A diabetic, like any other person, has to work. Choosing a profession is a difficult and important decision. Can a diabetic do shift work? Let's talk about this today.

The Labor Code contains a definition of shift work. It follows that it is based on the performance of work according to a predetermined schedule, which provides for changes in the time of individual people's presence at work. A characteristic feature of shift work is the replacement of workers at the same workplaces.

Shift work may be associated with both an increased risk of diabetes and poor compensation. It requires periodic use of antiglycemic drugs or insulin.

Read articles on this topic that I have selected specifically for diabetics who work shifts.

The long-term, chronic course of diabetes mellitus leaves a significant imprint on the patient’s social problems, primarily employment. The treating endocrinologist plays a big role in determining the professional employment of the patient, especially the young one who chooses his specialty. In this case, the forms of the disease, the presence and severity of diabetic angiopathy, complications and concomitant diseases are of significant importance.

There are general provisions for all forms of diabetes. Hard work associated with emotional and physical stress is contraindicated for almost all patients. People with diabetes are contraindicated from working in hot shops, in conditions of extreme cold, as well as sharply changing temperatures, work associated with chemical or mechanical irritating effects on the skin and mucous membranes.

For patients with diabetes, professions associated with an increased risk to life or the need to constantly maintain one’s own safety are unsuitable (pilot, border guard, roofer, fireman, climber, etc.).

Patients receiving insulin cannot be drivers of public or heavy freight transport, or perform work near moving, cutting machinery, or at heights. The license to drive private cars for patients with persistently compensated stable diabetes without a tendency to hypoglycemia can be granted on an individual basis, provided that the patient sufficiently understands the importance of treating their disease (WHO Expert Committee on Diabetes Mellitus, 1981).

In addition to these restrictions, professions associated with irregular working hours and business trips are contraindicated for persons in need of insulin therapy. Young patients should not choose professions that make it difficult to follow a strict diet (cook, pastry chef).

The optimal profession is one that allows for a regular alternation of work and rest and is not associated with differences in the expenditure of physical and mental strength.

The possibility of changing a profession should be especially carefully and individually assessed in persons who fell ill in adulthood with an already formed professional position. In these cases, first of all, the patient’s state of health and the conditions that allow him to maintain satisfactory compensation for diabetes for many years must be taken into account.

There is another moral aspect to the professional problem. Some patients, especially young ones, want to keep their illness a secret. While sparing the psyche of patients, the doctor is obliged to observe medical confidentiality. At the same time, he must try to convince the patient that such an idea of ​​his illness is unnecessary and even harmful.

This is especially important for patients with labile diabetes, who may need outside help at work, and therefore, on the contrary, it would be necessary to instruct co-workers on the basic rules of emergency care for such a disease.

When deciding on the ability to work, the form of diabetes, the presence of diabetic angioneuropathies and concomitant diseases are taken into account. Mild diabetes mellitus usually does not cause permanent disability.

The patient can be engaged in mental as well as physical labor that does not involve much stress. Some restrictions in work activity in the form of establishing a standardized working day, excluding night shifts, and temporary transfer to another job can be carried out by the VKK.

In patients with moderate diabetes mellitus, especially with angiopathy, the ability to work is often reduced. Therefore, they should be recommended to work with moderate physical and emotional stress, without night shifts, business trips, or additional stress.

Attention!

Restrictions apply to all types of work that require constant attention, especially in patients receiving insulin (possibility of developing hypoglycemia). It is necessary to ensure the possibility of insulin injections and compliance with the dietary regime in a production environment.

When transferred to a lower-skilled job or with a significant reduction in the volume of production activity, patients are assigned disability group III. The ability to work in persons involved in mental and light physical work is preserved; the necessary restrictions can be implemented by decision of the High Quality Committee of the medical institution.

In case of decompensation of diabetes, the patient is given a sick leave certificate. Such conditions, which occur frequently and are difficult to treat, can cause permanent disability in patients and the need to establish group II disability.

Significant disability, characteristic of patients with severe diabetes, is caused not only by disruption of all types of metabolism, but also by the addition and rapid progression of angioneuropathies and concomitant diseases. With rare exceptions, when it comes to highly skilled, mainly intellectual work, patients are not capable of regularly performing duties in a normal work environment.

