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Would you fly with a pilot on insulin?

Author: Simons, M. · Koopman, H. · Osinga, M.
Type:article
Date:2014
Source:Lancet Diabetes & Endocrinology, 6, 2, 446-447
Identifier: 484605
doi: doi:10.1016/S2213-8587(13)70197-9
Keywords: Health · Insulin · Aircraft accident · Airplane pilot · Blood glucose monitoring · Diabetes mellitus · Disease association · Disease severity · Glycemic control · Health status · Hypoglycemia · Insulin treatment · Occupational safety · Policy · Professional competence · Protocol compliance · Work capacity · Healthy Living · Human · TPI - Training & Performance Innovations · BSS - Behavioural and Societal Sciences

Abstract

Insulin requirement affects the careers of diabetic professionals who do safety-sensitive jobs. In most cases, insulin-treated individuals are automatically banned from safety-sensitive jobs because the risk of hypoglycaemia is regarded as incompatible with safety. Recent developments—such as diabetes self-management education, self-monitoring of blood glucose, continuous glucose monitoring, and shortacting and longacting insulin analogues—enable better achievement of individual glycaemic target ...