Nonwarning hypoglycemia in drivers with diabetes.
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TL;DR
The inherent driving hazards of nonwarning hypoglycemia can be virtually eliminated by determining the glucose level just before driving and at one- to two-hour intervals on extended trips, and by maintaining the blood glucose at about 200 mg per dL.
Abstract
Physicians are urged to identify the diabetic prone to nonwarning hypoglycemic reactions. Each patient's therapeutic regimen should be thoroughly reevaluated, and self-monitoring of the blood glucose should be instituted as a preventive measure. The inherent driving hazards of nonwarning hypoglycemia can be virtually eliminated by determining the glucose level just before driving and at one- to two-hour intervals on extended trips, and by maintaining the blood glucose at about 200 mg per dL.