Some individuals may work in specially created conditions or from home. Limitation of ability to work and, in connection with this, a decrease in qualifications and volume of work serve as a reason for the establishment of disability group III by the VTEC. If regular professional activity is impossible due to severe microcirculation and metabolic disorders, group II disability is determined.

The rapid progression of microangiopathies (nephropathies, retinopathy), atherosclerosis can lead to progressive loss of vision, severe renal failure, heart attack, stroke, gangrene, that is, to severe and persistent loss of ability to work and transfer to disability of groups II and I. Assessing the ability to work in patients with visual impairment due to diabetic retinopathy or diabetic cataracts is carried out after consultation with an expert ophthalmologist.

Source: https://www.rostmaster.ru/

Shift work and type 2 diabetes

A large international study suggests that type 2 diabetes is most common in people with shift work schedules (day-night).

The findings, published in Occupational and Environmental Medicine, point to people who work shifts. They are the ones at risk. It is believed that disruption of the schedule affects the state of the body, hormonal levels and sleep - this causes an increase in risks.

The UK Diabetes Campaign advises that such employees should eat a balanced diet and only eat healthy foods.

The disease can cause blindness, increase the risk of heart attacks and strokes, and damage nerves and blood vessels, increasing the risk of leg amputation (in very severe cases).

Sleep laboratory studies have shown that short sleep at inappropriate times of day leads to the early stages of type 2 diabetes, developing over several weeks.

Analysis of data from 226,652 people strengthened the association with type 2 diabetes. In the UK, 45 in every 1,000 adults have some form of diabetes, the vast majority of which have type 2.

A study conducted by scientists from Huazhong University of Science and Technology in China found that 9% of people who worked shift work were more likely to have type 2 diabetes.

But for men this figure was 35%. For people split between night and day shifts, the risk increased by 42%. The researchers said: “The results suggest that men who work shifts should pay more attention to diabetes prevention.”

“Given the increasing prevalence of shift work around the world and the high burden of diabetes, our study results provide practical and valuable clues for diabetes prevention.”

Possible explanations include disruption of sleep and eating patterns during shift work. One idea is that eating late at night makes the body more prone to storing fat, which increases obesity and, in turn, type 2 diabetes. The study suggests that the increased risk can be avoided by changing male hormone levels.

In addition, we should not forget about other factors that affect the risk of type 2 diabetes, because you cannot pay attention only to a person’s work schedule - this is just one of the factors. It's just more likely that shift work can cause disruptions in sleep and nutrition, which will lead to an increased risk of developing this disease.

Source: http://www.ecolife.ru

Choosing a profession for a person with diabetes

When choosing a profession, a diabetic patient must avoid two extremes: one should not underestimate the seriousness of one’s disease and boldly rush to storm unbearable heights, but one should not absolutize the exclusivity of one’s position, running away from everything that requires you to spend your mind and energy.

Thousands of people with diabetes have left their mark in science, art, and contributed to the technical progress of society with their work. French artist Paul Cezanne, English writer Herbert Wells, medical academics A. Nesterov and V. Baranov - the list goes on and on.

And you yourself could name dozens of names of people who successfully do what they love, despite illness. The only pity is that those around them are not always attentive to those who work nearby, and do not realize why their colleague is “ridiculously punctual” in eating or by hook or by crook fights off business trips and agricultural work. And he, it turns out, is sick, but he doesn’t want to remind him of it again.

When talking with a diabetic patient about choosing a profession, doctors advise choosing one that does not require a sharp change in physical and mental stress. It, of course, should be safe for the health of the patient himself and not threaten unexpected “emergencies” for others.

It’s not hard to imagine what hypoglycemia or a driver’s coma could mean, for example, for bus passengers. And is it possible, without fear for the life of a diabetic, to “bless” him to become a steeplejack-rigger or a policeman?

In any case, we can talk about a systematic approach in choosing a profession in the absence of severe complications and compensation of carbohydrate metabolism, regardless of the type of treatment used.

Attention!

