Fear of being rejected for a job or fear of being fired often leads a person to hide from the employer that he is sick. This happens not only with diabetes, but it is precisely with this disease that you should not do this. If diabetes is controlled only by diet, the only inconvenience on the job will be the need to eat in a timely manner, but this may go unnoticed by other employees and superiors.

If treatment is associated with the risk of hypoglycemia, then, firstly, it is quite dangerous for the patient himself, and possibly for those around him, and, secondly, sooner or later it will still be discovered. Then an explanation with the employer cannot be avoided. It is likely that there will be layoffs too. This means that you need to tell about your illness right away and explain what inconveniences it may cause for your work process.

Many employers have a very vague understanding of diabetes, knowing only that this condition requires frequent insulin injections. They refuse to hire you or fire you just in case.

Choice of profession

Choosing a career for a person with diabetes can be difficult.

If parents have taken care of the correct career guidance for their son or daughter, then, as adults, the children will be able to find use for their knowledge and abilities, regardless of whether they are sick or healthy. To do this, when raising a child (this also applies to healthy children), one cannot concentrate his attention on only one profession.

Diabetes, unfortunately, is not the only reason why a person may be declared unfit to perform a particular job. How many difficult experiences do boys who dreamed of a military career experience when the medical board does not allow them to pass because of some kind of flat feet! And young people who have devoted their entire childhood to high-achieving sports, who have achieved considerable success, who suddenly fall out of the picture due to a ridiculous injury...

But if a teenager has computer skills, or speaks a foreign language, or knows how to make something with his hands, or is well versed in music, or... This list can be continued endlessly, then he will be able to overcome life’s obstacles and get out of a difficult situation. situations with dignity and benefit for oneself. But if a young man can do nothing more than run around the stadium with a ball, then this will turn out to be a real tragedy. We have already talked about this earlier, but everything that has been said equally applies to young people who have not yet managed to obtain a specialty.

When choosing a profession, you need to very meticulously assess your own condition and your physical capabilities. Diabetes already poses a serious health challenge. You should not test your strength by choosing a job with harmful conditions.

Constant work outdoors entails the risk of frequent colds, which has a bad effect on the course of diabetes. If it is also associated with physical activity, the risk of hypoglycemia episodes increases sharply. Working in an excessively dusty, damp room or where the temperature is high is also not the best choice.

Chemical and pharmaceutical production options are also not suitable (working in a pharmacy is not contraindicated), infectious diseases departments of hospitals, anything associated with increased vibration (even in a healthy person, over time, it causes specific disorders - vibration disease, and in diabetes mellitus its destructive effect will manifest itself much faster and more severely).

Contraindicated

Types of work that pose an immediate danger to a person with diabetes and others are absolutely contraindicated. In our country, people with diabetes are not allowed to work as drivers - hypoglycemia that occurs while driving a car can lead to a serious traffic accident.

For the same reason, driving locomotives and aircraft is excluded. The possibility of sudden disturbances in coordination and consciousness due to hypoglycemia does not allow people with diabetes to work using cutting machines, under water, at heights, near a conveyor belt, in hot shops of metallurgical plants, etc.

A person may be disoriented when he needs to make a quick, well-considered decision, which is why a person with diabetes will not be hired as an air traffic controller or railway dispatcher. You should avoid working in food industry enterprises: practice shows that the incidence of diabetes in such workplaces is several times higher than the average in other industries (frequent tasting of products makes additional insulin injections necessary and leads to weight gain).

Service in the army and police, associated with extreme physical and psychological stress, is also not indicated, and it will not be possible to pass the medical commission that selects candidates for these positions. If the disease began when a person had already served for some time, he may be given a job option in the same military units and departments of the Ministry of Internal Affairs: clerks, personnel officers, and analysts are needed everywhere. Employees who know the service from the inside are even more valued.

Well-controlled diabetes mellitus without serious complications is not an obstacle to maintaining a job for most patients, but changes will have to be made to the workday routine.

The need for multiple meals is unlikely to please the bosses if they do not know what this involves. If there is a need to switch to insulin therapy, you need to tell your colleagues that insulin injections are being given, otherwise this may be regarded as a manifestation of drug addiction.

