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Medical Forum / Diseases and Disorders / Diabetes / December 2006

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Hero Saves Hypo Truck Driver

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Alan S - 03 Nov 2006 14:10 GMT
http://www.smh.com.au/news/national/cessnock-supermans-risky-rescue/2006/11/02/1
162339966881.html

<snip>
"Mr Thompson saw the truck driver swerving his semitrailer
on Wollombi Road, Bellbird about 6.50am yesterday as he was
driving his car in the opposite direction to work. Mr
Thompson turned his car around, sped past the truck and
parked his black Holden Commodore after noticing the driver
was slumped over the wheel.

He then ran across the road and climbed on to the moving
heavy vehicle, pushed the semiconscious driver to the
passenger seat, put the gear into neutral and pulled the
brake.

The 50-year-old diabetic truck driver, who had fallen
unconscious because of low blood sugar levels, was taken to
Cessnock District Hospital and remained in a stable
condition last night."
<snip>

Well worth reading the whole story - the guy who saved him
is a real honest down-to-earth hero.

Cheers, Alan, T2, Australia.
d&e, metformin 1000mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: Planning on the Net
sharppointy1 - 03 Nov 2006 15:16 GMT
Wow - great story, Alan.  Nice to see some good news.

> http://www.smh.com.au/news/national/cessnock-supermans-risky-rescue/2006/11/02/1
162339966881.html

> <snip>
[quoted text clipped - 26 lines]
> http://loraltravel.blogspot.com/
> latest: Planning on the Net
Beav - 04 Nov 2006 00:53 GMT
> http://www.smh.com.au/news/national/cessnock-supermans-risky-rescue/2006/11/02/1
162339966881.html

> <snip>
[quoted text clipped - 18 lines]
> Well worth reading the whole story - the guy who saved him
> is a real honest down-to-earth hero.

And whoever gave him a license to drive a big rig needs a lesson or two of a
different type.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Peter Bowditch - 04 Nov 2006 05:13 GMT
>> http://www.smh.com.au/news/national/cessnock-supermans-risky-rescue/2006/11/02/1
162339966881.html

>> <snip>
[quoted text clipped - 21 lines]
>And whoever gave him a license to drive a big rig needs a lesson or two of a
>different type.

It is a bit scary. To hold a licence for a semi there is no automatic
requirement for a medical exam until the driver is 80 years old. (If
he was driving a B-double or road train he would have to have an exam
every five years.) All that is required is a statement from a doctor
that the driver is fit to drive, and then only if he has notified the
RTA about the diabetes. An annual exam can be ordered, and I assume
that this guy will be having them if he wants to keep on working, but
even then it's not going to pick up how likely he is to have another
hypo.
Signature

Peter Bowditch aa #2243
The Millenium Project http://www.ratbags.com/rsoles
Australian Council Against Health Fraud http://www.acahf.org.au
Australian Skeptics http://www.skeptics.com.au
To email me use my first name only at ratbags.com

Alexander Arnakis - 04 Nov 2006 05:51 GMT
>It is a bit scary. To hold a licence for a semi there is no automatic
>requirement for a medical exam until the driver is 80 years old. (If
[quoted text clipped - 5 lines]
>even then it's not going to pick up how likely he is to have another
>hypo.

Yes. I would hate for there to be a blanket prohibition on diabetics
working as truck drivers. So much depends on their individual degree
of control. For all we know, the incident in the original post might
have been the first hypoglycemic episode for this driver.

Within reason, I think we have to rely on the self-assessment of the
drivers on whether they're fit to drive. After all, their own lives
are on the line as well as those of the travelling public.
Alan S - 04 Nov 2006 06:22 GMT
>Within reason, I think we have to rely on the self-assessment of the
>drivers on whether they're fit to drive. After all, their own lives
>are on the line as well as those of the travelling public.

I don't. Not when I may be the one coming in the opposite
direction on that road.

It's a difficult area - but that last phrase is the worry
"as well as those of the travelling public". In this case it
was also the people living in the houses beside the road.

I would think that at the very least some form of doctor's
support indicating that the patient has a level of control
suitable for safe driving should be required. Not just for
diabetes. When I was a cab-driver in Melbourne I had to have
an annual medical; it was accepted by all drivers as part of
the job, just the same as 0% blood alcohol content. That
didn't save the lives of the four passengers when their
cab-driver had a heart attack in Chelsea circa 1990, or of
the driver - but I'll bet it saved a few lives as a result
of the drivers whose licences were revoked when they failed
those medicals.

