[abstract] DIVING FATALITIES INVOLVING DIVERS WITH DIABETES MELLITUS

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[abstract] DIVING FATALITIES INVOLVING DIVERS WITH DIABETES MELLITUS

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Title: [abstract] DIVING FATALITIES INVOLVING DIVERS WITH DIABETES MELLITUS
Author: DeNoble, PJ; Pollock, NW; Dear, GdeL; Uguccioni, DM; Vann, RD
Abstract: BACKGROUND: A UHMS/DAN Workshop* in 2005 discussed criteria for fitness to dive for people with diabetes mellitus (DM). Data gathered from multiple centers indicated that a substantial number of dives are conducted by divers with DM with minimal evidence of acute hypo-/hyper-glycemic compromise. The potential influence of chronic DM in fatal incidents is less cleaMATERIALS AND METHODS: We analyzed diving fatalities involving divers with DM in DAN's 1992-2004 fatality database. Data are reported as means+/-standard deviation, medians or percentages as appropriate. Contrasts were tested with Chi square analyzes (significance at pless than0.05)RESULTS: There were 37 divers with DM among 975 fatalities (3.8percent). Eleven victims with DM used insulin and 26 used oral medications. DM and non-DM divers were not significantly different regarding age (46+/-11 vs. 42+/-13 years, respectively), gender distribution (87percent vs. 80percent male), advanced certification status (38percent vs. 40percent), certified novice status (41percent vs. 28percent) and median maximum depth of fatal dive (45 vs. 60 fsw). Victims with DM demonstrated significantly greater obesity (BMI =30 kg_m-2, 68percent vs. 41percent), natural disease (40percent vs. 15percent, primarily heart-related), and unexplained loss of consciousness (11percent vs. 1percent). Hypoglycemia was suspected in one DM case and no non-DM casesCONCLUSIONS: Diving fatalities involving divers with DM seemed to reflect greater involvement of the secondary complications of DM (obesity and natural disease) than the other diving fatalities. Loss of consciousness was also more common with DM suggesting the possibility of acute hypo-/hyper-glycemia. The added risk of dying for divers with DM cannot be estimated as the number of divers who dive safely with DM is unknown, but general health preventative measures to mitigate or avoid secondary complications of DM and careful control of blood glucose levels would appear advisable* Workshop Proceedings available from UHMS or DAN.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/3706
Date: 2006

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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