The head of the enterprise or institution where you are employed or where you worked before the disease must be informed of your diagnosis. This will save you from possible misunderstandings and help you organize your work and rest schedule correctly. You should be able to inject insulin or take pills, and not just “catch on the go” what you have to, but eat the food you need strictly on time.

Why should people with diabetes avoid shift work? In this case, the insulin administration regimen is disrupted and timely correction of previously used doses of medications is required. Your manager should know in advance that any overtime, even if you are seemingly indispensable, is not for you, and if he values ​​you as a specialist, he must come to terms with it.

By the way, there is another very interesting and extremely useful recommendation: so that you are valued at work, and you yourself do not get stuck when you discover that your illness and your profession interfere with each other, try to initially master as many of them as possible. If your child is sick, take this as a guideline in order to ensure his future with his own head and his own hands.

What exactly should the professional guidance of a patient with diabetes mellitus be reduced to?

Young people are recommended to master such professions as teacher, librarian, agronomist, trade worker, physician (but not surgeon), economist, painter, parquet floor worker, TV and radio technician, clerk, secretary-assistant. But even in the case of choosing these seemingly calm professions, one should take into account the severity of diabetes, complications, and concomitant diseases.

• With a mild form of diabetes, in addition to the conditions mentioned above (exemption from night shifts, business trips, workloads requiring large energy costs), work in hot shops and underground is excluded.
• With an average degree, this is supplemented by a ban on work that requires attention (conveyor), movement of machinery, transport.
• In severe diabetes, professional work becomes almost impossible and, as a rule, is reduced to home work.

What specific professions can be considered compatible with diabetes if it is compensated and not burdened with serious complications?

• doctor, preferably a therapist and a dentist,
• pharmacist,
• laboratory assistant,
• nurse,
• nutritionist and nutritionist,
• hospital administrative staff,
• school and university teacher,
• mechanic,
• technician,
• economist,
• accountant,
• gardener,
• decorator,
• tailor and others.

Contraindicated professions related to extreme situations:

• military personnel of private and non-commissioned personnel of combat service,
• operational police officers,
• mine rescuers,
• athletes and artists whose performances involve risk,
• roofers,
• stokers,
• installers.

There can be no talk of working in infectious diseases hospitals, bacteriological and chemical laboratories, or in general anywhere where there is heat or cold, dampness, harm to the eyes, mucous membranes and skin. Some may be surprised by the undesirability of working in canteens, bakeries, confectionery shops, buffets, but this immediately becomes clear if you consider that there is no need for tasting tests.

Where this prohibition is ignored, either forced or out of ignorance, breakdowns and complications are inevitable. As statistics show, the food industry is the most “generous” for diabetes in women, where, compared to other traditionally female industries, the incidence of diabetes is three times higher.

It can be difficult, if not impossible, to part with a profession that determines your status in life and the established value system. But, firstly, it is not always necessary to leave if the illness has caught you already at the peak or end of life’s path - here, even in severe forms, adjustments to the regime and mitigation of the requirements are possible. And secondly, the same driver (and moving away from the steering wheel or remote control in this case is mandatory) can become a dispatcher or a car mechanic, a police officer - an inspector of the personnel department, etc.

When talking about choosing a profession or mastering it in conditions of illness, one cannot avoid mentioning the need to create a favorable moral and psychological climate in the work team. Alas, not every manager easily comes to terms with the fact that the decrease in the ability to work of patients, even with uncomplicated diabetes mellitus, compensated only by diet, averages 20 percent.

If the boss knows about the essence of the disease (and both the shop doctor and the patient himself should help him in this), it seems that the working life of a diabetic will not be overshadowed by the indifference of others.

But life is life. And bosses are different. It is no coincidence that the World Health Organization, in its latest report on diabetes mellitus (Geneva, 1990), declares the inadmissibility of discrimination against diabetics in obtaining a profession or work. This means that there are facts of discrimination - and how they manifest themselves, how to combat them, apparently should become a permanent topic for our magazine. In some countries, education and work opportunities for people with diabetes are protected by law.

Public groups of diabetics, which are being created all over the world, are standing up to defend their rights and guarantees, uniting patients on the scale of cities, towns - and on a national scale. Among other problems, they manage to solve issues related to career guidance, vocational training for young people, and retraining for people with diabetes in adulthood. And although this experience is just beginning to be adopted in our republic, this fact gives reason for hope...