If the diabetic - of any type - can convince his doctor to
take that responsibility, then OK. If the doc won't take
that risk, why should we?

I was asked if I was a diabetic, then had to get a doctor's
signature when I renewed my licence this year because I had
changed from diet and exercise to metformin:
http://www.rta.nsw.gov.au/licensing/healthmedicals/index.html
Disclosure of a medical condition for the first time

A customer who discloses to the RTA for the first time that
he or she suffers from diabetes, epilepsy, giddiness,
blackouts, fainting or other sudden periods of
unconsciousness, must provide a satisfactory medical report
before he or she can receive or renew a licence.

Customers who have already declared these medical conditions
to the RTA can renew their licences provided RTA medical
review requirements have been met.

Customers with diabetes that is controlled by diet are no
longer required to provide an initial medical report.

And:
http://www.rta.nsw.gov.au/licensing/downloads/renewmedicindex_dl1.html
Medical and driving tests
Summary
The Roads and Traffic Authority (RTA) must be satisfied that
all licence holders are medically fit to drive. A licence
holder can be directed to have regular medical examinations
because of a medical condition or because of advanced age.
Some drivers must also have an annual driving test.

Of course, no system is perfect. The driver in this case is
from my state.

Cheers, Alan, T2, Australia.
d&e, metformin 1000mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: Planning on the Net
Ozlover - 04 Nov 2006 14:43 GMT
[deleted]
> I would think that at the very least some form of doctor's
> support indicating that the patient has a level of control
> suitable for safe driving should be required. Not just for
> diabetes.

[Personal and Australian details deleted.]

 Things in Oz look sensible and comparable to those in my country (The
Netherlands), where the requirements for large vehicles (i.e. trucks,
etc.) are more strict than for passenger cars. I.e. one *must* have a
report from an endo (? doctor of internal medicine), which is not your
own, and the validity both the eye-exam and license/renewal itself are
shorter (5 versus 10 years).

 I don't know *why* Beave assumed what he did:

B> And whoever gave him a license to drive a big rig needs a lesson or
B> two of a different type.

 That he got a hypo does not mean that his license was unjustified.

[deleted]

Signature

Frank Slootweg,
T2, 59+1y, Diag 4/2000, weightloss (81->68 kg), diet, 2 * 0.5 mg Repaglinide

Beav - 26 Nov 2006 19:49 GMT
> [deleted]
>> I would think that at the very least some form of doctor's
[quoted text clipped - 12 lines]
>
>  I don't know *why* Beave assumed what he did:

Beav didn't assume a thing. The original post was quite clear in saying that
a driver capable of going hypo was driving a truck. I said the person who
gave him that license needed a lesson f a different kind and I stand by
that. Drivers who are capable of going hypo to the point of unconsciousness
shouldn't be in the drivers seat of a truck. Thank f.ck that over here in
the UK, they're not.

> B> And whoever gave him a license to drive a big rig needs a lesson or
> B> two of a different type.
>
>  That he got a hypo does not mean that his license was unjustified.

It does in my eyes and I'm willing to bet that anyone who gets clobbered by
an uncontrolled truck "driven" by someone unconscious, would feel exactly
the same.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Ozlover - 27 Nov 2006 18:54 GMT
> > [deleted]
> >> I would think that at the very least some form of doctor's
[quoted text clipped - 19 lines]
> shouldn't be in the drivers seat of a truck. Thank f.ck that over here in
> the UK, they're not.

 "The original post" did not say any such thing, and neither did the
(website) article to which the post pointed. I.e. you assumed, and I
said so.

 You are further assuming that "the person who gave him that license"
was aware of the driver's medical condition and its (presumed (by you))
severity.

> > B> And whoever gave him a license to drive a big rig needs a lesson or
> > B> two of a different type.
[quoted text clipped - 4 lines]
> an uncontrolled truck "driven" by someone unconscious, would feel exactly
> the same.

