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Running head: DIABETES AND EMPLOYEES IN THE WORKPLACE 1 How to manage your Diabetes at work Sophia Rowe American College of Healthcare Sciences Dr. Fouhy Abstract Forcefully diabetes management therapy and treatment desires employees to be effective participants in their care to avoid poor function and promote independence towards employees. Employees understanding of this will advocates the force of this actual self- management habits and success. In my research I am going to show my readers how the impact of diabetes on our future employees. Employees in poor physical health with a diagnosis of diabetes for a very long 1 DIABETES AND EMPLOYEES IN THE WORKPLACE 2 time will need extensive self-management therapy and be an active participant, work towards a healthy lifestyles, and exercise. These employees with adequate support from families, health care workers to improve a good health. While understanding the associations which an individual will perceived their ability may enable the healthcare personal to focus on health education, promotion, and maintenance treatment to the basic needs of employees with diabetes. Introduction Employees with sever diabetes are at potential risk for cultivated similar complications such as blinded, neuropathy, cardiovascular disease, renal disease, stroke, and lower amputee of the extremities. If diabetes isn’t managed well employees can be limited in specific duties and will also become disabled, sometimes lost day from work and incur an amount of medical bills major of our patient diagnosed with this disease is our adults and its getting even worse in the work environment. Diabetes is a disease characterized by the blood glucose or sugar levels that has been resulted from certain defeat in the body’s ability to make and use which this is a hormone that helps the glucose to enter the body’s cells and to give the body its energy that it needs to function (ADA 2005). Even though diabetes isn’t curable but it can be controlled and maintained. Some people are very fortunate in that they can control and monitor their diabetes by a healthy diet, maintaining a normal body weight, and definitely by regular exercising. Because of the stress and the pressure from work, it's very difficult for a diabetic person to maintain their sugar properly. Some people have to maintain their diabetes by using oral medications and some used insulin by way of injection and insulin pen. Many employees have friend to a accommodate employees with diabetes while working , naturally workers or employees who has limited information on, DIABETES AND EMPLOYEES IN THE WORKPLACE 2 diabetes usually feel doubtful of how to treat their employees or even coworkers with diabetes, who have to check their glucose, manage their insulin shots, and also treat hypoglycemia all throughout the working ( Tobias 2011). Nonetheless it isn’t unnatural for employees with diabetes to cloak their disease from their employers and other coworker to reduce all negatives reactions or intolerance and partiality. In this case an insulin injection maybe missed, a blood glucose test may be forgotten and a or two maybe adjourn, therefore endanger the person entire health and most certainly make them very unsafe to perform at a functional level. An employee who has practice to managed their diabetes very well, and whose employer supports and encourages diabetes management in the work place , doesn’t really cause anymore threat on these employees to effectively operates (Breton et.al 1990). Nevertheless it is pertinent that each employees with diabetes be well educated and know there resources, and how well to managed and cope while at work. Certainly communication, accurate information will encourage a healthy life style and a more productive environment. Each person is different and with diabetes each individual requires a different treatment plan. A treatment would requires continuous medical reviews, an exercise program and diet plan, that fits in their work schedule as well, and other medication treatment plan (CDC 2008). Continuous self-monitoring of an employee’s blood glucose, which includes a glucose meter, this gives, the employees living with this diabetes disease to adapt the recommended amount of insulin to match different activity levels, also the amount and the time and the amount of food absorb. Normally employees with diabetes must take special precautions in their day-day care in keeping up with their blood glucose levels from going too low are too high. These employees should seek a health provider who specializes in diabetes and helping them manage and maintain the glucose levels. There are certain specialist or endocrinologists who cares DIABETES AND EMPLOYEES IN THE WORKPLACE 2 mainly for patients with diabetes, ophthalmologist for the eyes, podiatrists for the routine foot care, and dietitians/ nutritionist and diabetes educators who specialized in teaching skills needed for diabetes management (CDC2007). Diabetes struggle to get help for themselves. At times many questions have been raised about employer’s safety and effectiveness of the individual suffering with diabetes on the job. If and when specific questions are raised, the employee with diabetes should be checked out to rule out and to make sure that the individual is safe and will be effective at his or her particular duties on the job. In this project I am going to furnish a broad list of guidelines for measuring certain individuals with diabetes for working in the healthcare facilities, showing how an evaluation may be carried out or how is it implemented and what adjustments that will be needed for individuals struggling with diabetes in the workplace. In years back it was standard practice to impede individuals with diabetes from doing certain jobs or take certain classes of employment mainly because of the severity of the disease or mainly because of the use of insulin, without taking a glance at one’s competence or the In this case it is medically disproportionate and this would cause an employer to neglect or overlook the many amelioration in diabetes treatment that stretch from all types of medications used to the many different tools that can be used execute them and also to accurately guide blood glucose levels. In my research I now realized the employment decisions is incorrect if it is solely based on generalizations and stereotypes concerning the effects of diabetes disease. The impingement of diabetes disease and its treatment therapies fluctuate widely amidst each individuals, moreover, an appropriate estimation and determination of all individual candidates for employment or modern employees must be taken into consideration. DIABETES AND EMPLOYEES IN THE WORKPLACE 2 Method This was an observational research design which the total amount was 7305, healthcare participants the monitor these people for seven long years by using the national diabetes registry. Results : in this research the participant have been monitored for years 3.5% developed diabetes also this had been linked to sever obesity which was (HR= 6.53, 95% C l. 4.68 -9-10) severely overweight (HR= 2.89. Cl2.11-3.96) and also high quality leadership ( HR= 1.60, Cl. 19-2.16). An employee with obesity was mostly seen in younger employees and this was also associated with new developing diabetes. This design was a combined data of lifestyle and employees in a working condition with having the risk of developing diabetes by connecting large females in health care workers in the national registry. The information is based on age, and the ethnicity and household collected from a statistical data ( Nathan et.al 2008). Most of the lifestyle variable has been assessed in these design activities to take