Diabetes on the Job

Written by Natalie Davis
Published November 06, 2003

Did you know that diabetes can be considered a disability in the workplace?

It's true — and it's often justified.

The U.S. Equal Employment Opportunity Commission has noted that indeed the disease can make life and work difficult for some Americans. And too many people have found themselves victimized through employment discrimination because they are diabetics.

Late last month, the EEOC released a "Frequently Answered Questions" document to help workers with diabetes and their employers know exactly how the Americans with Disabilities Act — which prohibits discrimination against the handicapped — affects their situations.

From the FAQ:

When is diabetes a disability under the ADA?

Diabetes is a disability when it substantially limits one or more of a person's major life activities. Major life activities are basic activities that an average person can perform with little or no difficulty, such as eating or caring for oneself. Diabetes also is a disability when it causes side effects or complications that substantially limit a major life activity. Even if diabetes is not currently substantially limiting because it is controlled by diet, exercise, oral medication, and/or insulin, and there are no serious side effects, the condition may be a disability because it was substantially limiting in the past (i.e., before it was diagnosed and adequately treated). Finally, diabetes is a disability when it does not significantly affect a person's everyday activities, but the employer treats the individual as if it does. For example, an employer may assume that a person is totally unable to work because he has diabetes. Under the ADA, the determination of whether an individual has a disability is made on a case-by-case basis.

When is it appropriate for an employer to ask an applicant or employee questions about her or his diabetes?

If an applicant voluntarily tells an employer that she has diabetes, an employer only may ask two questions: whether she needs a reasonable accommodation and what type of accommodation.

The ADA strictly limits the circumstances under which an employer may ask questions about an employee's medical condition or require the employee to have a medical examination. Generally, to obtain medical information from an employee, an employer must have a reason to believe that there is a medical explanation for changes in the employee's job performance or must believe that the employee may pose a direct threat to safety because of a medical condition. ...

The fact that an applicant has diabetes may not be used to withdraw a job offer if the applicant is able to perform the fundamental duties ("essential functions") of a job, with or without reasonable accommodation, without posing a direct threat to safety. The employer, therefore, should evaluate the applicant's present ability to perform the job effectively and safely. After an offer has been made, an employer also may ask the applicant additional questions about his condition. For example, following an offer, an employer could ask the applicant how long he has had diabetes, whether he takes any medication, and whether the condition is under control. The employer also could send the applicant for a follow-up medical examination. An employer may withdraw an offer from an applicant with diabetes only if it becomes clear that he cannot do the essential functions of the job or would pose a direct threat (i.e., a significant risk of substantial harm) to the health or safety of himself or others.

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Natalie Davis is an award-winning journalist, progressive- and GLBT-issues activist, musician and broadcaster. Davis' All Facts and Opinions - The Armchair Activist has existed since 1996. She is general manager and program/music director of Grateful Dread Radio, an 11-year-old multigenre Internet station dedicated to presenting diverse sounds for open minds.
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Diabetes on the Job
Published: November 06, 2003
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Section: Culture
Writer: Natalie Davis
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Comments

#1 — November 9, 2003 @ 17:49PM — Mac Diva [URL]

Thanks for posting this, Natalie. Except for putting it on health forms, I learned not to mention being diabetic when I worked for other people. It can be used to question one's reliability and judgment. A diabetic student I taught said she experienced discrimination even before she made it into the workplace. In junior high, she told her best friend she was a diabetic. The 'friend' spread that and the girl became a target of abuse and ostracism. Based on the timing, I think her peers may have confused diabetes with AIDS because both involve blood. (Not that discrimination against HIV-positive people is to be approved of either.) Suffice it to say that societal ignorance can make being a diabetic tough sledding.

However, I don't want people to get the impression diabetics are invalids. Most definitely aren't. Since my symptoms are mild, all I do is watch my diet. My grandmother, also a diabetic, taught me that from childhood. I am sometimes amazed at how active some Type I diabetics are. Two of my favorite actors, Mary Tyler Moore and Halle Berry, are also diabetics.

#2 — November 9, 2003 @ 18:16PM — Natalie Davis [URL]

No, diabetics do not have to be invalids, and Mary Tyler Moore and Halle Berry are indeed fabulous examples of that. I understand, however, that some people keep their condition private -- the ignorantsia can be terrible and cruel sometimes.

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