Signature

Frank Slootweg,
T2, 59+1y, Diag 4/2000, weightloss (81->68 kg), diet, 2 * 0.5 mg Repaglinide

Beav - 01 Dec 2006 13:58 GMT
>> > [deleted]
>> >> I would think that at the very least some form of doctor's
[quoted text clipped - 25 lines]
> (website) article to which the post pointed. I.e. you assumed, and I
> said so.

I made no assumptions. It's a legal requirement to inform the licensing
authority of any medical condition that can impact on the ability to remain
in control of a vehicle. If the truck driver didn't do that, then yes, I'm
barking up the wrong tree, but as it's known he IS diabetic, it's a fair
assumption that he DID inform the authority and his license should've been
revoked.

>  You are further assuming that "the person who gave him that license"
> was aware of the driver's medical condition and its (presumed (by you))
> severity.

See above.

>> > B> And whoever gave him a license to drive a big rig needs a lesson or
>> > B> two of a different type.
>> >
>> >  That he got a hypo does not mean that his license was unjustified.

It most certainly does. Obviously you wouldn't mind being mowed down by an
unconscious driver of a truck, but that's not for everyone, I'm sure.

>> It does in my eyes and I'm willing to bet that anyone who gets clobbered
>> by
>> an uncontrolled truck "driven" by someone unconscious, would feel exactly
>> the same.

No comment on that bit Frank? Tell me, do you drive a truck and go hypo?

Signature

Beav

VN 750
Zed 1000
OMF# 19

Ozlover - 01 Dec 2006 18:59 GMT
> >> > [deleted]
> >> >> I would think that at the very least some form of doctor's
[quoted text clipped - 26 lines]
>
> I made no assumptions.

 Yes, you did. Initially you said "And whoever gave him a license to
drive a big rig needs a lesson or two of a different type.", and later
"a driver capable of going hypo". You have no proof whatsoever for any
of that, especially not the latter part. If you *think* you have, then
cite the (in your opinion relevant) part(s) of the original post or/and
website article.

> It's a legal requirement to inform the licensing authority of any
> medical condition that can impact on the ability to remain in control
> of a vehicle.

 Maybe in the UK, but we're not talking about the UK, we're talking
about Australia. FYI, our country has no such legal requirenment. It is
*recommended* to inform the licensing authority, but it is not
*required* (until the next renewal).

> If the truck driver didn't do that, then yes, I'm barking up the wrong
> tree, but as it's known he IS diabetic,

 It's known *now*. The *point* is whether it was known when his license
was *granted/renewed*. You have *no* information about that.

> it's a fair assumption that he DID inform the authority and his
> license should've been revoked.

 His license should have been revoked because he was diabetic?  In our
country it *might* be revoked if his diabetes is not sufficiently
controlled (i.e. (too high) risk of hypos).

> >  You are further assuming that "the person who gave him that license"
> > was aware of the driver's medical condition and its (presumed (by you))
[quoted text clipped - 9 lines]
> It most certainly does. Obviously you wouldn't mind being mowed down by an
> unconscious driver of a truck, but that's not for everyone, I'm sure.

 Don't be ridiculous. Of course I mind. But I *also* mind the unfounded
stance that someone can not drive a vehicle just because he has
diabetes.

> >> It does in my eyes and I'm willing to bet that anyone who gets
> >> clobbered by an uncontrolled truck "driven" by someone unconscious,
> >> would feel exactly the same.
>
> No comment on that bit Frank? Tell me, do you drive a truck and go hypo?

 See above.

Signature

Frank Slootweg,
T2, 59+1y, Diag 4/2000, weightloss (81->68 kg), diet, 2 * 0.5 mg Repaglinide

Beav - 07 Dec 2006 17:15 GMT
>> >> > [deleted]
>> >> >> I would think that at the very least some form of doctor's
[quoted text clipped - 36 lines]
> "a driver capable of going hypo". You have no proof whatsoever for any
> of that, especially not the latter part.

Apart from the fact that he DID go hypo, you mean?

If you *think* you have, then
> cite the (in your opinion relevant) part(s) of the original post or/and
> website article

Cite what? The man went hypo and someone allowed him t have a license to
drive a big rig. Somoen f.cked up and it wasn't me.
.

>> It's a legal requirement to inform the licensing authority of any
>> medical condition that can impact on the ability to remain in control
[quoted text clipped - 17 lines]
> country it *might* be revoked if his diabetes is not sufficiently
> controlled (i.e. (too high) risk of hypos).

