Type 2 Diabetes and Work

 Type 2 Diabetes

Type 2 Diabetes is when you do not produce enough insulin or when the body is unable to use insulin being produced.  More information about diabetes is available from the Diabetes UK website.

Testing for Type 2 Diabetes Glucometer image
Testing for Type 2 Diabetes

In 2014 The National Institute for Health and Clinical Excellence (NICE) issued guidance on managing type 2 diabetes in the general population for health professionals. This is in the face of a huge increase in those developing the disease. The guidance includes a number of actions for occupational health (OH) professionals. Advice includes how to do a risk assessments and lifestyle advice for those at risk of or a high risk of developing diabetes.

It also includes the following advice relevant to OH:

Health and wellbeing boards and public health commissioners, working with clinical commissioning groups, should make sure the commissioning plan encourages public health employers to include risk assessments in their occupational health service contract.

What the Guidance is about

The guidance focuses on identifying people at high risk of type 2 diabetes. Also the provision of effective, cost-effective and proper interventions. There is no drive for a national screening programme, rather a message that age is no barrier to getting it. So it can happen at any stage of our lives.

The recommendations, used with the NHS Health Check programme covers:

  • risk assessment
  • encouraging people to have a risk assessment
  • risk identification at stage 1
  • risk identification at stage 2
  • matching interventions to risk
  • assessing risk
  • lifestyle-change programmes
  • exercise
  • dietary advice and weight advice
  • vulnerable group
  • changing your lifestyle
  • training and professional development
  • drugs for controlling diabetes

Further Advice and Reading

The Driver Vehicle Licensing Authority has updated guidance on Class 2 drivers and diabetes. This recommends regular blood glucose monitoring so that an automatic ban is not applied.

January 2019

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