Source: http://www.happydoctor.ru

Shift work significantly increases the risk of diabetes and obesity

Working shifts, a person usually devotes too little time to sleep, and very often not at night, which in turn can significantly increase the risk of developing diabetes and obesity - such conclusions were reached by a group of British scientists as a result of another study.

The condition of 21 people was analyzed who worked in an unusual mode, which did not provide for the opportunity to go to bed or eat at the same time. According to the results of an analysis published in the journal Science Translational Medicine, it was found that with such a lifestyle, the body faces some metabolic problems that the body tries to regulate. As a result, some patients developed the first symptoms of diabetes within just a few weeks.

The researchers organized conditions for the test group that were as close as possible to shift work. The length of their days was extended to 28 hours, and they spent most of their time in dimly lit spaces so that the influence of sunlight could not properly adjust the biological clock to the desired rhythm.

On average, they slept 6.5 hours during their extended day, which is equivalent to about 5.6 hours on a normal day. Researchers have calculated that this lifestyle increases the production of hormones that suppress insulin production in the body several times. Three of the study participants had blood sugar levels so high that they were close to developing diabetes and had to be taken out of the trial.

All participants experienced an average drop in metabolic rate of 8%, which was immediately reflected in fat gain.

On average, over the three weeks of the test, each participant gained 2-3 kg of fat tissue. Thus, the researchers concluded that working shifts, especially night shifts, is extremely dangerous in terms of increasing the likelihood of developing diabetes and obesity.

In this case, the circadian rhythm is disrupted, which causes hormonal imbalance in the body, significantly weakens the immune system, and can lead to a number of unfavorable consequences.

According to the testimony of a medical social examination, patients with diabetes mellitus are considered able to work if they have a mild to moderate severity of this disease, which proceeds without complications and severe damage to systems and internal organs, as well as without concomitant pathologies, but provided that the type of work activity is not suitable for the patient. contraindicated.

In case of mild diabetes mellitus, heavy physical labor is contraindicated, as well as any type of work associated with industrial poisons. Such patients should not be assigned business trips and overtime work, night shifts and duty, and the work schedule should not be irregular. Another contraindication is the unfavorable microclimate in which a diabetic patient works.

For moderate diabetes mellitus, the following contraindications exist:

1. Patients who live without insulin should not engage in moderate physical activity, as well as mental work, which is associated with high nervous and mental stress.

2. For insulin-dependent patients, when the course of diabetes mellitus is labile, work is not recommended, which, if suddenly stopped, can lead to accidents or disruption of the production process - this is work on a conveyor or control panel, with moving mechanisms, in a hot shop or at height , working as a driver and other similar areas of activity. Such patients can engage in economic or administrative activities, light physical and intellectual labor. In some cases, it is necessary to reduce the volume of production labor.

3. For patients with damaged leg vessels, types of work that involve long walking, standing or vibration are contraindicated. And those who have damaged retina should not strain their eyesight for a long time.

In addition, workers with diabetes need regular treatment in specialized sanatoriums.

Young people suffering from diabetes are recommended to undergo vocational guidance and retraining with further rational employment, which should take into account that a hypoglycemic state is dangerous not only for the patient, but also for the people around him, therefore a working diabetic should be able to stop work in order to eat or administer an insulin injection.

Reviews and comments

I have type 2 diabetes - non-insulin dependent. A friend advised me to lower my blood sugar levels with DiabeNot. I ordered it online. Started the appointment. I follow a relaxed diet and started walking 2-3 kilometers every morning. Over the past two weeks, I have noticed a gradual decrease in sugar on the glucometer in the morning before breakfast from 9.3 to 7.1, and yesterday even to 6.1! I continue the preventive course. I'll post about my successes.

Margarita Pavlovna, I’m also on Diabenot now. DM 2. I really don’t have time for a diet and walks, but I don’t abuse sweets and carbohydrates, I think XE, but due to age, sugar is still elevated. The results are not as good as yours, but sugar hasn’t gone beyond 7.0 for a week now. What glucometer do you use to measure your sugar? Does it show you using plasma or whole blood? I would like to compare the results of taking the drug.