And of course, there's no chance of THAT happening, is there?

>> >  You are further assuming that "the person who gave him that license"
>> > was aware of the driver's medical condition and its (presumed (by you))
[quoted text clipped - 7 lines]
>> >> >
>> >> >  That he got a hypo does not mean that his license was unjustified.

>> It most certainly does. Obviously you wouldn't mind being mowed down by
>> an
[quoted text clipped - 3 lines]
> stance that someone can not drive a vehicle just because he has
> diabetes.

If he has the kind of diabetes that can tip him into unconsciousness, then
of COURSE he shouldn't be driving big rigs. Obviously, because it was only
luck that (a) he didn't kill someone and (b) that someone happened to be
clse enough to help him.

>> >> It does in my eyes and I'm willing to bet that anyone who gets
>> >> clobbered by an uncontrolled truck "driven" by someone unconscious,
[quoted text clipped - 3 lines]
>
>  See above.

Ah, so you don't.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Ozlover - 07 Dec 2006 20:37 GMT
> >> >> > [deleted]
> >> >> >> I would think that at the very least some form of doctor's
[quoted text clipped - 34 lines]
>
> Apart from the fact that he DID go hypo, you mean?

 I must say that I have had dental appointments which were more fun
than this (non) 'discussion', but let me give it another try:

 Yes, he did go hypo. But the point you keep dodging is, if that risk
(*and* its severity) was *known* *at the time the license was granted/
renewed*! YOU DON'T KNOW (and neither do we (TINW). That's the whole
point. Got it now?

> > If you *think* you have, then cite the (in your opinion relevant)
> > part(s) of the original post or/and website article
>
> Cite what? The man went hypo and someone allowed him t have a license
> to drive a big rig. Somoen f.cked up and it wasn't me.

 Don't invent things! That's why I asked for a cite. The *reported*
sequence of events is *the other way around*: He got a license and then
he got a hypo. BIG difference.

> >> It's a legal requirement to inform the licensing authority of any
> >> medical condition that can impact on the ability to remain in
[quoted text clipped - 10 lines]
> >   It's known *now*. The *point* is whether it was known when his
> > license was *granted/renewed*. You have *no* information about that.

 Failure to respond noted.

> >> it's a fair assumption that he DID inform the authority and his
> >> license should've been revoked.
[quoted text clipped - 4 lines]
>
> And of course, there's no chance of THAT happening, is there?

 Is your stance that a diabetic should not be driving, period? If so,
then why don't you *say* so? Why beat around the bush and accuse people
without any cause/proof?

 With a diabetic, there's *always* a *chance*, but the point - both of
common sense and of law - is, as I said, whether or not that risk is too
high.

 Do you drive? If so, what's your excuse (for driving), giving your
stance on the (truck driver's) case in question?

> >> >   You are further assuming that "the person who gave him that
> >> > license" was aware of the driver's medical condition and its
[quoted text clipped - 20 lines]
> luck that (a) he didn't kill someone and (b) that someone happened to be
> clse enough to help him.

 See above. Most if not all diabetics *can* "tip into unconsciousness".
The *point* is whether the risk (i.e. the likelyhood) is acceptable or
not. Again, according to common sense (otherwise no diabetic can be
allowed to drive) and law.

> >> >> It does in my eyes and I'm willing to bet that anyone who gets
> >> >> clobbered by an uncontrolled truck "driven" by someone
[quoted text clipped - 6 lines]
>
> Ah, so you don't.

 I obviously *did* comment ("See above"). But to answer your question:

 No I don't drive a truck (or at least not a heavy one) because I
don't_have/never_had the license for it. But, I *do* drive a car/
campervan, and might drive a van or/and tow a trailer, and I *might* get
a hypo. But the (legally required) medical screening has determined that
I am sufficiently hypo-aware and adequately handle any hypo which might
occur.

 Bottom line: I never *had* a hypo but I *might* get one, but the risk
is considered to be acceptable.

 Analogy: Diabetes aside, is a 'normal' driver *guaranteed* to never
cause a serious accident? Of course not. But the risk is considered to
be acceptable. Guess what? They made "acceptable risk" rules for
'non-normal' people as well. Figure that!