If you have to give injections at work, store insulin and everything that comes with it in a locked box, or preferably in a safe. This is due to the fact that bottles can be dropped and broken, and the drug can be used for other purposes, including for criminal purposes. Many people prefer to carry insulin with them every day from home, but in winter this can cause it to spoil. In the summer heat, the drug can also deteriorate during transportation.

One of your colleagues (preferably two or three) needs to be told how hypoglycemia manifests itself and how to provide first aid. There must be a cooler or kettle, water and sugar in the room. Some patients refuse to check their blood glucose levels during working hours - they are embarrassed or have no time. This is wrong, as valuable information is lost, without which it is difficult to regulate glycemia.

If you do everything openly, without hiding, although not in a demonstrative manner, no one will be indignant at the desire of a colleague with diabetes not to work overtime or travel on business trips. If this is a prerequisite for the work being performed, you need to think about moving to another department or to another position. Additional training may be required, but in order to keep your job you must agree to it. And by the way, this could be very interesting.

If a person is engaged in heavy physical labor, he needs to eat a lot. A diabetic patient is afraid to “overdo” bread units and therefore often goes undernourished, which leads to episodes of hypoglycemia provoked by active physical activity and to general malnutrition, which further undermines health.

Difficulties with insulin injection regimen

When working shifts, difficulties arise with the insulin injection regimen. You should eat regularly while you are awake, including your last snack before bed. For such patients, it is better to use “ultra-short” insulins, whose action is short-lived: periods of wakefulness and sleep follow at uneven intervals, and it can be extremely difficult to adjust to them.

The insulin administration regimen remains the same: for example, what was administered before bedtime in the late evening is administered before bedtime, only at 10 o’clock in the morning, when the patient returns home from his shift. Of course, it will still not be possible to achieve a good, rhythmic alternation of insulin doses, because the rhythm of sleep and wakefulness will be disrupted. This means that such work is a temporary option until a person finds something more suitable for himself.

Work that involves travel requires patients receiving insulin to carry food with them and make occasional stops along the way to eat.

If a person is flying on a business trip by plane, he should be aware that when going through pre-flight security at the airport, he may be required to lay out all the food he took with him for timely snacks. And he will also have to explain the purpose of the syringes. In this case, it is very useful to have a doctor’s certificate with you indicating the diagnosis, a recommendation to take insulin injections and eat regularly.

If it happens that a person suffering from diabetes is already on the plane, it’s time to eat, but the passengers have not yet started feeding, there is no need to be embarrassed - you should tell the flight attendant about the problem. Even if she does not like the request for an additional portion of in-flight food, she will in any case prefer to feed such a passenger rather than provide him with emergency assistance in flight.

Sometimes employers are interested in retaining a valuable employee and do not object to the fact that he, having become ill with diabetes, remains at his workplace, but they do not make concessions: overtime, business trips, night shifts - everything continues as before.

No matter how difficult the financial situation may be, you cannot follow the lead of such leaders: the disease will progress extremely quickly, and very soon the person will no longer be able to do any work. That's when the financial situation will really become dire.

So, even from a material point of view, it is better to part with such work in time and look for something else. At the same time, it will be possible to maintain general ability to work longer without becoming disabled. However, even in this case, you should know that there are quite a lot of enterprises that specifically create jobs for people with disabilities, since this gives them tax benefits.

Interestingly, according to some studies, people with diabetes are less likely to take sick leave than their healthy colleagues. This is partly due to stricter control of their own health - they try to dress for the weather, many quit smoking, and regular nutrition helps to minimize the number of gastric disorders.

But basically, in my opinion, this is the result of the fear of showing one’s weakness to the manager. The objective reality is that management does not tolerate frequent absences due to illness and is looking for replacements for such employees. A person with diabetes needs to be doubly vigilant: the temptation to take a walk in March without a hat can result in the loss of your job.

Chronic diabetic complications

Chronic diabetic complications significantly complicate the situation. Retinopathy and cataracts significantly reduce vision, and if eye strain continues, it worsens catastrophically.

