Good practice in occupational health services: recommendations for prophylactic examinations and medical certifications in persons with diabetes mellitus]

The prevalence of diabetes and a significant proportion of unawareness of it risk among the patients indicate the need to dude into general prophylactic examinations the standards of medical certification, Which-would prevent discrimination and ensure public safety In certifying medical predispositions to work in a person With diabetes mellitus the key issue is to distinguish 2 categories of medical requirements the higher related to qualifying workers for ohs demanding psychophysical abilities, which affect the safety of the workers and,their,;environment,and the the lower,-related to qualifying Workers :for, jobs characterized by harmful factors and nuisances, which might have a negative effect on the course of diabetes The very fact of having,diabetes cannot be the :reason for the patient being disqualified and the decision oil certifying the capacity to perform a particular job should always be based,on an individual health the-patient; taking into account the of hypoglycemia metabolic control, the progression and dynamics of chronic complications as well as the level of health awareness in,patients. The objective, assessment of the health status of the patient with diabetes involves the judgment of an physician, additionally supported by the consultation Of a diabetes specialist to,ensure that patient is able to perform properly the job abilities.