Acute Hyperglycemia may impair driving skills of young T1DM patients

Dana Ridel; Avinoam Borowsky; Yisrael Parmet; Alon Haim; Rotem Shalev; Eli Hershkovitz

doi:10.1177/1071181319631024

Acute Hyperglycemia may impair driving skills of young T1DM patients

Dana Ridel, Avinoam Borowsky, Yisrael Parmet, Alon Haim, Rotem Shalev, Eli Hershkovitz

Research output: Contribution to journal › Conference article › peer-review

1 Scopus citations

Abstract

Diabetic drivers are at increased risk to be involved in road crashes. While there is a large body of evidence regarding the effects of hypoglycemia on driving, very little is known about the effects of hyperglycemia on driving. The goal of this study was, therefore, to evaluate the effects of acute hyperglycemia (AH) on type 1 diabetes mellitus (T1DM) drivers in comparison to euglycemic state. Eighteen T1DM drivers were asked to navigate twice through nine hazardous scenarios in a driving simulator during euglycemia and AH (mean glucose level 138±34 and 321±29 mg\dL respectively) in a counterbalanced crossover design. Driving performance was continually monitored for driving data and eye tracking data. During euglycemia, participants maintained a longer headway distance (Mean=50.46+26.2m) compared to AH (40.87+20.15m P<0.005). Under a state of euglycemia, participants had a fewer number of brakes per kilometers driven (4.31+3.867) compared to AH (6.69+5.192 P<0.05). This study provides evidence to the negative effects of acute hyperglycemia on driving performance.

Original language	English
Pages (from-to)	1284
Number of pages	1
Journal	Proceedings of the Human Factors and Ergonomics Society
Volume	63
Issue number	1
DOIs	https://doi.org/10.1177/1071181319631024
State	Published - 1 Jan 2019
Event	63rd International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2019 - Seattle, United States Duration: 28 Oct 2019 → 1 Nov 2019

ASJC Scopus subject areas

Human Factors and Ergonomics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1071181319631024

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title = "Acute Hyperglycemia may impair driving skills of young T1DM patients",

abstract = "Diabetic drivers are at increased risk to be involved in road crashes. While there is a large body of evidence regarding the effects of hypoglycemia on driving, very little is known about the effects of hyperglycemia on driving. The goal of this study was, therefore, to evaluate the effects of acute hyperglycemia (AH) on type 1 diabetes mellitus (T1DM) drivers in comparison to euglycemic state. Eighteen T1DM drivers were asked to navigate twice through nine hazardous scenarios in a driving simulator during euglycemia and AH (mean glucose level 138±34 and 321±29 mg\dL respectively) in a counterbalanced crossover design. Driving performance was continually monitored for driving data and eye tracking data. During euglycemia, participants maintained a longer headway distance (Mean=50.46+26.2m) compared to AH (40.87+20.15m P<0.005). Under a state of euglycemia, participants had a fewer number of brakes per kilometers driven (4.31+3.867) compared to AH (6.69+5.192 P<0.05). This study provides evidence to the negative effects of acute hyperglycemia on driving performance.",

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AU - Ridel, Dana

AU - Borowsky, Avinoam

AU - Parmet, Yisrael

AU - Haim, Alon

AU - Shalev, Rotem

AU - Hershkovitz, Eli

PY - 2019/1/1

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N2 - Diabetic drivers are at increased risk to be involved in road crashes. While there is a large body of evidence regarding the effects of hypoglycemia on driving, very little is known about the effects of hyperglycemia on driving. The goal of this study was, therefore, to evaluate the effects of acute hyperglycemia (AH) on type 1 diabetes mellitus (T1DM) drivers in comparison to euglycemic state. Eighteen T1DM drivers were asked to navigate twice through nine hazardous scenarios in a driving simulator during euglycemia and AH (mean glucose level 138±34 and 321±29 mg\dL respectively) in a counterbalanced crossover design. Driving performance was continually monitored for driving data and eye tracking data. During euglycemia, participants maintained a longer headway distance (Mean=50.46+26.2m) compared to AH (40.87+20.15m P<0.005). Under a state of euglycemia, participants had a fewer number of brakes per kilometers driven (4.31+3.867) compared to AH (6.69+5.192 P<0.05). This study provides evidence to the negative effects of acute hyperglycemia on driving performance.

AB - Diabetic drivers are at increased risk to be involved in road crashes. While there is a large body of evidence regarding the effects of hypoglycemia on driving, very little is known about the effects of hyperglycemia on driving. The goal of this study was, therefore, to evaluate the effects of acute hyperglycemia (AH) on type 1 diabetes mellitus (T1DM) drivers in comparison to euglycemic state. Eighteen T1DM drivers were asked to navigate twice through nine hazardous scenarios in a driving simulator during euglycemia and AH (mean glucose level 138±34 and 321±29 mg\dL respectively) in a counterbalanced crossover design. Driving performance was continually monitored for driving data and eye tracking data. During euglycemia, participants maintained a longer headway distance (Mean=50.46+26.2m) compared to AH (40.87+20.15m P<0.005). Under a state of euglycemia, participants had a fewer number of brakes per kilometers driven (4.31+3.867) compared to AH (6.69+5.192 P<0.05). This study provides evidence to the negative effects of acute hyperglycemia on driving performance.

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Acute Hyperglycemia may impair driving skills of young T1DM patients

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