Managing Diabetes at Work

Coping with Stress, Nutrition, and Balance

Most people living with diabetes are of working age. Managing the condition effectively in a supportive environment can improve health, prevent complications, and enable a stable, healthy routine.

Diabetes at Work: Staying Balanced During Work Hours

Long workdays, stress, irregular meals, and lack of time for exercise can make diabetes management challenging. Proper diabetes care at work is essential for maintaining blood glucose balance, overall health, and quality of life — and it is absolutely achievable.

Work as Part of Treatment

For about 70% of working-age people with diabetes, the workplace directly affects blood sugar levels. Regular meals, consistent glucose monitoring, and quick response to hypo- or hyperglycemia are vital parts of treatment.
Designing and organizing a work environment that supports these needs allows for effective disease management and helps prevent complications.

Technology that Supports You at Work

Today there are many technological tools that can make diabetes management easier throughout the workday. It’s recommended to consult your doctor to choose the tools best suited to your personal needs and work conditions.

  • Continuous glucose monitors (CGM) and insulin pumps, for example, can help maintain stable blood sugar even on busy days, with real-time alerts for glucose changes.
  • You can set silent alerts during meetings, view your readings via a mobile app, and protect sensors with adhesive patches when working in physical or hot environments.
  • In workplaces involving heat exposure, physical activity, or movement, it’s important to safely store insulin and ensure sensor stability.

Remember: The data collected by monitoring devices is private, and the decision whether or not to share it is entirely personal.

The Importance of Coordination and Support

Many employees choose not to disclose their diagnosis to employers or colleagues due to stigma.

However, studies show that controlled disclosure to close coworkers or supervisors can allow for simple but significant accommodations, uch as flexible breaks, refrigerator access, the ability to test glucose during meetings, or rest during hypoglycemia.

Employers can make a major difference by fostering open communication, training teams about diabetes, and encouraging a supportive, nonjudgmental atmosphere.

Smart Eating Throughout the Day

Keeping regular meal times and choosing fiber-rich, low–simple carbohydrate foods helps stabilize blood sugar and reduce fluctuations.
Planning your meals ahead or bringing food from home can help maintain stability even on busy days.
It’s advisable to seek nutritional counseling to adapt your diet to your work conditions, for example - choosing wisely from the cafeteria menu, preparing for a fieldwork day, eating appropriately during meetings, or planning when refrigeration isn’t available.

Managing Workload and Stress

Chronic stress directly affects blood glucose levels through the release of stress hormones (cortisol and adrenaline).

Maintaining a balance between work and rest, taking scheduled breaks, and practicing breathing exercises or short walks during the day are not “luxuries”, they are part of ongoing medical care.

Medication and Monitoring

Employees who need insulin injections or blood tests during the workday should plan ahead, keeping equipment accessible, finding a comfortable, hygienic space, and maintaining routine monitoring even during busy periods. This helps prevent complications and fatigue related to “diabetes burnout.”

Not Just Sugar - Mental Health Matters Too

There is a strong link between diabetes and mental health conditions such as anxiety, depression, and ADHD.

Three out of four people with diabetes report feelings of anxiety, stress, or low mood related to managing the disease.

Research held at Leumit Health Fund show that people with both diabetes and ADHD are at higher risk for poor glucose control, diabetic complications, frequent ER visits, and longer hospital stays.

This combination can lead to inconsistent treatment, skipped monitoring, dosing errors, neglect of physical activity and personal hygiene, and particularly poor foot care, increasing the risk of long-term complications.
Integrating emotional support, through therapy, support groups, or community services, can significantly improve adherence to treatment, glycemic balance, and quality of life.

Emergency Situations – Hypoglycemia at Work

Typical symptoms: Sweating, trembling, confusion, weakness, dizziness, or nausea.

What to do:

  1. Stop work immediately.
  2. Consume a quick carbohydrate such as glucose tablets, juice, or a spoon of honey.
  3. Wait 10–15 minutes and recheck.
  4. If the next meal is not soon, eat a small snack.
  5. If confusion or loss of consciousness occurs call emergency services (MADA) immediately. Do not attempt to feed an unconscious person. If glucagon is available, use it according to instructions until medical help arrives.
Living with Hypoglycemia

Shifts, Travel, and Challenging Environments

  • Before a shift or trip: Check your equipment, prepare a snack, and make sure you have access to glucose monitoring and meals.
  • During: Plan breaks, drink plenty of water, and avoid skipping meals.
  • After: Track your glucose levels and consult your care team if you notice extreme fluctuations.
  • In hot or cold weather: Keep your insulin cool, stay hydrated, and protect your feet.

How Can the Workplace Offer the Best Support?

A supportive workplace is part of diabetes care. When an organization recognizes the needs of employees with diabetes, it promotes performance, motivation, and overall wellbeing for everyone:

Accessibility and simple accommodations

Refrigerator, private area for testing or injections, access to food and drinks, short flexible breaks.

Training and awareness

Educate the team about diabetes, recognize signs of hypoglycemia, and know what to do in an emergency.

Preventing stress and burnout

Encourage a calm atmosphere, balance workloads, and allow for short walks or breathing exercises during the day.

Healthy nutrition

Provide balanced meals in the cafeteria, label carbohydrates, and prioritize healthy snacks during meetings.

Mental Health

Offer access to employee support services or workshops on balance and stress.

Open yet discreet communication

Allow employees to share information only with those they choose, while respecting privacy.

When to Consult Your Doctor

If you experience unusual glucose fluctuations, reduced performance, extreme fatigue, or emotional difficulty coping with diabetes, consult your doctor or diabetes nurse.

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