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Question:

From Kentucky:

I'm current working 7 P.M. to 7 A.M. with a co-worker that becomes hypoglycemic at about 5:30 A.M. Please advise on ways to control blood sugar while working on a night shift. He takes NPH in the A.M. and at 9 P.M., and Regular at 2 P.M. (dosage not known to me).

Answer:

Handling a night-shift job for someone with diabetes is very feasible, but will require several adjustments compared to when they were previously doing a day-shift job. Checking lots of blood sugars, and close contact with the worker's diabetes team during the first few weeks on the job, can allow a person with diabetes to work any shift with minimal problems.

If your co-worker is having recurrent problems with hypoglycemia at one specific time (in this case 5:30 A.M.), it will be a matter of adjusting exercise, meal timing, or insulin doses, or a combination of these, just as it would during a day-shift job. Monitoring of blood sugar levels on the job would be a great help to the worker's diabetes team to analyze what's the best of these three choices to prevent the hypoglycemic problems.

(Actually, night-shift employment is probably easier to handle than rotating shifts, where someone works one shift for a few weeks then switches to another shift, but that's another story!)

WWQ

Original posting 9 Jul 1998
Posted to Hypoglycemia

  
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Last Updated: Tuesday April 06, 2010 15:08:58
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