The risk was substantial, accounting for almost 50 percent of the accidents. The accidents were mostly related to severe hypoglycemia in association with strict blood sugar control. The findings were published online in PLoS Medicine. For the study, Redelmeier’s team collected data on 795 diabetic drivers. They found that one in 14 of the drivers had been involved in car accidents. Those with low blood sugar were more likely to have had an accident than were diabetics whose blood sugar was not as well controlled. Moreover, the risk for having a car accident increased fourfold if the person had a history of hypoglycemia.
Diabetics should not to drive if they feel dizzy or have other symptoms of hypoglycemia. If some one has had a hypoglycemic episode the previous day, he or she should not drive the car next day.
Patients with diabetes should drive only if diabetes is under control and there is no evidence of end organ disqualifying disease. Definitive criteria are not available but an American Diabetes Association table indicates upper limits for acceptable control as follows:
1. Fasting sugar: Normal 115 mg/dL (acceptable 140 mg/dL)
2. 2 hour postprandial plasma glucose: Normal 140 mg/dL (acceptable 200 mg/dL)
3. Glycosylated hemoglobin A1C: Normal 6 percent (Acceptable 8 perct)

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”


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