[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-512958-en":3,"doc-seo-512958-105":30,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":11,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29,"preview_page_count":4},512958,5909893218464,"dhado","https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45",7,"Healthcare","Reasonable Accommodations for Diabetes Management in the Workplace","Reasonable Accommodations for Diabetes Management in the Workplace addresses how chronic diabetes can require job-related supports so individuals can manage blood glucose effectively. It examines accommodation types beneficial for diabetes care and the federal legal standards that determine when reasonable accommodations must be provided under disability discrimination laws. The discussion includes related workplace needs stemming from long-term diabetes complications, covering concepts such as undue hardship and the interactive process, plus reassignment when self-care or job duties cannot be performed.","Reasonable Accommodations for Diabetes Management in  \nthe Workplace  \nBrian L. Dimmick  \nDania Douglas *  \nI. Introduction  \nFor individuals with diabetes, life is an ongoing balancing act. Diabetes is a persistent, serious, and chronic disease that in the short term may cause serious illness, and in the long term may lead to dangerous complications. Diabetes must be managed at work, just as during other daily activities, and management needs, while they vary from person to person, can impact the work environment. For this reason, people with diabetes sometimes need accommodations on the job to allow them to properly manage their condition. This paper explores the types of accommodations that can benefit people with diabetes, and the legal standards governing when such accommodations must be provided under federal disability discrimination laws. This paper focuses on accommodations that may be needed for diabetes management; but also briefly discusses other accommodations that may be needed due to complications related to diabetes, such as mobility impairments and vision loss.  \nSection II of this paper gives a brief overview of the science and medicine of diabetes, and Section III introduces the legal concepts of reasonable accommodations, undue hardship and the interactive process, Section IV examines the reasonableness of self-care accommodations in the workplace, and Section V takes a brief look at common accommodations for long-term complications, and Section VI addresses reassignment, which may be required as an accommodation if the person is not able to perform a job due to diabetes or another condition.  \nII. The Science and Medicine of Diabetes  \nA. Basic Information on Diabetes  \nDiabetes is a serious, chronic endocrine system disorder that affects over 29 million individuals in the United States. 1 Diabetes results from the body’s inability to produce or utilize insulin, a hormone responsible for regulating glucose (sugar) levels in the bloodstream. The pancreas is  \n* Brian L . Dimmick is the Director of Litigation at the American Diabetes Association. Dania Douglas is State Advocacy Manager at the National Alliance on Mental Illness, and a former staff attorney at the American Diabetes Association.  \n1 CTRS. FOR DISEASE CONTROL & PREVENTION, DEP’T OF HEALTH AND HUMAN SERVS., NATIONAL DIABETES STATISTICS REPORT (2014), available at [http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report](http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report)web.pdf.  \nresponsible for making (in specialized cells called beta cells) and secreting insulin, a hormone that is used to regulate the level of glucose in the blood. Normally, during digestion, the body changes sugars, starches, and other foods into a form of sugar called glucose. The blood then carries this glucose to cells throughout the body. There, with the help of insulin, glucose enters the cells and is changed into quick energy for the cells to use or store for future needs. Even in people without diabetes, blood glucose levels go up and down throughout the day in response to food and the needs of the body. However, in the person without diabetes, this is a finely tuned system that keeps blood glucose levels within the normal, healthy range. Yet for individuals with diabetes, this well-regulated process is disrupted, because the pancreas does not produce insulin, or because the insulin present in the body cannot be used properly.  \nB. Types of Diabetes  \nThere are three common types of diabetes: type 1, type 2, and gestational diabetes. Type 1 diabetes is an autoimmune disorder in which the body’s immune system attacks beta cells in the pancreas, the cells responsible for producing insulin. As a result, the pancreas either no longer produces insulin at all, or produces it in very small quantities. Thus, a person with type 1 diabetes needs to receive insulin from an outside source, generally through insulin injections or an insulin pum","cbCaigAzcB5dRwXY","https://ap.wps.com/l/cbCaigAzcB5dRwXY","pdf",207666,1,26,"English","en",105,"# Introduction\n## Science and Medicine of Diabetes\n## Basic Information on Diabetes\n## Types of Diabetes\n## Hypoglycemia\n# Reasonable Accommodations in the Workplace\n## Legal Concepts: Reasonable Accommodations, Undue Hardship, and Interactive Process\n## Self-Care Accommodations\n## Accommodations for Long-Term Complications\n## Reassignment","[{\"question\":\"Which diabetes-related needs does the paper cover beyond self-management?\",\"answer\":\"In addition to self-care accommodations, it briefly discusses other accommodations that may be needed due to diabetes complications, such as mobility impairments and vision loss, and addresses reassignment when a person cannot perform job duties.\"}]","Reasonable Accommodations for Diabetes Management in the Workplace | PDF",1791278221,66,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":84,"head_meta":86,"extra_data":88,"updated_unix":89},"reasonable-accommodations-for-diabetes-management-in-the-workplace","",{"@graph":36,"@context":83},[37,54,74],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":43,"position":53},"https://docshare.wps.com/document/reasonable-accommodations-for-diabetes-management-in-the-workplace/512958/",4,{"url":52,"name":13,"@type":55,"image":56,"author":61,"headline":13,"publisher":63,"fileFormat":66,"inLanguage":23,"description":14,"dateModified":67,"datePublished":68,"encodingFormat":66,"isAccessibleForFree":69,"interactionStatistic":70},"DigitalDocument",{"url":57,"@type":58,"width":59,"height":60},"https://docshare.wps.com/thumbnails/reasonable-accommodations-for-diabetes-management-in-the-workplace/512958.png","ImageObject",300,407,{"name":9,"@type":62},"Person",{"url":41,"name":64,"@type":65},"DocShare","Organization","application/pdf","2026-11-10","2026-10-06",true,{"@type":71,"interactionType":72,"userInteractionCount":11},"InteractionCounter",{"@type":73},"ViewAction",{"@type":75,"mainEntity":76},"FAQPage",[77],{"name":78,"@type":79,"acceptedAnswer":80},"Which diabetes-related needs does the paper cover beyond self-management?","Question",{"text":81,"@type":82},"In addition to self-care accommodations, it briefly discusses other accommodations that may be needed due to diabetes complications, such as mobility impairments and vision loss, and addresses reassignment when a person cannot perform job duties.","Answer","https://schema.org",{"og:url":52,"og:type":85,"og:title":13,"og:site_name":64,"og:description":14},"article",{"robots":87,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},1791661170,{"code":4,"msg":5,"data":91},[92,96,100,104,109,114,117,122,127,130,134],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":93,"show_sort_weight":94,"slug":95},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":97,"show_sort_weight":98,"slug":99},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":46,"category_name":101,"show_sort_weight":102,"slug":103},"Exam",70,"exam",{"id":105,"doc_module":4,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},5,"Comic",60,"comic",{"id":110,"doc_module":4,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":115,"slug":116},40,"healthcare",{"id":118,"doc_module":4,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},8,"Research & Report",30,"research-report",{"id":123,"doc_module":4,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},9,"Religion & Spirituality",20,"religion-spirituality",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":128,"show_sort_weight":125,"slug":129},"World Cup","world-cup",{"id":131,"doc_module":4,"doc_module_name":46,"category_name":132,"show_sort_weight":131,"slug":133},10,"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":46,"category_name":136,"show_sort_weight":105,"slug":137},19,"General","general"]