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Diabetes and Commercial Driving (and other Safety Critical Work)

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Stork ADM, van Haeften TW, Veneman TF:<br />

<strong>Diabetes</strong> <strong>and</strong> <strong>Driving</strong> (Review).<br />

<strong>Diabetes</strong> Care 29:1942–1949, 2006<br />

• ‘Evaluation of the available research on diabetes <strong>and</strong> driving is difficult.<br />

• Most older studies have either found no association between diabetes<br />

<strong>and</strong> traffic accidents or a small, usually not statistically significant,<br />

increase of the relative risk.<br />

• More recent U.S. research, however, indicated a clear trend, frequently<br />

statistically significant, toward a slightly increased risk of road traffic<br />

accidents in diabetic drivers. The increase of the relative risk in some<br />

studies was only found in specific subgroups of diabetic patients, not<br />

consistent throughout various studies.<br />

• Overall, the available studies indicate that road traffic accidents directly<br />

caused by diabetes seem to be relatively rare occurrences.<br />

• Without doubt, hypoglycemia during driving does occur <strong>and</strong> can cause<br />

traffic accidents.<br />

• If any trend can be distilled, current knowledge may point toward a slightly<br />

increased risk of road traffic accidents for drivers with diabetes. However,<br />

no subgroup that is particularly at risk has been unequivocally defined.’

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