Solutions for Shifting Shifts (Diabetes)
Rotating between night and day shifts at work can wreak havoc on your blood glucose levels, and make control almost impossible. One of your problems is that your body releases hormones during sleep that make insulin work less effectively. By rotating work shifts, you disturb the normal release of these hormones. If you can’t predict when the hormones are being released, you won’t know how your insulin will affect your blood glucose levels.
In this scenario, the best option is to negotiate with your employer to stay on one shift. Remember, the Americans with Disabilities Act requires employers to provide “reasonable accommodation for people with diabetes.” If staying on one shift isn’t possible, you may want to try a more flexible insulin regimen. Using ultralente with regular insulin or an insulin pump will give you the flexibility this situation demands.