Abstract
Diabetes mellitus is a leading cause of disability with adverse effects on the
quality of life. It also affects occupational health by impacting several
work-related parameters. This review discusses the relationship between diabetes
and absenteeism, presenteeism, work impairment and unemployment. The association
between work and diabetic complications such as neuropathic pain, diabetic foot,
psychological issues and hypoglycemia due to treatment is also examined.
Evidence points to a relationship between diabetes and absenteeism, reduced work
productivity, and, thus, overall work impairment. A stronger negative impact on
work performance is mediated by painful diabetic neuropathy and diabetic foot.
In addition, psychological distress has been positively correlated with total
workdays lost and frequency of absence. Depression in the diabetic population
has also been linked with increased absenteeism, presenteeism, and work
disability. Moreover, hypoglycaemia induced by antidiabetic medication may
affect work attendance and performance. Finally, diabetes has been associated
with inequality in the work environment, lower job satisfaction and higher
unemployment rates, mainly because of its complications.
Keywords
absenteeism - presenteeism - work impairment - diabetic neuropathy - diabetic foot
- diabetes - hypoglycaemia