I ordered diabetes and I’m thinking, what can I do to be insulin dependent? How much insulin to inject? Is there no endocrinologist nearby or is this for type 2?

Elena- 15 Sep 2015, 15:00

With type 2 diabetes, no matter whether he is on insulin or not, it is very, very difficult to get a disability group (even a third), since this type is what doctors and scientists call Lifestyle, which implies a strict diet and a possible complete cure for the disease . Well, if, as people say, a person with type 2 diabetes is transferred to insulin, it is only because of his incorrect lifestyle, in nutrition, in physical activity, drinking alcohol, not following diet No. 9, and so on... Simple In other words, type 2 diabetes is “fucked up” diabetes in an impudent manner and people going to the medical examination to establish type 2 disability should be ashamed of it! And type 1 diabetes is an autoimmune, lifelong, chronic and disabling serious disease in 99.9% of cases! Type 2 diabetes makes up 90-93% of all people with this disease as diabetes mellitus, and type 1 diabetes makes up only 7-10%. So gentlemen and ladies of the second type and second type, you need to eat less and go to work with moderate physical labor, since you need to lose weight and compensate for your ridiculous diabetes, and not eat and not achieve complications, and then go with it to the ITU - make people laugh.

Diabetes mellitus in men and women of working age makes it difficult to find a profession that could meet the professional skills of patients and not complicate the course of the disease.

An endocrinologist who treats young people can help in choosing a profession. In this case, the main thing that needs to be taken into account is the presence and severity of complications of diabetes mellitus, the degree of compensation, the presence of concomitant diseases and the characteristics of the psychological status of patients.

There are general restrictions on occupational factors that may have a negative impact on the treatment of this disease. Heavy physical and emotional stress is contraindicated for all patients with diabetes.

Professional problems of diabetics

The problem of combining diabetes mellitus and work is that excessive professional stress reduces the effectiveness of treatment and can lead to an uncompensated course of the disease. Optimal professions for diabetics should allow a rest break during the day, and, if necessary, administer insulin.

At the same time, many patients would like not to make their illness and treatment available to the public, as there are fears that they will be considered unfit for their work. This tactic can be dangerous, especially for patients with sharp fluctuations in blood sugar, as they may need help from colleagues.

Patients in adulthood face particular difficulties when the disease occurs. Restrictions in work related to health conditions arise when the professional position has already been formed and retraining is inappropriate. In such cases, one has to take into account the state of health and put it first.

Work with diabetes should be chosen taking into account the following factors:

1. Standardized working hours.
2. Lack of frequent business trips.
3. Measured rhythm of work.
4. Occupational hazards are excluded: toxic substances, dust.
5. There should be no night shifts.
6. Working in conditions of sharp temperature fluctuations is not recommended.
7. There should be no strain of attention, physical and mental overload.
8. During the working day, it should be possible to inject insulin, eat on time and measure blood glucose levels.

What professions are contraindicated for diabetes?

Sugar level

People with diabetes are not recommended to work in hot shops or in the cold in winter, as well as those associated with constant temperature changes, in drafts. Such professions include builders, janitors, kiosk sellers and traders from trays, land workers, facade finishers.

Professional activities involving toxic chemicals should be prohibited for diabetics. Such specialties include the preparation of chemical compositions and mixtures, processing of raw materials, and the metallurgical industry. Working with chemical reagents may also occur in research laboratories.

Conditions with strong psychophysical stress are considered no less harmful. For example, working with prisoners, seriously ill people, and mentally retarded people can negatively affect the health of a diabetic.

Such professions include employees of drug and cancer centers, psychiatric clinics, boarding houses for military personnel from hot spots, surgeons, police officers, penitentiary service workers, and military personnel.

For patients with diabetes, heavy physical activity poses a threat. The list of specialties for which there are absolute contraindications for such patients includes:

• Electrical network installation and repair.
• Shipbuilding, mechanical engineering.
• Coal mining and processing.
• Oil and gas industry.
• Forestry work.