 In closing: Why don't you spell out your *real* beef? Do you have a
beef with diabetics driving? With diabetics driving trucks? With the
level of risk of a hypo? What severity of hypo? Etc..

Signature

Frank Slootweg,
T2, 59+1y, Diag 4/2000, weightloss (81->68 kg), diet, 2 * 0.5 mg Repaglinide

Alexander Arnakis - 04 Nov 2006 23:13 GMT
>>Within reason, I think we have to rely on the self-assessment of the
>>drivers on whether they're fit to drive. After all, their own lives
[quoted text clipped - 10 lines]
>support indicating that the patient has a level of control
>suitable for safe driving should be required. <snipped for brevity>

As a practical matter, a doctor has to rely on the patient's own
records and recollections when it comes to episodes of hypoglycemia.
An A1c test doesn't give this information. Even an elevated A1c
wouldn't be relevant to driving, since the real danger on the road is
going too *low*, not too high.

So, short of denying licenses to *all* insulin-dependent diabetics,
we're left essentially with a self-assessment system. If a diabetic
relies on driving for his livelihood, the incentive is to paint a rosy
picture to the authorities. I can easily see such a diabetic
maintaining two logbooks, one for himself and one to show the doctor
and the authorities.
Alan S - 04 Nov 2006 23:39 GMT
>As a practical matter, a doctor has to rely on the patient's own
>records and recollections when it comes to episodes of hypoglycemia.

Not if the hypo was serious enough to need attention. If a
diabetic is prone to hypos, it's unlikely the patient's
regular doctor will be unaware of it. If it was serious
enough to need ER treatment it will be on the record as
well. If the diabetic is an insulin user then the doctor
will be able to assess the patient's competence in BG
management from many factors, not just A1c and FBG.

In this state reports like the one quoted are quite
uncommon, one hopes that is because the system works to some
degree.

More common, unfortunately, are accidents involving the
elderly; including some quite nasty ones recently. At the
moment an annual medical is required for those over 80 - I
am in favour of reducing that age.

>An A1c test doesn't give this information. Even an elevated A1c
>wouldn't be relevant to driving, since the real danger on the road is
[quoted text clipped - 6 lines]
>maintaining two logbooks, one for himself and one to show the doctor
>and the authorities.

We'll have to agree to disagree I think. Not much more to
say on either side - except to be grateful we don't drive on
the same roads:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1000mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: The Vatican
shoppa@trailing-edge.com - 05 Nov 2006 15:02 GMT
> If the diabetic is an insulin user then the doctor
> will be able to assess the patient's competence in BG
> management from many factors, not just A1c and FBG.

Interesting claim. I've been a type 1 for 25 years and have had several
different docs. The best always will drill into details of bg
management, adjustment of insulin dosages, and hypo management. (The
worst start dictating to me how I should be doing things without
listening first!)

But none of that will prevent occasional extreme hypos. In fact the
DCCT shows good evidence that the more effort is focused on tight BG
management, the higher the incidence of extreme hypos (hypos requiring
a trip to the ER or help from others.)

Tim.
oldal4865 - 05 Nov 2006 01:12 GMT
Alexander Arnakis wrote in message ...
>. . . .
>So, short of denying licenses to *all* insulin-dependent diabetics,
>. . .

 An interesting thread.   In Michigan, U.S.A.,  insulin-dependent diabetics
are disqualified for a Commercial Drivers License.    That means busses,
semi's,  dump trucks,  etc, etc, etc.

The U.S. disqualifies IDDM from operating a commercial motor vehicle in
interstate commerce.   I don't know if any States allow intrastate driving.

". . .Diabetes. If insulin is necessary to control a diabetic driver's
condition, the driver is not qualified to operate a commercial motor vehicle
in interstate commerce. If mild diabetes is present and it is controlled by
use of an oral hypoglycemic drug and/or diet and exercise, it should not be
considered disqualifying. However, the driver must remain under adequate
medical supervision. . . ."

Regards
 Old Al
Alexander Arnakis - 05 Nov 2006 01:25 GMT
>  An interesting thread.   In Michigan, U.S.A.,  insulin-dependent diabetics
>are disqualified for a Commercial Drivers License.    That means busses,
[quoted text clipped - 9 lines]
>considered disqualifying. However, the driver must remain under adequate
>medical supervision. . . ."

