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#1 Posted : 27 October 2008 11:50:00(UTC)
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Posted By Ian_P Morning all, Hope you can help arm me with sufficient knowledge of health & safety implications of an office worker who has recently discovered they have type II diabetes - non injectable. I'll jump onto the various diabetes foundation websites later on, when I get 5 minutes spare, but what I really need to know is there any adjustments / implications etc. I'm likely to face or need to consider. Regards, Ian
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#2 Posted : 27 October 2008 12:13:00(UTC)
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Posted By Colin Reeves Ian Best general site is http://www.diabetes.org.uk/ There are three main types of treatment for Type II diabetes. 1. Diet and exercise 2. as above plus medication by way of pills 3. as above plus insulin If the treatment is 1 then the implications for the employer are nil unless blood sugars get too high. This will not initially result in unconciousness, but may affect ability to work by way of nausea or vomiting. In addition, the skin may become dry, eyesight blurred and breathing deep and rapid. Eventually this will result in a coma developing. If 2 above some pills may reduce blood sugar levels sufficient to go into a hypo (feeling shaky, sweating, tingling in the lips, going pale, heart pounding, confusion and irritability, eventually unconciousness). If 3 above as 2, but the chances are greater. However, taking a sugary drink when these symptoms first occur will prevent going too low on blood sugar. Note that Type 2 is a progressive disease - I started on 1 above and now on 3 above!! However, the knowledge of going too low is usually evident to the individual and can be prevented. Look at the website, plenty of info. Colin
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#3 Posted : 27 October 2008 12:16:00(UTC)
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Posted By Colin Reeves Something I did not mention - I was diagnosed some 8 years ago, and went onto insulin two years ago. To date there have been no times when my employer has had to do anything. I would suggest, after agreement with the individual, that the first aiders in his immediate work area are advised in advance - the symptoms of a hypo are very similar to being drunk ..... Colin
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#4 Posted : 28 October 2008 09:54:00(UTC)
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Posted By Ian_P Cheers Colin, Many thanks for your prompt and informative reply. BR Ian
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#5 Posted : 28 October 2008 11:56:00(UTC)
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Posted By Bob Thompson CMIOSH Hi Ian as the post by Colin, But if the person is on Tablets then they should notify DVLA. this may or may not have an effect if they are required to drive as part of their job, Insurances etc. Regards Bob
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#6 Posted : 28 October 2008 14:42:00(UTC)
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Posted By Colin Reeves Bob Similar to above: 1. On diet and exercise only, do not report to DVLA 2. On tablets then report to DVLA - GP should advise of this requirement. Customarily, unless there are complications, no action taken by DVLA apart from an acknowledgement letter. 3. On insulin, DVLA will issue a three year validity licence (or less than that if medical reports so indicate) and reduce the classes of vehicles that can be driven (no PSV, HGV etc). The patient should also advise their insurers - in my case no additional premium required. Ian It may be prudent once he goes onto insulin to advise your company's insurers (may be years down the line as progression differs from person to person). Colin
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#7 Posted : 28 October 2008 16:21:00(UTC)
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Posted By GeoffB4 http://www.dvla.gov.uk/media/pdf/medical/aagv1.pdf Seems to be a contradiction - my information for diabetes using tablets (not insulin) is that it isn't generally reportable - see reference above.
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#8 Posted : 28 October 2008 16:35:00(UTC)
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Posted By Colin Reeves Geoff You are correct and I apologise. When I was first put on medication (in 2000) it was a requirment to advise the DVLA - it seems that rules have changed in the meantime and I have not kept up!! Thanks Colin
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#9 Posted : 29 October 2008 13:02:00(UTC)
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Posted By Bob Thompson CMIOSH that's useful Geoff. just been diagnosed myself and all the information supplied states that you should notify, I will look into it Thanks Bob
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#10 Posted : 29 October 2008 15:29:00(UTC)
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Posted By GeoffB4 So have I Bob, and not one person or the literature they've issued has told me to advise the DVLA! Odd eh? The website was updated September 2008, so there's not anything else I can say, unless you find anything definitive.
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