Men cannot be employed in these types of work, and they are especially dangerous for women with diabetes, since due to the low level of physical strength, overexertion quickly occurs, leading to decompensation of the disease.

If you have diabetes, it is prohibited to work in conditions with a possible increased risk to life, as well as with the need to maintain your own safety: pilots, border guards, stokers, climbers, roofers.

Patients on insulin therapy cannot drive public or heavy freight vehicles, or work with moving or cutting machinery or at heights. A driving license can be granted if the illness is permanently compensated.

In this case, patients should be prepared for the development of sudden attacks of hypoglycemia.

Determination of work ability in diabetes mellitus

Working ability in diabetes mellitus depends on the form of the disease, severity, the presence of angiopathy or diabetic polyneuropathy, changes in vision and kidney function, as well as the frequency of acute complications of diabetes in the form of comatose states.

Mild diabetes does not usually cause permanent disability. The patient is recommended to engage in mental as well as physical activity that is not associated with great stress. Such professions for women can be: secretary, librarian, analyst, consultant, teacher; men can work in the banking sector, as notaries.

Employment in such specialties usually presupposes a normal working day and the absence of night shifts; if necessary, these conditions can be additionally agreed upon when hiring. If necessary, a temporary transition to another job can be made by the commission (VKK) for the examination of temporary disability.

If work with diabetes cannot be performed in the same qualification category or a significant reduction in the volume of production activities may be required, then by decision of the medical commission a third disability group may be determined. The patient is considered able to work and mental or light physical work is recommended.

In case of decompensation of diabetes, the patient is given a sick leave certificate. Disability may occur due to frequent conditions requiring outpatient or inpatient treatment, difficulties in selecting therapy to compensate for diabetes. This can cause permanent disability in diabetics, as well as the need to establish group 2 disability.

A severe form of diabetes mellitus requires the introduction of a ban on work. Criteria for transferring patients to the second disability group:

1. Visual impairment or complete due to diabetic retinopathy.
2. Renal failure with the need for hemodialysis.
3. Diabetic polyneuropathy with limitation of limb movement.
4. Diabetic encephalopathy.
5. Limited mobility and self-care.

In rare cases, the question of whether it is possible to work with high qualifications and predominantly intellectual work is resolved positively. In this case, the best option for the patient would be if he is allowed to work at home or in specially created conditions.

If a patient’s microcirculation disorders and manifestations of atherosclerosis rapidly progress, this leads to a permanent loss of ability to work.

To determine the disability group, such patients undergo a full diagnostic examination with the involvement of an ophthalmologist, surgeon, and neurologist, after which the degree of disability is determined.

The first disability group is determined in the presence of the following pathology:

• Diabetic retinopathy with blindness in both eyes.
• Diabetic polyneuropathy with limb immobility.
• Diabetic cardiomyopathy with manifestations of heart failure of the 3rd degree.
• Mental disorders or dementia as a consequence of diabetic encephalopathy.
• End-stage renal failure in diabetic nephropathy.
• Multiple comatose states.

In the presence of such conditions, patients lose the ability to self-care and need outside help and care. Therefore, they must be appointed a guardian from among relatives or close people. The video in this article will help you choose a profession if you have diabetes.

Hard work is absolutely unacceptable for patients diagnosed with diabetes. When choosing a profession, it is worth considering that contact with stress should also be kept to a minimum; difficult working conditions are not suitable. However, there are no strict restrictions, and I do not regulate the scope of choice of profession.

What specialty should a diabetic choose and what should you pay attention to when choosing a workplace? Key points and clear answers to important questions are presented to the reader.

First of all, a person diagnosed with diabetes must sensibly assess their own strengths. It is important to consider that not every profession allows you to normalize your work schedule in such a way as to find time for a full lunch break and measuring your sugar levels.

Important! You should not be afraid of your own diagnosis and should not be embarrassed to tell a potential employer about it. This diagnosis is quite common, but, nevertheless, many diabetics build successful careers and achieve heights in the profession.