Yes, but is this fair? There's a fine line between legitimate public
safety concerns and outright employment discrimination. I think the
ADA's legal committee has been fighting all sorts of blanket exclusion
rules for diabetics for years. For example, they've been able to lobby
successfully for insulin-dependent diabetics to keep their jobs as
police officers, firefighters, and even military personnel.

The fairest approach seems to be to balance the individual's degree of
control with the specific requirements of the job, on a case-by-case
basis.

Another thing to keep in mind is that if the rules become too
draconian, diabetics will find ways to circumvent them. They may
simply lie about having diabetes. And they might even pass a routine
medical exam, if they temporarily bring their BG into the normal range
(an A1c test is usually not administered in employment screening).

(As a side note, I've been driving (not commercially) for the whole
time I've had diabetes (41 years) without a single diabetes-related
road incident. And I've never had to go to the ER, even though I've
had lots of hypos. Should my driver's license be taken away just
because I take insulin?)
BlueBrooke - 05 Nov 2006 01:45 GMT
>>  An interesting thread.   In Michigan, U.S.A.,  insulin-dependent diabetics
>>are disqualified for a Commercial Drivers License.    That means busses,
[quoted text clipped - 11 lines]
>>
>Yes, but is this fair?

When it comes to regulations pertaining to commercial drivers in the
USA, "fair" doesn't enter into it.  

BlueBrooke
T2/D&E/June 2005

The things that come to those who wait will
be the things left by those who got there first.
Alexander Arnakis - 05 Nov 2006 05:41 GMT
>When it comes to regulations pertaining to commercial drivers in the
>USA, "fair" doesn't enter into it.  

It should. As diabetics, it's up to us to fight for our rights. Make
enough of a stink, and the rules will be changed.
BlueBrooke - 05 Nov 2006 06:29 GMT
>>When it comes to regulations pertaining to commercial drivers in the
>>USA, "fair" doesn't enter into it.  
>>
>It should. As diabetics, it's up to us to fight for our rights. Make
>enough of a stink, and the rules will be changed.

Actually, I'm not so sure "it should."  

BlueBrooke
T2/D&E/June 2005

The things that come to those who wait will
be the things left by those who got there first.
oldal4865 - 05 Nov 2006 12:48 GMT
Alexander Arnakis wrote in message ...
>>. . .
.>>
>>The U.S. disqualifies IDDM from operating a commercial motor vehicle in
>>interstate commerce.   I don't know if any States allow intrastate driving.
[quoted text clipped - 28 lines]
>had lots of hypos. Should my driver's license be taken away just
>because I take insulin?)

   We are talking about a Commercial Driver's License not personal driving.
Nobody takes away personal driver's licenses merely because of IDDM.

Is it fair, are they balancing the individual's degree of control with the
specific requirements of the job?

They think so.   Fireman:  yes.    Interstate truck driver,  airline pilot:
no.

My reading of the statutes suggests the the driver in the O.P. would be
subject to a $5000 fine and up to 90 days in jail if the event had occurred
in the U.S.    He might have received additional penalties if he had
deceived a medical examiner.

Regards
 Old Al
shoppa@trailing-edge.com - 05 Nov 2006 15:05 GMT
> My reading of the statutes suggests the the driver in the O.P. would be
> subject to a $5000 fine and up to 90 days in jail if the event had occurred
> in the U.S.    He might have received additional penalties if he had
> deceived a medical examiner.

Not to mention the basic charge of DUI. It doesn't matter whether the
drug is alcohol, cocaine, insulin, or something else (prescribed or
non-prescribed or over-the-counter).

Tim.
oldal4865 - 05 Nov 2006 16:11 GMT
shoppa@trailing-edge.com wrote in message
<1162739112.211495.144400@m7g2000cwm.googlegroups.com>...
>> My reading of the statutes suggests the the driver in the O.P. would be
>> subject to a $5000 fine and up to 90 days in jail if the event had occurred
[quoted text clipped - 6 lines]
>
>Tim.

 Yup.   Michigan charges DUI for this kind of hypo incident.

Regards
 Old Al
Trinkwasser - 06 Nov 2006 19:43 GMT
>shoppa@trailing-edge.com wrote in message
><1162739112.211495.144400@m7g2000cwm.googlegroups.com>...
[quoted text clipped - 11 lines]
>
>  Yup.   Michigan charges DUI for this kind of hypo incident.

