4 Responses

  1. Elizabeth
    Elizabeth April 12, 2014 at 11:25 am | | Reply

    I’m Type 1, haven’t had an A1C over 5.8 in over 15 years, test 10+ times a year and use a CGM, and usually test before I drive. BUT I’m also hypo-unaware, and I’ve tested after a longer ride only to learn my bg is in the 40′s.

    It’s awful, yes, and it shakes me up when I realize, but is it my “fault” when I feel fine for not pulling over to test every half hour and realizing I’m dropping quickly? Okay, maybe it is, I know dropping quickly is always a possibility and that I usually don’t feel it, but in that case maybe diabetics shouldn’t be allowed to get a license regardless of their control. Being in GOOD control puts me at greater risk for driving hypo.

    The story is horrible, a nightmare, but four years in jail? In my mind taking away his license to make sure he never drives again (and the horror he must feel over what happened) should be enough.

  2. Elizabeth
    Elizabeth April 12, 2014 at 11:26 am | | Reply

    (Ha, test 10+ times a day. If I tested 10+ times a year I’d be dead. :P )

  3. pwd doc
    pwd doc April 12, 2014 at 6:16 pm | | Reply

    As Elizabeth stated, ironically people in good control are often more apt to have hypoglycemia unawareness. As a physician with 50+ years of diabetes, I strongly believe people have to take responsibility not to harm others. It is one thing to take a chance of harming yourself if you have a severe low. It is another thing to take a chance of harming someone else. In many states, if you have seizure disorder unrelated to diabetes, and have had a seizure in the past 6 months to a year, you aren’t allowed to drive even if you take your seizure medicine faithfully (a lot easier to be compliant with seizure medication, than with diabetes treatment and hypoglycemia avoidance). In some states, a physician is required to report a patient who has a severe hypoglycemic episode to the department of motor vehicles so their license will be suspended until their physician will state that they have taken action to avoid severe hypoglycemia behind the wheel in the future. In other states, this is not allowed due to patient confidentiality law. I have personally helped patients get their license back after hypoglycemia behind the wheel, but only when I was convinced they were doing everything humanly possible to avoid hypoglycemia while driving.

    Although we all want spectacular HgbA1C levels for ourselves and our patients, extreme precautions must be taken to avoid low blood sugars behind the wheel, even if it means tolerating higher than desired blood glucose levels for some people. If you aren’t willing or able to avoid lows behind the wheel, you shouldn’t drive. There are other means of transportation.

  4. Shannon Thun
    Shannon Thun May 2, 2014 at 12:18 am | | Reply

    I disagree, first of all most all state require you to register that you are a Diabetic on insulin. I am a type 1 and will drop 20-30 mls in as fast as 10 minutes, especially after a workout. When i feel fuzzy or dizzy with sweats I pull over to test and take glucose accordingly. Personally, you must be a type 2 diabetic on insulin and have no idea what it means o strip an individual of basic rights. Type 1′s always test them selves and are vigilant about doing so. I see type 2′s being wreck-less all the time with testing and insulin because they haven’t had to use it to stay a live.

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