Endocrinology-Diabetes Questions Endocrinology-Diabetes

How do you manage diabetes at work?

I am a 23 year old female. I have diabetes and don't know how to manage it when I start work.

6 Answers

Dear patient; you manage diabetes at work as at home, no changes to regimen. Bring all meds and supplies to wOrk and use restrooms to administer injections and other meds as needed.
Respectfully
Marvin A Leder MD FACP FACE
I assume you are type 1 and are taking insulin at age 23. Manage your diabetes as you would anywhere. Check blood sugars or add one of the new Continuous Glucose monitoring devices GGM. They can show your sugar on you phone. Free style Libre 2 (soon on phone) or Dexcom 6. If you prefer not to wear a simple device, you can check your blood sugar in the restroom or before lunch in the break room. Do it naturally and wash hands. Do not "hide" your problem from your coworkers. If there is a problem, they may need to help. Keep sugar or glucose table in your purse, desk, or convenient place for lows. If you have a physical job, probably you should not be employed around hazardous equipment, but most jobs (carpentry, electricians, etc.) can be handled with the same attention.
Well, there is a little data here, type 1 or 2 diabetic? On insulin? Your question is unanswerable. HOWEVER, let's pretend you are a type 1 diabetic, get a continuous glucose monitor. This will show you what you are doing and give you minute to minute feedback. Then go to your endocrinologist or primary MD, show him the data and make a plan. Monitoring is the key.

Dr. Norwood
Write up a set meal time with similar portions everyday and follow it. If the work job does not allow you to eat the same time each day, get a note from your doctor's office specifying that you need to eat the same time everyday. This is a rule to a successful outcome for your diabetic condition and should be followed even on the days you do not work.
It is not a simple question that requires discussion or even multiple discussions with your treating physician, Endocronologist or primary care doctor.
Marina Strizhevsky, DO
Continue to manage diabetes in the usual way. I recommend the basall bolus method: Adjust basal insulin dose given at bedtime based on FBS. Adjust bolus dose of insulin based on glucose reading before next meal. Correction dose bolus insulin may be needed for sporadic hyperglycemia. Basal insulins are Lantus Toujeu and Tresiba. Bolus insulins are Humolog, Novolog, and Fiasp. Using dexcom to measure glucose can avoid finger sticks. Using an insulin pump can avoid multiple insulin injections.

Edward N. Smolar, MD