One of my patients, in order to continue working as an accountant, had to use the help of another person: he dictated the initial data to her, she analyzed them, and the assistant entered the results into the computer. Cataract removal and lens replacement did not bring relief, since retinopathy continued to progress as a result of poorly compensated diabetes and constant eye strain.

Nephropathy in combination with frequent exacerbations of chronic pyelonephritis leads to prolonged absence from work due to illness. The formation of a diabetic foot limits the ability to move independently. Complications from the heart and blood vessels reduce overall performance.

Some patients, as they say, go to work until the last minute. The fear of being left without a source of existence prevents them from stopping in time and stopping self-torture. It ends naturally - deep disability occurs with absolute incapacity for work.

This means that if serious diabetic complications develop, you need to find the strength to move on time to another job, even one that pays much less well. Early retirement due to disability can hit the family budget harder than partial loss of income.

Your own employer

If a person has his own business and is his own employer and manager, the situation changes. Of course, the life routine of entrepreneurs leaves much to be desired: endless trips to meetings with potential and existing partners, business dinners with alcohol and copious fatty snacks, smoking, constant stress in anticipation of any financial troubles, responsibility for hired employees - all this is not at all greenhouse conditions for a patient with diabetes.

In this case, it is very important to find a good, reliable assistant who will take on part of the load. Even if the company's income decreases somewhat, the preserved health is worth it.

It is gratifying that many businessmen note that the tradition of drinking and eating a lot during business meetings is gradually becoming a thing of the past. Increasingly, low-calorie diet dishes are appearing on the table: grilled meat and fish, salads without mayonnaise, vegetables and fruits. In addition, a person’s behavior during business feasts depends more and more on his own attitudes and less and less on the opinions of others.

Smoking

Fortunately, it is becoming fashionable not to smoke. Of course, not everyone can give up a bad habit, but those who succeed are the more respected. And what can we say about self-esteem! Usually the words “I smoked for twenty years, but I quit and haven’t smoked at all for two years now” are pronounced with such pride that you understand how difficult it was to do it.

Situations when a businessman, due to the fact that he has diabetes, closes his business and goes on a state pension are quite rare. As a rule, people who know the characteristics of their own body well adapt well to new conditions and continue to work actively.

Prof. Ilya Nikberg
Sydney, Australia

The daily life of a patient with diabetes mellitus (on average it affects 3 to 5% of the population, in old age this figure increases to 10-15%) should be subject to a certain treatment, preventive and hygienic regime. Only its careful observance can allow people suffering from this serious illness to be socially active and lead a lifestyle as close to normal as possible.

One of the most important components of such a life is work. An activity that is exciting and compatible with the requirements of an individual treatment and preventive regimen is a powerful factor in maintaining the patient’s vital activity, his social usefulness and satisfaction.

However, the specific features of many types of such activities negatively affect the course of the disease, make it difficult to compensate, increase the risk of severe complications, lead to early disability, and in some cases are simply contraindicated for a diabetic patient.

Therefore, the problem of combining this activity with restrictions due to the nature of the disease often arises from childhood, when choosing a profession, during study and work, and even at retirement age.

In the era of the modern scientific and technological revolution, along with long-known ones, many new professions have emerged that have expanded and diversified the types of human labor activity. But, unfortunately, not all professions are suitable for a person with diabetes. Some are clearly contraindicated; admission to many others has strict restrictions.

From the point of view of the suitability of a particular profession for a person with diabetes mellitus to work in it, the initial requirement is as follows: the nature and characteristics of work activity must allow the patient to fully combine it with compliance (without compromising work or danger to others) of the treatment and preventive regimen necessary for this patient (times for taking medications, permitted foods, self-monitoring of blood glucose levels, prevention of hypoglycemic conditions and emergency care for them, normal rest and sleep, etc.).

Based on this general requirement, the following specific tips and recommendations arise (first and foremost, they are addressed to patients suffering from type 1 diabetes, although to a greater or lesser extent they also apply to patients with type 2):

• Exclusion of work with a shift schedule, in the evening and at night.
• Refusal or limitation of work associated with increased physical activity and harmful working conditions (unfavorable microclimate of work premises, hazardous physical, chemical and biological influences, strong psycho-emotional stress)
• Exclusion of work in extreme conditions (underwater, underground, in emergency situations, in isolated rooms, etc.).
• Exclusion (limitation) of work on managing ground, air, underground and other public transport and construction mechanisms.
• Limiting the time of work requiring prolonged visual strain.

