need advise

arvell Greer" <[email hidden]> wrote in message news:14440-409CB27C-16@storefull-
3135.bay.webtv.net... Is it a good ideal to start a driving
career with having diabetes?

I keep death of the roads and do not drive. If I start to go
hypo, some times I do not know realise it and others have to
tell me I am slowing down, and take a test. In that time I
could have killed some one if I was driving. Life's a [censored]
at times but you can control it.

Al

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

As with everything else, it depends on the circumstnces. If
you have been a "couch potato" for 30 years, are newly
diagnosed, have very poor control, and start driving 12
hours a day, you could increase your problems. If you are a
well-controlled diabetic, I cannot imagine any trouble other
than the requiement to make sure you follow your diet and
medication schedule (if any), just like anyone else.

Speaking only for myself,

Joe Durusau

why not? millions of people drive with DM. some even fly
planes, now that the FAA relaxed restrictions.

dave

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

Yes.

Since the advent of fast-acting insulins like Humalog and
Novolog with short activity tails, there is less risk of
hypoglycemia while driving. My rates of hypoglycemia and
resulting fear when driving have dropped significantly since
I started using Humalog in 1996. Now it is rare for me to
have any problems with low blood glucose while driving. But
if I were using a two R+NPH split-mixed per day insulin
therapy, I'd have hypoglycemia while driving. So this R+NPH
therapy should be avoided for safety, IMO.

Next, I always elevate BG slightly to 150-200 mg/dl before
driving. I figure I can always correct it later and the
relatively short time of high BG will not affect my HbA1c
much, (it takes 4 days of high BG before a near-irreversible
reaction takes place). The ADA recommendation for DM pilots
was to elevate the BG to 300 mg/dl while flying, as an
example. So safety was first and HbA1c was secondary.

So yes, it's safe to drive, but with some precautions,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c

"Narvell Greer" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Is it a good ideal to start a driving career with having
diabetes?

Driving career? What does that mean?

--
Type 2 users.bestweb.net~jboveOpen ↗

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

Frankly, no. If you have Type 1, the brittleness and the
possibility of hypoglycemia can directly interfere with your
safety as a driver. And if "merely" Type 2, long drives, bad
food and bad sleep on the road can interfere with your
glucose control and the circulation to your feet. I don't
recommend it.

Now, with that in mind, I actually spent a year working
ambulance, sometimes driving, as a Type 1. (I had an EMT
license and needed the work!). It was usually dull and
occasionally exciting, but I had to be *really* careful
about my diabetes control.

"Narvell Greer" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Is it a good ideal to start a driving career with having
diabetes?

A thought Narvell. Where in the world are you? UK, USA,
Aus?? It matters.

In the UK if you're a T1, then you can't drive heavy goods
vehicles OR Public Service Vehicles (buses etc).

I don't know abut the other places though.

Beav

9 May 2004 03:36:53 -0400 'Julie Bove said:

Driving career? What does that mean?

Trucker ???

Bus-driver ???

Cab driver ???

Any other job where driving is part of the job
description ...

--

]- "I am a man of many parts, ]- unfortunately most of them
are no longer in stock" ]-
------------------------------------------------------------
----------
To reply by e-mail, move the Gnu from the address to the
subject line.
------------------------------------------------------------
----------

Julie Bove said:

"Narvell Greer" <[email hidden]> wrote in message news:14440-409CB27C-16@storefull-
3135.bay.webtv.net...

Quoted message said:

Is it a good ideal to start a driving career with having
diabetes?

Quoted message said:

Driving career? What does that mean?

Driving a vehicle as a career. Duh

Julie Bove said:

"Narvell Greer" <[email hidden]> wrote in message news:14440-409CB27C-16@storefull-
3135.bay.webtv.net...

Quoted message said:

Is it a good ideal to start a driving career with having
diabetes?

Driving career? What does that mean?

I'm not the O.P., but I would presume it to mean
taking a job drivinf a taxi or perhaps a heavier
vehicle, for 8-12 hours a day. Examples might
include long-distance transport truck drivers, UPs
delivery drivers, etc.

Speaking only for myself,

Joe Durusau

Jim Dumas said:

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

Yes.

Since the advent of fast-acting insulins like Humalog and
Novolog with short activity tails, there is less risk of
hypoglycemia while driving. My rates of hypoglycemia and
resulting fear when driving have dropped significantly
since I started using Humalog in 1996. Now it is rare for
me to have any problems with low blood glucose while
driving. But if I were using a two R+NPH split-mixed per
day insulin therapy, I'd have hypoglycemia while driving.
So this R+NPH therapy should be avoided for safety, IMO.