Back when I was a trucker we weren't permitted to drive more than 5
hours (or work for 5 1/2) without taking a half hour minimum break.
(The hours were later reduced to 4)

Many drivers (I was one) used to break more often as a matter of
routine, the long distance coaches were often double crewed and the
drivers would changeover every two hours or so.

I used to get plenty of warning of what I now realise were "relative
hypos" where the BG would drop, I knew the best thing was to get
somewhere to stop and get my head down ASAP, after ten minutes or so I
guess I'd liver dump and be on my way again.

There are always a small number of cases of people "falling asleep" at
the wheel and crashing (maybe including the guy who drove onto a
railway line and derailed two trains), one wonders how many of them
are as-yet undiagnosed diabetics.
Wes Groleau - 07 Nov 2006 02:00 GMT
> There are always a small number of cases of people "falling asleep" at
> the wheel and crashing (maybe including the guy who drove onto a
> railway line and derailed two trains), one wonders how many of them
> are as-yet undiagnosed diabetics.

Probably some.  However, too many (at least in the U.S.)
are people who violate the law and falsify logbooks in an
attempt to squeeze in more trips per month.  There's a guy
now charged with killing several college students near here
in just that manner.

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will make violent revolution inevitable.
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Cindy Wells - 05 Nov 2006 19:46 GMT
<snip>

> Not to mention the basic charge of DUI. It doesn't matter whether the
> drug is alcohol, cocaine, insulin, or something else (prescribed or
> non-prescribed or over-the-counter).

The prosecutor might use the DWI (driving while impaired) charge in some
districts. (Since that charge doesn't require specific blood test
results.)

Cindy Wells
> Tim.
Beav - 01 Dec 2006 14:04 GMT
>> My reading of the statutes suggests the the driver in the O.P. would be
>> subject to a $5000 fine and up to 90 days in jail if the event had
[quoted text clipped - 5 lines]
> drug is alcohol, cocaine, insulin, or something else (prescribed or
> non-prescribed or over-the-counter).

Actually, that's utter f.cking bullshit.

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Ma¢k - 01 Dec 2006 19:33 GMT
[Default] On Fri, 01 Dec 2006 14:04:22 GMT, "Beav"
<beavis.original@ntlwoxorld.com> Maniacally Screamed the following
like a drunken "Beav" <beavis.original@ntlwoxorld.com> into the
madness of usenet:

>>> My reading of the statutes suggests the the driver in the O.P. would be
>>> subject to a $5000 fine and up to 90 days in jail if the event had
[quoted text clipped - 7 lines]
>
>Actually, that's utter f.cking bullshit.

DUI Driving "under The Influence" is not the same as DWI Driving
"While Impaired".  However both can cost you serious fines and your
driving privileges.  And depending on the circumstances you could face
jail time.

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Mâck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
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but is morally treasonable to the American public."
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        (o ô)  
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If you don't know how to ignore a posting, complain to
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.

Beav - 07 Dec 2006 17:18 GMT
> [Default] On Fri, 01 Dec 2006 14:04:22 GMT, "Beav"
> <beavis.original@ntlwoxorld.com> Maniacally Screamed the following
[quoted text clipped - 15 lines]
> DUI Driving "under The Influence" is not the same as DWI Driving
> "While Impaired".

That was just my point Mack.

However both can cost you serious fines and your
> driving privileges.

As, indeed, both of them should.

And depending on the circumstances you could face
> jail time.

Again, precisely as it should be, although I'd hate to think an unfortunate
diabetic CAR driver was jailed for causing mayhem "accidentally" when so
many drunk drivers who KNOW they're drunk, get away with murder.

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Ma¢k - 07 Dec 2006 21:07 GMT
[Default] On Thu, 07 Dec 2006 17:18:15 GMT, "Beav"
<beavis.original@ntlwoxorld.com> Giggled into the madness of usenet:

>> DUI Driving "under The Influence" is not the same as DWI Driving
>> "While Impaired".
[quoted text clipped - 12 lines]
>diabetic CAR driver was jailed for causing mayhem "accidentally" when so
>many drunk drivers who KNOW they're drunk, get away with murder.

