Managing diabetes at the workplace

Published on 5 December 2025

With one in 10 Singapore residents living with diabetes – many in their prime working years – supportive workplaces can help employees stay well and productive.

At a glance

• Diabetes is common among working adults, with many unaware they have the condition.
• Irregular routines, stress and limited opportunities for movement can disrupt blood sugar control and affect performance and safety.
• Practical habits and workplace support help employees stay well and productive.

Diabetes affects a significant share of Singapore’s workforce, especially during the years when people juggle demanding jobs, family responsibilities and long hours. For many, the condition remains undetected; for others, managing it can be a struggle amid the demands of their busy lives.

The Ministry of Health’s National Population Health Survey 2023–2024 reports that 9.1 per cent of Singapore residents have diabetes. The survey found that prevalence increases with age, starting from 1.8 per cent among those aged 30 to 39 and rising steadily past 20 per cent for those aged 60 to 74. It also found that 16.5 per cent of respondents with diabetes did not know they had it, with the highest proportion being adults aged 40 to 49 – a core segment of the workforce. 

“Diabetes is relatively common among working-age adults in Singapore, and many face challenges balancing their health needs with the demands of a fast-paced work environment,” said Adj Asst Prof Wang Kangjie, Consultant, Division of Endocrinology, Department of Medicine, National University Hospital (NUH). When diabetes is not well managed, he added, people may experience fatigue and lower energy levels, which affect productivity and wellbeing.

Poorly controlled diabetes can lead to serious complications such as hypoglycaemia (low blood sugar), which can cause dizziness, confusion or even loss of consciousness. This makes it particularly dangerous for workers operating vehicles or machinery, or those involved in high-risk tasks such as commercial diving. 

Stigma also plays a part, with some employees worried about appearing disruptive if they have to take their meals at specific timings, check blood glucose readings before meals or administer insulin. “This can lead them to under-manage their condition,” Adj Asst Prof Wang said. “Creating supportive and diabetes-aware workplaces can therefore improve employee wellbeing and satisfaction, reduce employee safety risks, and promote a more productive workforce.”

Everyday challenges at work

Busy schedules often disrupt routines. Irregular meals, limited access to suitable food and a lack of time or privacy for glucose checks are common issues that people with diabetes face at work. Furthermore, shift work and sedentary roles reduce opportunities for movement and can disrupt blood sugar control.

Stress is another pressure point, as Adj Asst Prof Wang explained, “Stress and irregular work patterns can significantly affect blood glucose levels by influencing hormonal changes, such as that of cortisol and adrenaline.

“These hormones can cause marked fluctuations in blood sugar. Irregular work hours and sleep disruptions make it harder to maintain consistent habits, and consistency is important for glucose control.”

Practical ways to stay on track

Planning ahead remains central to good diabetes management. Adj Asst Prof Wang advised people with diabetes to carry healthy snacks, set reminders for meals or medication, and check their glucose levels before long shifts or physical tasks. Having a trusted colleague who understands how to respond to a low-sugar episode can also provide peace of mind.

Meal timing and food choice matter, too. A balanced and consistent eating pattern helps avoid large spikes and dips in glucose levels. The Health Promotion Board’s (HPB) My Healthy Plate model is a useful guide: half a plate of non-starchy vegetables, one-quarter wholegrains and one-quarter lean protein. Regular meals with steady carbohydrate intake – about 45g to 75g per meal – also help maintain stability. “Wholegrains digest more slowly, giving steadier energy and helping you stay full longer,” Adj Asst Prof Wang said. 

For snacks, choose options that are naturally lower in sugar and refined carbohydrates, such as a handful of nuts or one serving of fresh fruits like apples, berries and citrus fruit.

Getting regular movement also support better glucose control. While finding time to exercise at work can be challenging, small movements can be done easily – and they do matter. “Standing and stretching or marching in place even for a few minutes by your desk can make a difference,” Adj Asst Prof Wang said. “These small activities done several times a day add up.”

Simple cues like phone or smartwatch reminders, walking to a farther restroom or taking the stairs can help incorporate more activity.

Tech as a helping hand

Wearable devices have reshaped diabetes care and management. Continuous glucose monitors (CGMs) and mobile apps allow discreet tracking without finger-pricks, while real-time data help users act fast when levels drop or rise.

“Alerts for low sugar and data integration with smartwatches help people make quick, informed decisions,” Adj Asst Prof Wang said. “These tools can help individuals feel more confident and in control, especially in busy workplaces while minimising disruptions.” 

Employers also influence how well workers manage their condition. Private spaces for glucose checks, sharps disposal boxes and flexible meal or break times are practical steps that support health and safety.

Workplace education can reduce stigma and encourage understanding and empathy. “Basic workplace education and support can be helpful in recognising signs of hypoglycaemia, and promoting acceptance and reducing stigma,” Adj Asst Prof Wang said.

Companies can also join national efforts such as the HPB’s Workplace Outreach Wellness Programme, which brings screenings, nutrition workshops and coaching to employees. The upcoming Sugar Smart Nation campaign will further encourage organisations to reduce sugar in workplace food offerings and support healthier diets. 

Managers and colleagues play a part, too. Adj Asst Prof Wang said simple gestures – such as checking in while respecting privacy – can help create an inclusive environment. Ultimately, reducing stigma and encouraging openness allow coworkers with diabetes to manage their condition without added stress at the workplace.

In consultation with Adj Asst Prof Wang Kangjie, Consultant, Division of Endocrinology, Department of Medicine, NUH.