Jim, I have to disagree with you massively here. It's not
the speed of the Humalog, it's the hypoglycemic unawareness
reported with the "human" insulins that scares the bejesus
out of me. And yes, I really loathed the switchover from
beef to human and had trouble with that.

This is a "your mileage may vary", though.

Quoted message said:

Next, I always elevate BG slightly to 150-200 mg/dl before
driving. I figure I can always correct it later and the
relatively short time of high BG will not affect my HbA1c
much, (it takes 4 days of high BG before a near-
irreversible reaction takes place). The ADA recommendation
for DM pilots was to elevate the BG to 300 mg/dl while
flying, as an example. So safety was first and HbA1c was
secondary.

300 mg/dL? When the hell was this? That would make most
humans feel *horrid*, and cause them to urinate like a
fountan and can also cause interesting leg cramps (or it
does for me when I'm having a problem). You do *not* want to
electrolyte deplete a pilot....

"Jim Dumas" <[email protected]!mindspring.com> wrote in message
"]news:[email hidden]...

Quoted message said:

Narvell Greer said:

Is it a good ideal to start a driving career with having
diabetes?

Yes.

Since the advent of fast-acting insulins like Humalog and
Novolog with

short

Quoted message said:

activity tails, there is less risk of hypoglycemia while
driving. My

rates

Quoted message said:

of hypoglycemia and resulting fear when driving have
dropped significantly since I started using Humalog in
1996. Now it is rare for me to have any problems with low
blood glucose while driving. But if I were using a two
R+NPH split-mixed per day insulin therapy, I'd have
hypoglycemia while driving. So this R+NPH therapy should
be avoided for safety, IMO.

Next, I always elevate BG slightly to 150-200 mg/dl before
driving. I figure I can always correct it later and the
relatively short time of high BG will not affect my HbA1c
much, (it takes 4 days of high BG before a near-
irreversible reaction takes place). The ADA recommendation
for DM pilots was to elevate the BG to 300 mg/dl while
flying, as an example. So safety was first and HbA1c was
secondary.

Can you provide a url for this ADA recommendation ?

Bobby

Pete said:

Julie Bove said:

"Narvell Greer" <[email hidden]> wrote in message news:14440-409CB27C-16@storefull-
3135.bay.webtv.net...

Quoted message said:

Is it a good ideal to start a driving career with having
diabetes?

Quoted message said:

Driving career? What does that mean?

Driving a vehicle as a career. Duh

I'm not sure it classified as a career; but driving cabs for
17 years probably falls within the definition.

Then again, "career" is a little ambiguous. Career
implies an upward progression in status - or moving fast
without control.

A driving career can be: proceeding at pace downhill with no
brakes. Been there, done that, with a caravan behind :-)

Cheers, Alan, T2 d&e, Australia. Remove weight and
carbs to email.
--
Everything in Moderation - Except Laughter.

"Hairy Antelope" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

9 May 2004 03:36:53 -0400 'Julie Bove said:

Driving career? What does that mean?

Trucker ???

Bus-driver ???

Cab driver ???

Any other job where driving is part of the job
description ...

It seems like there would be a big difference in those jobs
though. A trucker probably wouldn't be taking many breaks.
Not sure about a city bus driver, but a school bus driver
wouldn't be driving all day. I should think if the person
were to be driving all day long, this would be different
than a person who could stop and take breaks.

--
Type 2 users.bestweb.net~jboveOpen ↗

"Bobby" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

"Jim Dumas" <[email protected]!mindspring.com> wrote in
message -"]news:[email hidden]-
link.net...

Quoted message said:

Narvell Greer said:

Is it a good ideal to start a driving career with
having diabetes?

Yes.

Since the advent of fast-acting insulins like Humalog
and Novolog with

short

Quoted message said:

activity tails, there is less risk of hypoglycemia while
driving. My

rates

Quoted message said:

of hypoglycemia and resulting fear when driving have
dropped

significantly

Quoted message said:

Quoted message said:

since I started using Humalog in 1996. Now it is rare
for me to have

any

Quoted message said:

Quoted message said:

problems with low blood glucose while driving. But if I
were using a

two

Quoted message said:

Quoted message said:

R+NPH split-mixed per day insulin therapy, I'd have
hypoglycemia while driving. So this R+NPH therapy should
be avoided for safety, IMO.

Next, I always elevate BG slightly to 150-200 mg/dl
before driving. I figure I can always correct it later
and the relatively short time of

high

Quoted message said:

Quoted message said:

BG will not affect my HbA1c much, (it takes 4 days of
high BG before a near-irreversible reaction takes
place). The ADA recommendation for DM pilots was to
elevate the BG to 300 mg/dl while flying, as an example.

