![]() Drivers have reported incidents such as driving the wrong way along motorways and injudicious parking during hypoglycemia. For many years diabetes, and in particular hypoglycemia, has been reported anecdotally to impair driving performance this can lead to driving mishaps and cause road traffic accidents. Most of the cognitive functions required for driving are impaired by hypoglycemia. Many of the microvascular and macrovascular complications of diabetes as well as some associated conditions (e.g., sleep apnea) can interfere with driving performance. Driving is classified as a light physical activity but has considerable metabolic demands as has been demonstrated by driving simulator studies, which have shown high glucose consumption (predominantly cerebral) while driving. Safe driving requires complex psychomotor skills, rapid information processing, vigilance and sound judgment. Most people regard driving to be a fundamental part of daily life especially those with limited access to public transport. Guidance that promotes safe driving practice has been provided for drivers with insulin-treated diabetes, which is the group principally addressed in this review.ĭriving has important business and recreational roles for transport in most countries, allowing people to travel to and from work, pursue their employment, and undertake multiple social and domestic activities. Studies examining the risk of road traffic accidents in people with insulin-treated diabetes have produced conflicting results, but the potential risk of hypoglycemia-related road traffic accidents has led to many countries imposing restrictions on the type and duration of driving licenses that can be issued to drivers with diabetes. Driving behavior that may predispose to hypoglycemia while driving is examined. Driving simulator studies have demonstrated how driving performance deteriorates during hypoglycemia. Hypoglycemia is a common side-effect of insulin and sulfonylurea therapy, impairing many cognitive domains necessary for safe driving performance. Many complications of diabetes can potentially impair driving performance, including those affecting vision, cognition and peripheral neural function. The flower beds are nice though.Driving is a complex process that places considerable demands on cognitive and physical functions. Instead, this somehow nauseating statue will stand with all the bronze footballers as baffling evidence to future generations that in the early 21st century, people wasted their money, effort and debates on silly, sterile, insignificant works of art. That truly might be the artistic equivalent of Elton John singing Candle in the Wind. ![]() If only it were possible to email Gian Lorenzo Bernini in 17th-century Rome and get him to make something as warm and seemingly alive as his bust of his lover Costanza Bonarelli. ![]() We demand statues of the good – and Diana was good – but sadly art has spent the last century or so forgetting how to create them. It is as if all our public debates fixated on scrimshaw, the madrigal or some other lost art. We have become obsessed with this archaic art form. Then again, it’s not as if any other statues being raised today are much better. Flat, cautious realism softened by a vague attempt to be intimate make this a spiritless and characterless hunk of nonsense. Are we sure Charles had no hand here? It looks like his insipid artistic taste. ![]() In style it breathes the kind of repression and formality which Harry has claimed to reject. Perhaps not even for Diana’s sincerest believers, for the statue group’s emotive symbolism is undermined by its aesthetic awfulness. William and Harry reveal statue of Diana at Kensington Palace – video ![]()
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