving in Japan.

Driving in India is risky; Every day at least 400 people die in road accidents. India is home to around 67 million people suffering from diabetes. Therefore, the probability of such an accident is high.

People with diabetes should not drive. Driving is one of the basic skills that most people need for their daily lives. This enables them to go to their workplace, meet friends and family, shop, etc. It gives a person the freedom to travel as per his convenience. Appropriate situational decisions and quick response times are essential for safe driving that can be affected by changes in a physical, mental, or emotional state. Diabetes is a condition that can affect a person's ability to drive.

In the UK, people with diabetes are subject to many license requirements and restrictions. These licensing decisions involve regular review at various levels, depending on the type of driving and the class of vehicle.
 Once diagnosed or after changing their treatment, drivers are required to declare their diabetes status to the Vehicle Driver and Vehicle Licensing Agency (DVLA). re-engaging their management and whether they have any diabetes-related problems, which may affect their ability to drive safely. Sanctions have been put in place to ensure that drivers with diabetes are safe like other drivers when they drive particular groups of motor vehicles. Factors affecting the driving ability of people with diabetes are hypoglycemia, retinopathy, or neuropathy.
The restrictions imposed by DVLA on a person's license include the intensity of the impact of these conditions, including restrictions on a person's vehicle type. Restrictive restrictions on driving for people with diabetes can protect both the driver and society. Nevertheless, many countries including India do not demand any special compliance for people suffering from diabetes. Restrictive restrictions on driving for people with diabetes can protect both the driver and society. Nevertheless, many countries including India do not demand any special compliance for people suffering from diabetes. Restrictive restrictions on driving for people with diabetes can protect both the driver and society. Nevertheless, many countries including India do not demand any special compliance for people suffering from diabetes.

Hypoglycemia (low blood sugar level)

Our brain needs sugar to function properly. Hypoglycemia or low blood sugar levels can reduce cognitive ability such as basic reasoning and may increase reaction time. When hypoglycemia is severe, a person may lose consciousness.
Hypoglycemia is mostly an effect of insulin or diabetes management drugs and is induced by the mismatch in food, activity, and medication. Most of the time people are aware of their blood sugar decreasing as they experience symptoms such as hunger, torsion, sweating (even in cold weather) and increased heart rate.
 This can easily be managed by taking any fast-acting glucose in the form of sugary drinks, glucose tablets or sweet candies. However, hypoglycemia can occur without warning symptoms, which in turn becomes a serious problem. In the absence of symptoms of low sugar alertness (usually caused by recurrent and prolonged hypoglycemia, uncontrolled diabetes, food delays, or other medical conditions), the individual will display erect neurological symptoms such as impaired cognitive abilities that most of the driver's Good push can make dangerous decisions or mistakes on the road. Many accidents occur due to hypoglycemia as drivers ignore their hypoglycemia warning signs such as hunger, sweating, fainting, etc. And continue driving.

Diabetic retinopathy (vision problem)

Another concern with diabetes and driving is a condition called diabetic retinopathy. It is a long-term complication of poorly controlled diabetes that damages the small blood vessels inside the eye. This leads to vision problems and eventually blindness. Diabetic retinopathy cannot be diagnosed in early stages unless people with diabetes are routinely screened by a qualified professional for retinal changes. In the advanced stage, diabetic retinopathy should be treated with laser photocoagulation. Diabetic retinopathy itself and/or its treatment with a laser can produce visual field damage. Drivers in the UK are required to fix a sight of 6/10 on the Snellen chart and be eligible to drive a 120-degree field of view. Drivers with treated retinopathy may experience difficulty driving even at night.

Diabetic neuropathy (loss of sensation in legs)

People with poorly-controlled diabetes over a long period of time develop neuropathy where either a decrease or complete loss of sensation occurs from their feet. With less sensation, people may find it more difficult to pressure the accelerator, brake, or clutch pedal.

Sometimes people with diabetic neuropathy develop severe pain. And there are some medicines available for pain relief. These drugs used for neuropathic pain, such as gabapentin or amitriptyline, may exert a sedative effect that can affect drivers' alertness.

 Other related terms:

Sleep apnea is associated with obesity and type 2 diabetes. In people affected by sleep apnea, poor sleep quality at night increases the risk of drowsiness and road accidents during the day. Similarly, heart attacks are common in people with diabetes. There is an increased risk of heart rhythm disturbances in people with diabetes, which can lead to sudden unconsciousness during driving. People with diabetes have a higher risk of stroke, which can also severely affect a person's ability to drive.

How to become a safe driver in diabetes:

Being diabetic does not mean that people with this condition need to quit driving, but it does mean that they need to be aware and plan often before getting behind the wheel. In India, there are no prescribed/prescribed driving laws for people with diabetes. So you need to follow these 10 rules for safe driving when you are diabetic.

You should understand that hypoglycemia can affect your decision and reaction time, even if you are a good driver at other times
If you take insulin or sulfonylurea group of diabetes medicine, it can induce hypoglycemia. So you should check your blood sugar level one or two hours before getting behind the wheel.

If your blood sugar is less than 70 mg / dL, you should treat it with a fast-acting sugar source such as juice, non-diet soda, hard candy, or glucose tablets. Carbohydrate snacks such as fruits, sandwiches or toast should be consumed after this. You should wait for 45 minutes before driving as your blood sugar level may drop again. Make sure that it is above 90 mg/dl before starting driving.

If your blood sugar is below 90 mg / dL, but above 70 mg / dL, you should take a carbohydrate meal before driving to prevent your blood sugar from driving.
For longer distances, stop every 2 hours and check your blood sugar level. It is better to travel with a partner who can take over driving or help you — if you are not feeling well.
 glucose tablet or hard candy) and a complex carbohydrate snack (sandwich or toast) in the car and preferably get to your driving seat.

Always carry your blood sugar meter with you while driving. As soon as you feel any symptoms of low blood sugar (hypoglycemia), stop the vehicle in a safe place, and check your blood sugar level. Correcting or stabilizing as needed.

It goes without saying that you should not drive after consuming alcohol. If you have diabetes then you should not drink alcohol even at night as it can cause hypoglycemia in the morning.
Always have regular meals and snacks.

You should have your eyes and feet checked at least once a year to make sure that there are no complications that may affect your 'driving'.

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