ASSESSMENT OF KNOWLEDGE AND ATTITUDES OF DIABETIC PATIENTS AND THEIR HEALTHCARE PROVIDERS TOWARD THE IMPACT OF HYPOGLYCEMIA ON SAFE DRIVING: A CROSS-SECTIONAL STUDY

Abstract

Background: Evidences derived from numerous studies revealed that diabetes mellites (DM) may impair driving fitness in a number of ways, including hypoglycemia, hyperglycemia, visual impairment, and other diabetic symptoms. Investigating the link between hypoglycemia and motor-vehicle collisions (MVCs) is necessary to lower morbidity and mortality in diabetic patients. The aims of the study were to assess the awareness and knowledge about the impact of hypoglycemia on driving among insulin-treated diabetic patients, those treated with insulin secretagogues who are visiting King Fahd Military Hospital in Asir region, Saudi Arabia, and healthcare providers in Asir region. 

Methods: An online questionnaire-based cross-sectional observational study that intended to involve at least 385 participants (diabetic patients and healthcare providers) at King Fahd Armed Forces Hospital in Asir region, Saudi Arabia. Two separate questionnaires will be used to assess the level of awareness and knowledge among the participants toward diabetes and driving; the first is specified for diabetic patients, and the second is specified for HCPs.

Results: A total of 416 diabetic patients, and 23 physician in Aseer region were surveyed. 30.8% of patient participants aged 60 years or above. Moreover, Good level of knowledge about hypoglycemia and its effect on safe driving was reported in 56% of the patients and  56.5 of physicians. Factors associated with better knowledge included younger age ((p = 0.003), being female (p = 0.003), having type 1 diabetes (p = 0.001), shorter diabetes duration (p = 0.014), and using insulin (p = 0.001). Among physicians,  endocrinologists/diabetologists had better knowledge compared to other specialties.

Conclusion: The results revealed a gap in awareness and preventive strategies among both patients and healthcare providers. This highlights the need for targeted educational interventions to improve understanding and encourage proactive management of hypoglycemia, especially in driving situations.