Beav is correct on this, I don't understand why some are complaining
about his comments.  Unless they couldn't figure out the difference
between DUI and DWI.

Ever since I was 8 I've been told that there are certain jobs that
diabetics simply could not get.  And with good reason.  Now those
rules are being challenged and people are getting jobs because they
have had no recorded/reported history of having problems that would
cause them to be disqualified from the job until after the fact.

My own experience has been that if you are going to get any job where
a hypo would put you or anyone else at risk, you damn well better be
able to maintain control and do everything humanly possible to make
changes in routine whenever a problem occurs to prevent from happening
again.

I recently had to under go a medical review in order to keep my job as
an armed officer for my company.  Granted the company did make some
mistakes in the way they handled the case, but they were within their
rights and obligations - to me and the other employees, to require me
to prove I was fit for duty and that I had the ability to avoid
further unconscious hypos.  Thankfully, pumping has allowed me to do
just that.  While I am on duty I have my pump programmed in such a way
that I run slightly higher than I do while I am off duty. I keep my BG
in a range where a hypo is not possible, even if I have to delay a
normal meal.  Not something I could while injecting.

The same thing applies to every commercial driver, regardless of the
illness they may have.  They are personally responsible for knowing
their current fit/unfit status to drive at all times.  As far as
driving goes, it is very easy to pull over to the side of the road and
test one's BG.

The same responsibilities apply to every non-commercial
driver(diabetic or not).  If something is making you unfit to drive,
you are responsible to get off the road.  If it is a sudden hypo for
whatever reason, having the medical condition and being able to prove
you are in good control and under medical supervision may keep you out
of jail, (no guarantee), but it won't keep you from getting sued.

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Mâck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://www.pandora.com  enter "Jason & Demarco"

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
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DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

Beav - 01 Dec 2006 14:02 GMT
>>  An interesting thread.   In Michigan, U.S.A.,  insulin-dependent
>> diabetics
[quoted text clipped - 37 lines]
> had lots of hypos. Should my driver's license be taken away just
> because I take insulin?)

No, not your drivers license, your COMMERCIAL drivers license, which is
another story altogether. Commercial truck drivers are driving for hour upon
hour every day and they pose a significan risk to anyone near their 40 tonne
machines.

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Beav - 01 Dec 2006 14:00 GMT
> Alexander Arnakis wrote in message ...
>>. . . .
[quoted text clipped - 5 lines]
> are disqualified for a Commercial Drivers License.    That means busses,
> semi's,  dump trucks,  etc, etc, etc.

Same thing throughout the whole of the UK and beyond.

> The U.S. disqualifies IDDM from operating a commercial motor vehicle in
> interstate commerce.   I don't know if any States allow intrastate
[quoted text clipped - 9 lines]
> considered disqualifying. However, the driver must remain under adequate
> medical supervision. . . ."

Much as I dislike being restricted inANYTHING I want to do, that's just as
things should be IMO.

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Wes Groleau - 06 Nov 2006 02:44 GMT
> So, short of denying licenses to *all* insulin-dependent diabetics,
> we're left essentially with a self-assessment system. If a diabetic
> relies on driving for his livelihood, the incentive is to paint a rosy
> picture to the authorities. I can easily see such a diabetic
> maintaining two logbooks, one for himself and one to show the doctor
> and the authorities.

So give him or her the "benefit of the doubt,"
but if a hypo causes a death OR EVEN a near miss,
the penalties should be severe.  In fact, to deter
false "rosy pictures," there should be significant
economic penalties--with a reward for someone who
reports someone deserving of being reported.

(To prevent malicious false "turn-ins," the reward
should only be given if there's a conviction.)

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He that is good for making excuses, is seldom good for anything else.
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Beav - 01 Dec 2006 14:06 GMT
>> So, short of denying licenses to *all* insulin-dependent diabetics,
>> we're left essentially with a self-assessment system. If a diabetic
[quoted text clipped - 6 lines]
> but if a hypo causes a death OR EVEN a near miss,
> the penalties should be severe.

That's *sure* to be of some comfort to the relatives of whoever is killed.

In fact, to deter
> false "rosy pictures," there should be significant
> economic penalties--with a reward for someone who
> reports someone deserving of being reported.

Rat on a rat? Just like the heady days of the KGB and the Third Reich then.
Oh, and here too, right now.

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