into consideration physical fitness, strength, endurance and body and other activities. Another recent study by the researcher of fireman (2004), they have granted and evaluated the implementation and the cost of diabetes disease management listed in the literature. In this study the writers monitors the testing rates, they monitor the physiocology and psychological outcomes, they implementation and also medical care cost over a period 6 year time for the Kaiser Patients struggling with diabetes. Some results on changes in A1C levels weren’t reported. In this case some of the patient who suffers with diabetes were matched to the patients who didn’t have diabetes during the same times. The results shows that diabetes patients shows a higher percentage lower or just a smaller increase to related comparison group. Discussion The final study over the period of 7 years shows that both lifestyles and occupational risk facts amongst healthcare workers has developed diabetes. One other important risk factor that has been the main focus was the BMI, this was above the normal value. At a certain baseline for DIABETES AND EMPLOYEES IN THE WORKPLACE 2 obesity and employees who is severely overweight, shows a very low level of exercise, poor selfrelated physical fitness, long shift work and other problems with health and sleep (ADA 2004). Normally the day- to day monitoring and management of diabetes in the work place for certain employees which is crucial to seek modifications for long- term diabetes- related complications. Certain patients with diabetes usually remains productive employees especially if the appropriate recommendations are implemented nevertheless employees with diabetic retinopathy or other vision impairments may benefits from computers which have very large prints or big screen or other visual aids, while are other employees with nerve pain may benefits from decreased walking distances or they should have the ability to sit down while working. Also employees with kidney problems should have stored time to take off work for dialysis treatment (fireman B, Bartlett 2004). Most times it is very hard to provide and promote a list of things that you can accommodate. The one good things for patients with diabetes is to make sure that the adjustment are monitored to the employees and that they are effective in making sure that the employees execute his or her to the best of their ability and safely. If there should be any question about an employee, with diabetes for any specific job, a professional healthcare personnel who is well training in diabetes education should assess that particular individual, this assessment should take place before an employer decide to make any decision concerning this matter. If the professional is comfortable with person who has diabetes and she is well training in treating diabetes this could be the best person to carry out the assessment. These employees with diabetes are not crippled, they can go to serve in the highest productive form of the workforce, nonetheless, not everyone with diabetes can perform every available job, and for, this there are modifications and certain accommodations that can be made to permit these individuals to effectively perform their duties (Breton et al. 2013). Employers must take into considerations the needs of all persons, each needs are different and requires a lot or even minimum preparation. Employees with diabetes should also be monitored and receive evaluation separately from an experienced diabetes health professionals Recommendation DIABETES AND EMPLOYEES IN THE WORKPLACE 2 For people with diabetes they should be checked personally for employment based on the recommendation of the particular job and also their medical background, their treatment regimen, and their medical history (American Diabetes Association 2005). I also believe that when one should ask about the medical fitness of a diabetic employee for a specific job, the health care provider who should be an expert in treating diabetes should provide an individualized workup on this employee, and also input from the physician should be recommended. These employees should be evaluated based on adequate and applicable medical data and should never be made exclusively on a single piece of data. According to the guidelines and the strict protocols, this can be very helpful in making accurate decisions about an employee if these tools are used in objective ways and is solely established on the most recent scientific knowledge and the diabetes and its management. Improving the safety and the risk for these employees with diabetes involves and regulates the concerns that are acceptable in light of the job duties the employees must perform. In my research I find that most employees with diabetes can maintain their condition in such a way that there is no risk of sudden awkwardness on the job (Americans with Disabilities Act of 1990). Health professionals speaks on proper safety and assessments, this should incorporate and keep a report of the employees blood glucose test results, and complete history of severe attacks, and the presence of other related complications which could include urine glucose or A1C/eAG tests or this could be based on other assessment of blood sugar control. Also in my research I have found that the equal employees opportunity commission (EEOC), they have provided a particular page where employees with diabetes can get all their questions answered about diabetes in the workplace. This is available online on eeoc.gov. Conclusion DIABETES AND EMPLOYEES IN THE WORKPLACE 2 This project is based on managing diabetes through different channel which is geared towards information, monitoring, personalization, communication, and technology. I think that a successful diabetes management system should include all of these dimensions. Employees with diabetes can usually seem as productive members of the workforce. However not everyone with diabetes can be qualified for or can usually perform for all the jobs that are available there are certain recommendations that can be easily made which will permit an increasingly amount of employees with diabetes to perform naturally and adequately. The different therapies and treatment that are most effective for employees varies greatly from employees to employees, so the employers should take into consideration each employees capacities and their needs on an individual basis. In this case employees with diabetes should always be evaluated in an individual level. With as clinical or professional diabetic health care provider and base on each employee’s needs. . I think that a successful diabetes management system should include all of these dimensions. Employees with diabetes can usually seem as productive members of the workforce. However not everyone with diabetes can be qualified for or can usually perform for all the jobs that are available there are certain recommendations that can be easily made which will permit an increasingly amount of employees with diabetes to perform naturally and adequately. Employees with diabetes can and do maintain as highly productive members of the job (CDC and Prevention 2007). While not all employees with this condition can be qualified for type of work, or can manage with the stress of the wear and the tears of the daily task, reasonable recommendations can be made, this will gives the vast majority of employees with this condition a way to effectively perform. Employees with diabetes may need storage for medications, such as insulin and food storage, employers should also provide an area for blood sugar testing, and a place for needles/syringe disposal, employees should take frequent breaks for food as needed. 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