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Diabetes Care for Night Shift Workers

People who have regularly worked night shifts are twice as likely to have diabetes. This is attributed to decrease in metabolic health, impaired glucose metabolism, increased body mass index (BMI), and impaired insulin resistance. Meanwhile, diabetic patients working night shift are most likely to suffer complications in diabetes like neuropathy among others. This is because night shift work can disrupts a person’s body internal clock, or circadian rhythm that affects the cardiovascular system, Metabolism, Appetite and food intake, Digestion, Immune system and Hormonal balance.

If possible, diabetic night shift workers should find a way or ask for consideration to have a regular day shift schedule. If that is not possible, the only recourse is to sync one’s night life with one’s regular day life. That means, one will have to absolutely adjust one’s regular day activities in the night. That means, having sufficient sleep in the morning, doing regular exercise in the evening and eating regular meals in the night. It’s basically living like in regular day schedule only at night time.

Moreover, there are other things that a diabetic should consider while on a night shift. For instance, one should adjust insulin dose to avoid hypoglycaemia while sleeping through the day. It may be easier to use a more intensive approach to manage your diabetes. Rapid or short-acting insulin should then be taken before meals. Insulin adjustments should be made because of the changes in sleeping patterns. It would be best to consult one’s doctor about this. Moreover, because of the changes in metabolism and predilection to hormonal imbalance, it is important for diabetic night shift workers to check blood glucose levels more regularly so that one can correspondingly adjust the dose and timing/ schedule of your insulin injection.

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