When choosing a profession, you should pay attention to the type of diabetes:

1. Type 1 diabetes requires strict restrictions. The patient should give preference to work with a standardized schedule, including a full break. The potential manager should be warned about the impossibility of working night shifts, working extra hours and business trips. A diabetic should have time during the working day for short breaks. That is why work involving stress, assembly line production, is prohibited.
2. With type 2 diabetes, the choice of profession is not limited by rigid boundaries. Basic requirements: break, normal conditions, no heavy physical activity.

Currently, diabetes mellitus is classified as an incurable pathology, so it is important to learn to live with it. Work is an integral part of the life of a modern person, therefore, when choosing a profession, it is worth giving preference to occupations that are combined with a diagnosis.

The video in this article will introduce readers to the features of determining a profession in diabetes.

What professions are prohibited?

Activities that involve being in rooms with temperature changes are contraindicated for diabetics.

The list of professions that should not be considered includes:

• work that involves a long stay on the street: a janitor, a trader in a street stall;
• earthworks and hot shop activities;
• metallurgical industry;
• mine production, mining;
• construction, shipbuilding;
• work with electrical networks;
• gas industry;
• work at height;
• pilot or flight attendant;
• mountaineering (pictured);
• roofing;
• oil production and other complex production processes.

Working under difficult conditions can cause decompensation in a diabetic. Patients with this diagnosis are not able to withstand prolonged physical stress.

If you have insulin-dependent diabetes, it is not recommended to engage in driving, and it is prohibited to drive public transport. Despite this restriction, obtaining a private driving license with fairly stable compensation is not prohibited.

The instructions require the patient to follow the rule - if you are not feeling well, you should not drive. Work associated with the movement of complex mechanisms is prohibited. You should not choose a profession that involves any risk to your own life or the lives of others.

Psychological aspect

Professions that involve constant exposure to stress are also prohibited. Specialties that involve psychological stress include:

• correctional colonies;
• boarding schools for people with disabilities;
• hospices and cancer centers;
• psychiatric department;
• rehabilitation centers;
• drug treatment centers;
• military units;
• police stations.

Attention! The list of hazardous activities includes professions that involve direct patient contact with toxic substances. Refusal from such types of employment will prevent the risk of severe and life-threatening complications for the patient.

What professions should you pay attention to?

Work and diabetes are interconnected concepts for the patient, therefore, at the stage of choosing a profession and obtaining an education, you should carefully consider your path. The right decision will allow you to build a successful career and achieve certain heights in your favorite and suitable industry.

The list of suitable professions includes the following:

• labor associated with repairing small household appliances;
• Some areas of medicine are contraindicated for a diabetic to work as a surgeon;
• secretary;
• editor;
• teacher or lecturer.

This list does not include all eligible specialties. Before deciding on a profession, the patient must decide for himself whether he can cope with such work.

In addition, choosing a profession with diabetes often requires consultation with an endocrinologist. The doctor, having familiarized himself with the course of the pathology, will help the patient determine the list of specialties among which a successful choice can be made.

Compliance with regulations in the workplace

Such restrictions in choosing a profession are associated primarily with the impossibility of strictly observing a certain regime. The basic requirements boil down to the possibility of periodically changing position (standing or sitting), taking medication in a timely manner or injecting insulin. Also, a sick patient should have the opportunity to have a full meal.

Shift work is not recommended. This is due to the complication of the drug administration regimen; in some cases, adjustment of the doses received is required. Working overtime is also dangerous and can negatively affect the patient's health.

Other provisions

Working beyond normal working hours and business trips - such conditions should be avoided by the patient. Any endocrinologist will confirm that overwork can negatively affect a person’s well-being.

Commercial activity is also not recommended for the patient, because such work is closely associated with constant stress and nervous breakdowns. The patient should avoid such complications. In such industries, a patient diagnosed with diabetes can only act as a consultant.

What factors should you pay attention to when choosing a type of activity:

• The patient's working day should be standardized.
• Business trips are not recommended, especially those requiring flights with changes in time zones.
• The working rhythm should be calm and measured.
• It is important to exclude various occupational hazards, including contact with fumes, dust or toxic compounds.
• Night shifts should be avoided.
• A job should not require a person to be responsible for someone else's life.
• Sudden temperature fluctuations are prohibited.
• Work should exclude the possibility of heavy physical or emotional stress.
• During the working day, the patient must have a full break, allowing him to have lunch, take medication and measure blood glucose levels.

