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DIABETES AND JOB: ALCOHOL FLUSHING AND STRESS. FINDING A JOB AND WORKING

Alcohol flushing
Alcohol may produce another problem for people on pill treatment. About 60 per cent of those on chlorpropamide develop facial flushing within half an hour of drinking alcohol. For a few people this reaction can be very distressing with a feeling of severe burning in the face, and sometimes all over the body, nausea, wheezing and faintness. Whether you get this alcohol flushing depends to some extent on the dose of chlorpropamide you are taking and when you last took it. It is less likely to happen with other sulphonylurea drugs, such as glibenclamide, and the simple solution if you have this problem is to change your pills. About 6 per cent of the population is born with the tendency to flush with alcohol. So, if you are a born alcohol flusher, you will either have to put up with it or stop drinking.
Stress
Stress is by no means limited to business people. There is little scientific evidence that stress causes diabetes. However, many people with diabetes find that their blood glucose level goes up at times of stress.
Martin, forty-eight years old, works in a car factory. He is also a union shop steward. Normally, his diabetes is well-controlled, but one afternoon he came into clinic with a glucose level of 20 mmol/1 (360 mg/dl). He had just had a furious argument with his fellow shop stewards who wanted to call the men out on strike over an issue with which he disagreed. He told me later that it took two days for his glucose levels to come down after this incident.
Finding a job and working
? Diabetes is not a barrier to getting most jobs.
? Make sure that your qualifications are as good as or better than any non-diabetic competitor.
? When applying for jobs be honest.
? Tell your friends and colleagues about your diabetes. There is no need to be ashamed or embarrassed about it.
? Consider your work pattern when organizing your diet and diabetes treatment. A little forward planning can make life easier. Ensure that you arrange for a new family doctor and diabetes adviser if you leave home.
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