In resolving the issue of professional guidance and work activity of a diabetic patient, not a formal (presence of the disease) but an individual approach is required. He must take into account not only (and in some cases not so much) the very fact of the presence of the disease, but also its very important personal characteristics: the form, severity and nature of the disease, the means and treatment regimen, the presence and severity of complications, the “diabetological” literacy of the patient , possession of means of self-control and emergency self-help, understanding and level of self-discipline and responsibility for oneself and others, age and work experience (professional experience) of the patient, moral and psychological significance of work in the life of the patient, etc.

When providing professional guidance to a child with diabetes, parents and teachers should tactfully, gradually, with the least damage to the child’s psyche, without contributing to the formation of an inferiority complex, explain to him the personal and

social expediency of the preferential choice of one or another “suitable” profession, give arguments for its attractiveness and prospects, etc. Similar arguments should be used in communication with young people who fell ill with diabetes during their studies, or who still have little work experience in their specialty, etc., who still have many years of work ahead and a full-fledged “life with diabetes”, for which they need compatibility with the relevant profession.

When a person becomes ill with diabetes at a more mature age and has solid professional experience and experience (most often at this age the disease occurs in type 2, which in most cases does not require insulin injections), the issue of further professional activity is decided purely individually. If the nature of this activity makes it possible to combine it with compliance with the necessary treatment and preventive recommendations, then the patient can continue to work in his specialty, limiting himself to only unburdensome correction of its schedule and duration, diet, etc. In such situations, it is often advisable to change a profession to one that is similar in profile (for example, the transition of a sick bus driver to the position of a repairman in a vehicle fleet).

From the point of view of acceptability for a diabetic patient, all types of professions can be divided into three main groups.

Contraindicated. Drivers of public transport (buses, trams, trolleybuses, taxis, etc.), pilots, cosmonauts, submariners, divers, miners working in caissons, builders and installers - high-altitude workers, drivers and operators of moving construction and other machinery, repairmen of external electrical networks, mine rescuers , work in enterprises with a high level of physical, chemical or biological hazards, work in places remote from the possibility of providing emergency medical care and other professions with a high risk of extreme situations, at night, requiring special attention and responsibility, excluding the possibility of complying with the required medical treatment for the patient -preventive regimen.

Relatively contraindicated. Works and professions associated with frequent business trips, work involving exposure to industrial environmental pollution (physical, chemical, biological), prolonged eye strain, actors, cooks, tour guides, confectioners, professional sports, work in isolated rooms without partners, with long working hours, high psycho-emotional stress and the like.

Recommended. Teachers of secondary and higher schools, researchers and laboratory assistants (with the exception of exposure to harmful environmental factors and the need for frequent business trips), doctors (except for surgical specialties, infectious disease specialists, emergency medical care), pharmacists, nutritionists, storekeepers, financial workers, economists , programmers, builders and interior repairmen, librarians, various types of administrative, economic and management work and a number of other professions that do not interfere with compliance with the treatment and preventive regime required for a given patient.

Like any other person, for a person with diabetes, work should not be a burden, but a joy.

Concluding the story about the professional orientation and activities of a patient with diabetes, we will briefly dwell on the issue of using personal vehicles, indirectly related to this problem.

The number of private car owners is steadily increasing all over the world, and among them there are many people with diabetes. The desire of a diabetic patient to “live like everyone else” is understandable and largely feasible. Therefore, for those patients who do not have medical contraindications related to the severity and nature of the disease, there is no reason to restrict the right to drive a personal car. In most cases, patients with type 2 diabetes can use cars. It is more difficult to resolve this issue in relation to patients of the first type who take insulin injections. As an exception, and provided that the disease is well compensated, the patient is not prone to frequent hypoglycemic reactions and the resulting confusion and loss of consciousness, such patients may also be allowed to drive a personal car. But only on “quiet” highways, where there is no heavy traffic and pedestrian traffic.

In any case, a driver with diabetes must:

* Do not violate the prescribed diet and medication regimen (including insulin injections).