So

Quoted message said:

Quoted message said:

safety was first and HbA1c was secondary.

Can you provide a url for this ADA recommendation ?

Yeah, that'd make an interesting read.

Beav

Nico Kadel-Garcia said:

Jim, I have to disagree with you massively here. It's not
the speed of the Humalog, it's the hypoglycemic
unawareness reported with the "human" insulins that scares
the bejesus out of me. And yes, I really loathed the
switchover from beef to human and had trouble with that.

Hi Nico,

The short tail of Humalog and Novolog will have less post-
prandial hypoglycemia than Human regular or R+NPH split-
mixed regimens, generally speaking. But if you deviate from
your normal routine, as in more exercise for example, than
all bets are off. All insulins will get you under these
higher insulin sensitivity conditions.

As an example, I've had to lower my ultralente dose during
my recent move to prevent hypoglycemia. Packing, lifting and
unpacking boxes caused higher insulin sensitivity than
normal. I also have an insulin sensitivity multiplier in a
dosing computer model that I increased by 1/3 to lower
insulin requirements and this has not returned to my normal
base-line yet.

My experience with Humalog versus Regular has been
significantly less hypoglycemia. The major difference is the
shorter duration of Humalog. I also suffer from HG
unawareness. With the lower rates of hypoglycemia, this has
been much less of a problem for me.

Quoted message said:

This is a "your mileage may vary", though.

Quoted message said:

Next, I always elevate BG slightly to 150-200 mg/dl
before driving. I figure I can always correct it later
and the relatively short time of high BG will not affect
my HbA1c much, (it takes 4 days of high BG before a near-
irreversible reaction takes place). The ADA
recommendation for DM pilots was to elevate the BG to 300
mg/dl while flying, as an example. So safety was first
and HbA1c was secondary.

300 mg/dL? When the hell was this? That would make most
humans feel horrid, and cause them to urinate like a
fountan and can also cause interesting leg cramps (or it
does for me when I'm having a problem). You do not want to
electrolyte deplete a pilot....

This was verbal information. An ADA friend was reviewing a
recommendation for the FAA to grandfather insulin using T2
pilots so they could continue flying after insulin therapy
began. This was about 1998 time frame. He was surprised at
the 300 mg/dl recommendation to the FAA. I haven't followed
up to see what the final FAA requirements became. There
probably is some FAA website with this information by now.

That's the scoop,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c

Bobby said:

Can you provide a url for this ADA recommendation ?

Hi Bobby,

Here it is:

diabetes.orgadvocacy andOpen ↗
legalresources/discrimination/employment/faa_protocol.jsp

The preflight BG must be 100-300 mg/dl.

This is a place to start. HTH,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c

Hi Bobby,

What I did was google "FAA diabetic pilots" and several good
web sites came up. One with two articles on diabetic pilot
licensing is:

cami.jccbi.govaamOpen ↗
400A/FASMB/FAS2001/0001men2.htm

I have not read them yet. But looks interesting,
--
Jim Dumas T1 4/86, background retinopathy, rarely
hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate
exercise, typically <6% HbA1c

Alan said:

Pete said:

Julie Bove said:

"Narvell Greer" <[email hidden]> wrote in message news:14440-409CB27C-16@storefull-
3135.bay.webtv.net...
> Is it a good ideal to start a driving career with
> having diabetes?

Quoted message said:

Quoted message said:

Quoted message said:

Driving career? What does that mean?

Quoted message said:

Quoted message said:

Driving a vehicle as a career. Duh

Quoted message said:

I'm not sure it classified as a career; but driving cabs
for 17 years probably falls within the definition.

Quoted message said:

Then again, "career" is a little ambiguous.

I don't think so. You can have anything as a career which
implies a sort of calling or preferred employment,
longevity, expertise and dedication.

Quoted message said:

Career implies an upward progression in status

No I do not think so. I had a career for the best part of 33
years durring which I managed to achieve the most
prestigeous appointment in the business and was envied by
many. However, my advancement in terms of rank only went so
far, thought the status of the appointment was 8/10 - which
point was gained more than ten before I decided to retire.
By your 'colonial definition' <VBG> my career ceased to
exist from that point onwards.

Quoted message said:

- or moving fast without control.

Another meaning for the word an not necessarily valid in
multiple meaning application. [You are being obtuse]

Quoted message said:

A driving career can be: proceeding at pace downhill with
no brakes. Been there, done that, with a caravan behind :-)

LOL serves you right.

A driving career can be: that the individual has no
control over it?

Quoted message said:

Cheers, Alan, T2 d&e, Australia. Remove weight and carbs
to email.