The motor car is a ubiquitous feature of modern life, and most of us spend significant amounts of time in a car, behind the wheel. Driving a vehicle requires complex coordination of cognitive, motor, and sensory skills. All of these aspects can be affected adversely by diabetes per se, with hypoglycemia being the main concern for people with diabetes who drive. Here we introduce the concept of using the motor vehicle as a device to collect and deliver physiological and clinical information, which, in turn, may enable more people to drive more safely by reducing the chances of medical mishaps behind the wheel. This is particularly relevant for people living with diabetes who are at risk from a number of medical conditions that have the potential to have an impact on safe driving. The development of in-vehicle medical monitoring presents a new opportunity for novel collaborations between two industries, which have safety as a core value.
TaylorJ. Diabetes and driving ordinary motor vehicles. Pract Diabetes.1985;2: 35–7.
7.
StorkAvan HaeftenTVenemanT. Diabetes and driving: desired data, research methods and their pitfalls, current knowledge, and future research. Diabetes Care.2006;29 (8): 1942–49.
Drivers Medical Group, Driving and Vehicle Licensing Agency. At a glance guide to the current medical standards of fitness to drive [cited 2009 Sep]. Available from: http://www.dft.gov.uk/dvla/medical/ataglance.aspx.
10.
SongerTJLaveLBLaPorteRE. The risk of licensing persons with diabetes to drive trucks. Risk Anal.1993;13 (3): 319–26.
11.
DionneGDesjardinsDLaberge-NadeauCMaagU. Medical conditions, risk exposure, and truck drivers' accidents: an analysis with count data regression models. Accid Anal Prev.1995;27 (3): 295–305.
12.
Laberge-NadeauCDionneGMaagUDesjardinsDVanasseCEkoeJM. Medical conditions and the severity of commercial motor vehicle drivers' road accidents. Accid Anal Prev.1996;28 (1): 43–51.
13.
WinklebyMARaglandDRFisherJMSymeSL. Excess risk of sickness and disease in bus drivers: a review and synthesis of epidemiological studies. Int J Epidemiol.1988;17 (2): 255–62.
14.
CoxDJGonder-FrederickLAKovatchevBPJulianDMClarkeWL. Progressive hypoglycemia's impact on driving simulation performance. Occurrence, awareness and correction. Diabetes Care.2000;23 (2): 163–170.
15.
CoxDJGonder-FrederickLAKovatchevBPClarkeWL. The metabolic demands of driving for drivers with type 1 diabetes mellitus. Diabetes Metab Res Rev.2002;18 (5): 381–5.
16.
LonnenKFPowellRJTaylorDShoreACMacLeodKM. Road Traffic accidents and diabetes: insulin use does not determine risk. Diabet Med.2008;25 (5): 578–84.
17.
EadingtonDWFrierBM. Type 1 diabetes and driving experience: an eight year cohort study. Diabet Med.1989;6 (2): 137–41.
18.
KoepsellTWolfMMcCloskeyL. Medical conditions and motor vehicle collision injuries in older adults. J Am Geriatr Soc.1994;42 (7): 695–700.
19.
UK Hypoglycaemia Study Group. Risk of hypoglycaemia in types 1 and 2 diabetes: effects of treatment modalities and their duration. Diabetologia.; 2007;50 (6): 1140–7.
20.
PrammingSThorsteinssonBBendtsonIBinderC. The relationship between symptomatic and biochemical hypoglycaemia in insulin-dependent diabetic patients. J Intern Med.1990;228 (6): 641–6.
21.
StorkADVan HaeftenTWVenemanTF. The decision not to drive during hypoglycemia in patients with type 1 and type 2 diabetes according to hypoglycemia awareness. Diabetes Care.2007;30 (11): 2822–6.
BodanskyDBodanskyH. Understanding, knowledge and attitudes towards current UK driving advice in insulin treated diabetic patients. Pract Diabetes Int.2009;26: 318–21.
24.
FlanaganDWatsonJEverettJCavanDKerrD. Driving and insulin—consensus, conflict or confusion?Diabet Med.2000;17 (4): 316–20.
25.
CoxDJPenberthyJKZrebiecJ. Diabetes and driving mishaps: frequency and correlations from a multinational survey. Diabetes Care.2003;26 (8): 2329–34.
26.
ElmasryALindbergEBerneCJansonCGislasonTTageldinM AwadBomanG. Sleep-disordered breathing and glucose metabolism in hypertensive men: a population-based study. J Intern Med.2001;249 (2): 153–61.
27.
KniplingRRWangJS. Crashes and fatalities related to driver drowsiness/fatigue. Research note: from the Office of Crash Avoidance Research. Washington DC: U.S. DOT/National Highway Traffic Safety Administration; 1994. p. 1–8.
28.
SassaniAFindleyLJKrygerMGoldlustEGeorgeCDavidsonTM. Reducing motor-vehicle collisions, costs, and fatalities by treating obstructive sleep apnea syndrome. Sleep.2004;27 (3): 453–8.
