Work-related Burden of Diabetes Mellitus among Employees


  •   Hajar J. Alsalem

  •   Aqil S. Alhaiz


Diabetes mellitus (DM) is a major public health problem. The prevalence of DM had increased worldwide despite the availability of medications. Working-age group is mostly affected by DM and its complications which subsequently would affect their quality of life and work productivity. A narrative review of the related literature published in English language from January 2010 to December 2020 using PubMed and Google Scholar databases was performed to explore the burden of DM among employees. There is an increase in absenteeism from work among employees due to DM and its complications, presenteeism was negatively affected. Moreover, employees with DM went through early retirement due to DM and its complications compared to employees without DM. This call to focus on implementing a prevention program to help reduce the impact of DM in employees' work productivity.

Keywords: cost of illness, diabetes mellitus, employee, work productivity


Care M. Standards of Medical Care in diabetes — 2020. 2020; 43 (January).

Kelly J. Diabetes: What is diabetes ? CDC Natl Cent Chronic Dis Prev Heal Promot. 2011;1–3.

Atlas IDFD. Idf diabetes atlas. 2019.

Bonsdorff MB Von, Bonsdorff ME Von, Haanpää M, Salonen M, Mikkola TM. Work ‑ loss years among people diagnosed with diabetes : a reappraisal from a life course perspective. Acta Diabetol [Internet]. 2018;55(5):485–91. Available from:

Png ME, Yoong J, Phan TP, Wee HL. Current and future economic burden of diabetes among working-age adults in Asia : conservative estimates for Singapore from 2010-2050. BMC Public Health [Internet]. 2016;1–9. Available from:

Thiyagarajan S, John S. Does diabetes blight work productivity : A cross-sectional investigation on selected Type 2 diabetes participants. 2017;43–6.

Article O. Impact of Diabetes Mellitus. 2017;8:96–108.

Data from the GAZEL cohort study. 2011;34(March).

Kirigia JM, Sambo HB, Sambo LG, Barry SP. Economic burden of diabetes mellitus in the WHO African region. BMC Int Health Hum Rights. 2009;9(1):1–12.

Langley P, Stankus A, Annunziata K, Gross H. Pdb37 the Impact of Diabetes on Workplace Absenteeism and Presenteeism: a Comparison of China and Japan. Value Heal. 2010;13(3):A61.

Sauermann J. Performance measures and worker productivity. IZA World Labor. 2016;(May):1–11.

Sadosky A, Schaefer C, Mann R, Bergstrom F, Baik R, Parsons B, et al. Burden of illness associated with painful diabetic peripheral neuropathy among adults seeking treatment in the US: Results from a retrospective chart review and cross-sectional survey. Diabetes, Metab Syndr Obes Targets Ther. 2013;6:79–92.

Sylvia M. Work limitations and their relationship to morbidity burden among academic health center employees with diabetes. Reply. Workplace Health Saf. 2013;61(2):55.

Hird TR, Zomer E, Owen A, Chen L, Ademi Z, Magliano DJ, et al. The impact of diabetes on productivity in China. Diabetologia. 2019;62(7):1195–203.

Donev D, Lijana ZK, Burazeri G. Measuring burden of disease : Disability-Adjusted Life Years ( DALY ) MEASURING THE BURDEN OF DISEASE : 2013;(December):2–3.

Chaker L, Falla A, van der Lee SJ, Muka T, Imo D, Jaspers L, et al. The global impact of non-communicable diseases on macro-economic productivity: a systematic review. Eur J Epidemiol [Internet]. 2015;30(5):357–95. Available from:

Meneghini LF, Lee LK, Gupta S, Preblick R. Association of hypoglycaemia severity with clinical, patient-reported and economic outcomes in US patients with type 2 diabetes using basal insulin. Diabetes, Obes Metab. 2018;20(5):1156–65.

English US. WPAI:GH V2.0 (US English) 1. 0:6–7.

S U. Economic Costs of Diabetes in the. 2018;41(May):917–28.

Guang-Wei Zhang, Li Shen2,3, Wen Zhong2, Ying Xiong1,*, Li I. Zhang2,3,*, and Huizhong W. Tao2,3,*. 乳鼠心肌提取 HHS Public Access. Physiol Behav. 2016;176(1):139–48.

Uénette LINEG. Burden of Diabetes on the Ability to. 2013;36.

Shafiee G, Mohajeri-tehrani M, Pajouhi M, Larijani B. The importance of hypoglycemia in diabetic patients. 2012;11(1):1.


Annunziata K, Bailey RA, Rupnow MFT. Impact of hypoglycemia on patients with type 2 diabetes mellitus and their quality of life , work productivity , and medication adherence. 2014;683–92.

Sørensen J, Ploug UJ. The Cost of Diabetes-Related Complications : Registry-Based Analysis of Days Absent from Work. 2013;2013.

Gagliardino JJ, Atanasov PK, Chan JCN, Mbanya JC, Shestakova M V., Leguet-Dinville P, et al. Resource use associated with type 2 diabetes in Africa, the Middle East, South Asia, Eurasia and Turkey: Results from the international diabetes management practice study (IDMPS). BMJ Open Diabetes Res Care. 2017;5(1):1–10.

Rebolledo OR, Dato SMA. Postprandial hyperglycemia and hyperlipidemia- generated glycoxidative stress : its contribution to the pathogenesis of diabetes complications. 2005;(Figure 1):191–208.

Brod M, Nikolajsen A, Weatherall J, Pfeiffer KM. The Economic Burden of Post-prandial Hyperglycemia (PPH) Among People with Type 1 and Type 2 Diabetes in Three Countries. Diabetes Ther. 2016;7(1):75–90.

Form AT. Registration Form. 2008;(1300).

Magliano DJ, Martin VJ, Owen AJ, Zomer E, Liew D. The Productivity Burden of Diabetes at a Population Level. 2018;41(May):979–84.

Sharma KM, Ranjani H, Zabetian A, Datta M, Deepa M, Anand Moses CR, et al. Excess cost burden of diabetes in Southern India: A clinic-based, comparative cost-of-illness study. Glob Heal Epidemiol Genomics. 2016;1:4–11.

Dorn D, Sousa-Poza A. “Voluntary” and “involuntary” early retirement: An international analysis. Appl Econ. 2010;42(4):427–38.

De Wind A, Geuskens GA, Reeuwijk KG, Westerman MJ, Ybema JF, Burdorf A, et al. Pathways through which health influences early retirement: A qualitative study. BMC Public Health. 2013;13(1).

Cleal B, Poulsen K, Hannerz H, Andersen LL. A prospective study of occupational status and disability retirement among employees with diabetes in Denmark. 2009;1:8–10.

Schofield D, Cunich M, Kelly S, Passey ME, Shrestha R, Callander E, et al. The Impact of Diabetes on the Labour Force Participation , Savings and Retirement Income of Workers Aged 45-64 Years in Australia. 2015;1–10.

Disability, ageing and carers: 2003;(02).

Rumball-Smith J, Barthold D, Nandi A, Heymann J. Diabetes associated with early labor-force exit: A comparison of sixteen high-income countries. Health Aff. 2014;33(1):110–5.

Ruston A, Smith A, Fernando B. Diabetes in the workplace - diabetic’ s perceptions and experiences of managing their disease at work : a qualitative study. 2013;1–10


Download data is not yet available.


How to Cite
Alsalem, H. J., & Alhaiz, A. S. (2021). Work-related Burden of Diabetes Mellitus among Employees. European Journal of Medical and Health Sciences, 3(3), 8-13.