The listed recommendations will help determine the optimal profession for a diabetic. The cost of not following such advice is fatigue and deterioration in quality of life. The list of permitted specialties is extensive, so choosing the right one is not difficult.

Questions for a specialist

Nikolaev Alexey Semenovich, 63 years old, Abakan

Good afternoon. My wife has type 1 diabetes. A year ago, ulcers appeared on my legs, treatment was carried out, which has not given any results so far, doctors insist on amputation. Tell me, is it possible to save my leg?

Good afternoon, Alexey Semenovich. It is impossible to answer your question without an in-person examination. Trust the specialists, if treatment within a year has not given any positive dynamics, I think that the option proposed by the specialist is the only correct one.

Alena, 19 years old, Apatity

Good afternoon My grandmother has been diagnosed with diabetes for a very long time. Two months ago there was a very strong jump in sugar to 20 and she was switched to insulin. After such an adjustment, the indicators returned to normal and the grandmother stopped giving injections every day; she gave them only if the sugar was more than 10. A few days ago she fell ill with a cold, runny nose, cough and fever. They took an antibiotic, my grandmother noticeably gained weight and now complains that her vision has disappeared. Tell me, is this a symptom of a cold and will it recover after illness?

Good afternoon. It is impossible to guarantee that vision will be restored; an ophthalmologist will be more precise after an examination. I think this is a complication of diabetes. Do not forget that the disease has its own target organs and primarily affects blood vessels. You cannot inject insulin on demand; injections are recommended to be given multiple meals. Do not hesitate to resolve this issue, show your grandmother to an endocrinologist and ophthalmologist and monitor the course of diabetes.

Alina, 32 years old, Bataysk

Good afternoon. Please tell me, my husband’s fasting sugar is 6.6 mmol/l after meals - 8.4 mmol/l. Determined with a glucometer at home. Tell me is this diabetes? What other tests need to be taken before going to an endocrinologist?

Good afternoon. Take biochemistry. A fasting test may indicate diabetes. Be sure to visit an endocrinologist after receiving the results.

Contraindications for work with diabetes mellitus category 2

Asked by: Roman, Yekaterinburg

Gender: Male

Age: 35

Chronic diseases: Blood pressure, diabetes mellitus category 2. Well, still poor eyesight (the medical certificate already indicated that it was limited)

Hello, I have a question about work restrictions. I have category 2 diabetes mellitus, I use short insulin 22 units. On a daily basis, unfortunately, in the last 2.5-3 months it has not been possible to measure blood sugar. Therefore, I cannot say the average blood sugar level. This complication arose during surgery (partial removal) of the pancreas (pancreatic necrosis), as well as hypertension (there was a hypertensive crisis). The main specialties in which I work are electrician and fitter. The first specialty involves partial business trips, sometimes working at heights, that is, if you go through a medical examination for employment, there is often a point of work at heights, as well as work associated with dust and noise, but the main question is whether I can go on business trips . If yes, for how long? Because my boss found out that I have diabetes and read on the Internet that there are contraindications for work, where it was indicated that business trips are contraindicated. Well, in general, I wanted to know the list of contraindications for working with diabetes like mine. Because if you go through a medical examination to get a job as an electrician, there may be such items as: business trips, work at heights, work at low temperatures, noisy work (working with power tools).

1 answer

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Hello Roman.
Of course, I will provide you with a list of contraindications for employment if you have your type of diabetes. However, I will immediately clarify two points:
1. I see that you are from the Russian Federation. I provide data according to Ukrainian protocols; Russian protocols may differ.
2. In the protocols, contraindications are described rather vaguely; much remains at the individual discretion of the members of the VKK and MSEC commissions.
So, you are contraindicated from working with significant physical and psycho-emotional overload, working underground, in damp rooms, in conditions of extremely low and high air temperatures, under the influence of toxic substances, as well as working with moving mechanisms, working on night shifts and, indeed, frequent business trips. Neither the word “frequent” nor the possible duration of business trips are specified; this remains at the discretion of the commission members.
Sincerely, Nadezhda Sergeevna.

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