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Fighting Diabetes in the Workplace

Thomas Blevins, M.D.Texas Diabetes & Endocrinology

President, American Diabetes Association Central Texas

Key Terms & Definitions

• a metabolic disease in which the body’s inability to produce any or enough insulin causes elevated levels of glucose (sugar) in the blood.

Diabetes

• a hormone produced in the pancreas that regulates the amount of glucose (sugar) in the blood.

Insulin

• blood test that provides a picture of average blood sugar levels for the past two to three months.

A1C

Sponsored by Baylor Scott & White Health

Types of Diabetes

• Body does not produce any insulin. 5% of diabetes populationType 1

• Body does not produce enough insulin or cannot use the insulin properly. 95% of diabetes population

Type 2

• Elevated blood sugar levels, but not yet diabetes level. Usually presents without symptoms, and diagnosed through lab work.

Prediabetes

Sponsored by Baylor Scott & White Health

2014 Source: www.cdc.gov/diabetes

29.1 millionpeople in the United States have

diabetes.

1 out of 9 adults

1 OUT OF 4 do not know

they have diabetes

2014 Source: www.cdc.gov/diabetes

86 millionpeople in the United States have

prediabetes.

one in three adults9 OUT OF 10

do not know they have prediabetes

HALFof people with

prediabeteswill develop

diabetes in

next 10 years when

NO active intervention is applied.

Herman WH, Hoerger TJ, Brandle M, et al. The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Ann Intern Med

2005; 142: 323–32

Progression from PreDiabetes to Diabetes

� Although a lifestyle intervention alone, even if

successful, does not necessarily prevent type 2 diabetes in all individuals, it will still postpone the onset of the disease.

� Delaying the onset of diabetes can have a substantial effect on subsequent morbidity, and therefore on the cost-effectiveness of diabetes prevention

Herman WH, Hoerger TJ, Brandle M, et al. The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Ann Intern Med

2005; 142: 323–32

Cost of Diabetes

Indirect Costs of Diabetes

$5 billionNational cost for 25 million workdays absent

$20.8 billionNational cost for reduced performance at work (“presenteeism”),

estimated at 113 million lost workdays

$21.6 billionNational cost for more than 130 million lost work days a year due to inability to

work as a result of disease-related disability

In a company of 1000 employees:

120people have diabetes

34of those are undiagnosed

370have prediabetes

$3.9 millionaverage insurance cost for people with diabetes and prediabetes

$1.45 million annual increased cost if 50% of employees with prediabetes develop diabetes

• Type 2 diabetes can be prevented or delayed by 58%

• Diabetes complications can be prevented or delayed

Partnership for Prevention and the U.S Chamber of Commerce

Worksite wellness programs showed an average:• 27% reduction in sick leave absenteeism• 26% reduction in health care costs• 32% reduction in worker’s comp/disability management

cost claims• ROI of $5.81 for every $1 spent on average

Chapman LS. Meta-evaluation of worksite health promotion economic return studies: 2005 update. American Journal of Health Promotion. 2005;19(6):1-11.

Michelle PeacockExecutive Director

American Diabetes Association Central Texas

American Diabetes Association

Mission:

to prevent and cure diabetes and to improve the lives of all

people affected by diabetes.

1) Majority of adults spend most of waking hours

at workplace

2) Employee productivity is tied to employee

health and work environment

3) Key to controlling health costs is to help

employees prevent and manage diabetes

4) Preventing and controlling diabetes also

reduces risk for heart disease, stroke, high

blood pressure and high cholesterol.

Offers employers (for FREE):

1)Materials and guides for worksite

wellness

2)Lunch & Learn for employees on

diabetes prevention

3)Free diabetes screenings for

employees

4)Online Portal with resources

1) Materials and Guides

• Healthy Meeting Guide

• Posters

• Monthly Newsletter articles

• Training programs for employees

2) Lunch & Learns

• Free healthy lunch for employees

provided Texas Beef Council

• Presentation by Registered

Dietitian on healthy living

• Diabetes resources for employees

3) Diabetes Screenings

Free A1C screenings

for employees

offered by PreDiabetes Centers

4) Online Resources

• Employer Portal for HR / Wellness

coordinators

• Employee Rights &

Accommodations

Protecting Employee Rights

Federal and state laws, including the Americans with Disabilities Act, protect individuals with disabilities (such as diabetes) from discrimination on the basis of disability in the workplace.

Discrimination includes firing or refusing to hire or promote an individual because of diabetes, and also includes failing to make reasonable accommodations for an individual’s diabetes.

Reasonable Accommodations

Most common accommodations needed by people with diabetes are easy and virtually cost-free. Examples of common reasonable accommodations for individuals with diabetes:

• Breaks to check blood glucose levels, eat a snack, take medication, or go to the bathroom

• A place to rest until blood sugar levels become normal• The ability to keep diabetes supplies and food nearby• The ability to test blood glucose and inject insulin anywhere

(or in private) at work• Leave for treatment, recuperation, or training on managing

diabetes• The opportunity to work a modified work schedule or to work a

standard shift as opposed to a swing shift

Interested in Stop Diabetes @ Work?Fill out card and turn in to me.

We will contact you to set up a Lunch & Learn presentation for your employees.

Need more information about SD@WVisit www.diabetes.org/atwork

Have Questions about Employee Rights? Call 1-800-DIABETES

THANK YOU!

• Evidence-based diabetes self-management curriculum

• Series of 6 free classes in community locations

• Facilitated by Certified Community Health Workers or Health

Educator

• Focus on reducing health disparities

Class 1: Introduction and

Overview of Diabetes

Class 2: Diabetes Management,

Monitoring, and Medications

Class 3: Diabetes Control and

Exercise

Class 4: Diabetes Control and

Nutrition

Class 5: Preventing

Complications

Class 6: Communication,

Managing Stress and Depression,

Your Rights

http://www.austintexas.gov/department/diabetes-education

Pillars of Health� Tobacco-Free Living� Physical Activity� Nutrition� Mother-Friendly

Austin/Travis Co. Health & Human Services Department staff can provide FREE technical assistance in the certification process and/or policy implementation.

Partner Certification Program

Partnership Approval Process1. Send Austin Steeves (Austin.steeves@austintexas.gov) a brief

of what you would like to present, and any additional/supporting docs.

2. Mr. Steeves will send items to the Executive Committee for their review.

3. If Executive Committee requests further details/information, Mr. Steeves will arrange a call/meeting for all of us to talk.

4. After our call, the Executive Committee will vote on a partnership between MHFC and your organization. However, they may request further information and vote at a later date.

Same procedure if you would like to make an announcement at one of our meetings.

Workgroups

• Diabetes

• Integration of Technology into Wellness

• Healthcare Reform

• Obesity Prevention

• Depression/ Mental Health

• Stress Reduction, Mindfulness, and Relaxation

Save The Date

� April 17th:

◦ Integration of Technology into Wellness