Diabetics must prevent an acute complication as a driver, otherwise it is more dangerous

Usually we always hear people advocating "don't drink and drive", but have we paid attention to the fact that diabetic friends have low blood sugar on the road, which may lead to the same consequences and become "road killers".

The danger of low sugar for diabetics

Mr. Wang is a 40-year-old taxi driver. He has been diabetic for 6 years. He uses insulin NovoRain 30 in the morning, 18 in the evening and 16 units, and takes 2 mg of Amorli daily intermittently. Due to the nature of his work, his work and rest time is often irregular. I don’t have the habit of regularly monitoring blood sugar. I occasionally feel palpitation and trembling in my hands, which will be relieved by eating something quickly, and I don’t take it seriously. Several times when I drove the car on the road, I started to sweat, my body throbbed, and I felt dizzy. Every time I almost caused an accident. The most terrifying one, without holding the steering wheel, the car ran straight onto the curb and onto the sidewalk... The family was worried that he would have another accident and insisted on sending him to the hospital for a look. He couldn't be stubborn with his family, so Mr. Wang came to the diabetes hospital to see what's going on...

In view of Mr. Wang's situation, after consultation with experts, several analyses were given:

one,

Because Mr. Wang has never systematically done diabetes-related examinations, the function of pancreatic islets and the level of blood sugar control are unknown, so the blind abuse of insulin leads to frequent hypoglycemia. "Driving when blood sugar is too high or too low is equivalent to driving under the influence." Therefore, it is generally believed that diabetic patients are not suitable for driving when their blood sugar is unstable.

Mr. Wang’s medical history is more than 5 years, and he is very likely to be accompanied by diabetic neuropathy. With the prolongation of the course of the disease, some warning symptoms of diabetic patients with hypoglycemia, such as dizziness, sweating, and palpitations, will gradually become less obvious, so that they May become unconscious without any warning, causing traffic accidents.

The combination of sulfonylurea antidiabetic drugs and insulin to reduce blood sugar greatly increases the risk of hypoglycemia.

Irregular diet and irregular work and rest lead to large fluctuations in blood sugar.

According to the analysis of Mr. Wang's specific situation, we gave him diabetes-related education and warned him how to deal with hypoglycemia:

Diabetics get ready

People with diabetes should be prepared to travel by car, bringing at least the following items: a blood glucose meter, candy bars or drinks, and other items that may be needed. Many people with diabetes may think that if they have low blood sugar, they have time to stop and eat. But in fact it is too late, so it is very necessary to bring some foods that can quickly raise blood sugar, such as candy and sugary drinks. Once you feel extremely hungry, your heart is racing, your hands are shaking, your vision is blurry, and you can’t control the steering wheel, it is a symptom of low blood sugar. You should stop immediately, take out a blood glucose meter for testing, and then add food and drinks. Continue driving until symptoms are relieved and blood sugar returns to normal.

The impact of diabetes

When driving, you must pay attention to your physical condition, such as colds, etc., you should be more cautious, because these diseases can cause blood sugar instability. Such as diabetic patients with the following conditions, it is best not to drive. First, heart disease; second, lower limb complications, which can affect stepping on the accelerator and braking; third, combined eye lesions; fourth, those who inject larger doses of insulin, because it is easy to cause blood sugar fluctuations; fifth, it is not recommended for diabetics to drive for a long time , First, excessive fatigue affects the reaction and judgment, and second, long-distance driving will cause blood sugar fluctuations.

Diabetic nutrition + exercise

Medical nutrition therapy and exercise therapy for diabetes are the basic measures to control hyperglycemia in type 2 diabetes. Drug therapy should be used when diet and exercise cannot make blood sugar reach the standard. It is necessary to choose suitable hypoglycemic drugs according to the patient's condition under the guidance of a doctor.

Diabetic blood sugar monitoring

Blood glucose monitoring is an important part of diabetes management. Regular blood glucose monitoring can effectively assess the degree of glucose metabolism disorder in patients and formulate a reasonable hypoglycemic plan. If blood sugar is poor, fingertip blood sugar should be monitored 4-7 times a day.

I believe that under the joint care of our medical staff, Mr. Wang will soon be able to work safely, live a healthy life, and give his family more peace of mind! Of course, the above also applies to more drivers with diabetes.