P-179 the Diabetic Patient in the Workplace: Between Obstacles and Professional Reintegration

Introduction Diabetes is a common chronic disease, affecting a significant number of people in the workplace. Many difficulties can increase: absenteeism, risk of hypoglycemia, etc. Requiring an adaptation of working conditions to the profile of the diabetic patient. Objectives of the study Describe the difficulties encountered on a daily basis by diabetic patients that hinder the management of diabetes at work, as well as the various efforts made in terms of social reintegration. Methods Observational study, including 316 patients followed in the endocrinology and diseases department metabolic diseases of Casablanca from 2022 to July 2023. Results The average age was 42 years. Our patients were type 2 diabetics in 55%, with an average duration of 9.5 years, average HBA1C 11.4%. In terms of complications: retinopathy was noted in 19.3%, nephropathy in 7.59%, and neuropathy in 6.32%. Among these patients, 98.7% were on insulin. Working hours were incompatible with meals and treatment in 39.5%, the average working hours was 8.6 hours/day. Hypoglycemia was reported at work in 57.2%, just 33.8% stopped the activity to regain blood sugar. The prevalence of absenteeism was 1 day/month. Professional reclassification was recorded in 1.89%. Discussion and conclusion This study shed light on certain aspects of the difficulties encountered by diabetic patients in the workplace, thus informing those around them becomes a necessity for better prevention of acute and chronic complications of diabetes.