Driving with Diabetes

Anna Manalo, CRNP, CDE, Rita Rastogi Kalyani, M.D., M.H.S.
Driving with Diabetes is a topic covered in the Johns Hopkins Diabetes Guide.

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  • The vast majority of people with diabetes drive regularly and safely.
  • Driving by patients with diabetes may, however, be impaired by three factors: hypoglycemia, diabetes complications, and hyperglycemia.
  • Hypoglycemia unawareness may pose an increased threat to driving.
  • With the exception of interstate commercial driving, which is subject to federal regulations, rules are determined by each state
  • Some states impose no special requirements for people with diabetes while others ask more detailed questions about the condition
  • Drivers with diabetes are identified in various ways. In about half of the states, drivers are asked if they have diabetes or a condition likely to cause altered perception or loss of consciousness while driving; if the answer is yes, a medical evaluation is usually required before a license will be issued.

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Last updated: September 13, 2018