{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:33:10Z","timestamp":1788316390898,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,6,28]],"date-time":"2008-06-28T00:00:00Z","timestamp":1214611200000},"content-version":"vor","delay-in-days":58,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims\u2003<\/jats:bold> Progressive restrictions placed on insulin\u2010treated patients with diabetes exclude them from driving group 2 and class C1 and D1 vehicles. This reflects an assumption that an increased risk of hypoglycaemia in these patients will cause road traffic accidents. These restrictions have been implemented without any consistent evidence that this is the case. The aim of the study was therefore to investigate whether the rate of road traffic collisions in insulin\u2010treated patients was higher than that of the non\u2010diabetic population using a population register\u2010based study.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> A historical cohort study combined information from the Devon and Cornwall Constabulary database on road traffic collisions with the district wide retinal screening database, to provide an anonymized matched database of road traffic collisions in the diabetic population. Accident rates were calculated in the diabetic population and compared to rates in the non\u2010diabetic population using relative risks.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> The estimated overall annual accident rate for the non\u2010diabetic population was 1469 per 100\u00a0000 vs. 856 per 100\u00a0000 for the diabetic population as a whole (Chi\u2010squared, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). On stratification of the groups by age, within the insulin\u2010treated group there was no significant difference in the accident rate compared to the non\u2010diabetic population, with relative risks between 0.51 [confidence interval (CI) 0.25\u20131.05] and 1.13 (CI 0.88\u20131.46).<\/jats:p><jats:p><jats:bold>Conclusions\u2003<\/jats:bold> Our findings suggest that insulin\u2010treated patients as a group do not pose an increased risk to road safety. They reiterate the need for an individualized risk\u2010based assessment when considering driving restrictions.<\/jats:p>","DOI":"10.1111\/j.1464-5491.2008.02409.x","type":"journal-article","created":{"date-parts":[[2008,4,25]],"date-time":"2008-04-25T17:25:18Z","timestamp":1209144318000},"page":"578-584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Road traffic accidents and diabetes: insulin use does not determine risk"],"prefix":"10.1111","volume":"25","author":[{"given":"K. F.","family":"Lonnen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. J.","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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