* Get behind the wheel and drive a car after the prescribed meal and no later than an hour before the next meal.

* Have with you (in the car) an individual glucometer, glucose-lowering medications used, devices for administering insulin, glucagon, a sandwich, some sweets, glucose tablets, plain and sweet (sugar-based) water.

* At the slightest sign of incipient hypoglycemia or other manifestations of poor health, confusion and orientation, etc. immediately stop the car and check your blood sugar level, take glucose tablets if necessary, drink sweet water, etc.

* It is advisable that the patient have a medallion (bracelet) indicating that he has diabetes, or another similar certificate containing information about the addresses and telephone numbers of persons who need to be notified in case of need (seeking emergency medical care, accident, etc.) .P.)

* During a long trip, make rest stops at least every 1.5-2.0 hours.

Travel companions accompanying a patient on a trip should be aware of his illness and the measures that must be taken in the event of a sudden onset of a hypoglycemic state. Some patients do the right thing by having a clearly visible sign in their cars containing the appropriate instructions.

And the great influence exerted on its course by the conditions and regime of the patient’s professional work creates certain difficulties and limitations. Therefore, among the social problems associated with diabetes, one of the most pressing is the choice of profession and employment of people suffering from this disease.

Practical recommendations on these issues are ambiguous and differentiated depending on the patient’s age, severity, nature of the course and method of treatment of the disease, the presence of complications, work experience and professional qualifications. Such recommendations are based on an assessment of the possibility of combining a specific type of professional activity with the need to comply with a treatment and preventive regimen.

Diabetes in a mild (and in some cases even severe) form in most cases allows middle-aged people to continue their normal professional activities without any significant restrictions (of course, subject to compliance with the appropriate regime).

This problem becomes of primary importance for teenagers and young people when choosing a profession. This requires competent consultation, timely psychological preparation and professional guidance. Typically, the severe, labile course of diabetes in such patients, their dependence on daily, sometimes several times a day, insulin injections, prone to acidotic and hypoglycemic states, exclude the possibility of working in professions associated with significant physical and psycho-emotional stress, the inability to strictly adhere to the regime day.

Professions that are certainly contraindicated for insulin-dependent diabetic patients include those of drivers of all types of passenger and freight transport (pilots, drivers, machinists, etc.); workers of services with unregulated work schedules, significant stress and the possibility of extreme situations (military personnel of private and non-commissioned officers, combat service, operational police officers, high-rise builders, assemblers, mountain rescuers, climbers); athletes and artists with high physical stress of professional risk; workers servicing machines and devices in isolated rooms if frequent business trips are necessary, or work at night.

Relatively contraindicated are professions in which labor activity makes it difficult to adhere to the regime, nutrition and rest: cooks, bartenders, artists and musicians (especially during evening performances, frequent tours), as well as work with a changing rhythm of work, strong visual strain, unfavorable production conditions environment (presence of toxic impurities in the air of industrial premises, high or low temperature, high levels of noise and vibration, forced posture, work with moving mechanisms).

Work associated with prolonged psycho-emotional stress, as well as the risk of contracting an infectious disease or injury, is undesirable.

Patients with diabetes mellitus can be oriented toward study and subsequent work in the following professions: library workers, lawyers, economists, teachers, higher school teachers, craftsmen and installers of television and radio equipment, repairmen in workshops, instrument and machine adjusters, seamstresses, motorists, salesmen shops, cashiers, clerical workers, medical workers (except for operating surgeons and operating room nurses), construction workers, painters, parquet floor workers, joiners, carpenters, drillers, turners, scientists (not exposed to constant contact with harmful chemicals), editorial staff and publishing houses, administrative and economic personnel, field farmers, etc.

The list is indicative in nature and in each specific case the choice of profession should be decided individually, taking into account the totality of the factors indicated above (age, work experience, severity and nature of the disease).

In case of diabetes in middle and old age, even in severe form, the patient can continue his previous work (with the exception of drivers). However, this is only possible if there are conditions for timely, strictly prescribed food intake, sugar-lowering medications, exclusion of night work and frequent business trips.

During the course of the disease, complications may arise that require a medical occupational examination (VTE).

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, 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 capacity 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.

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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