A new study by the International Diabetes Federation (IDF) reveals that 68% of employees with diabetes in Pakistan experience negative treatment or discrimination at the workplace.

The report, released on World Diabetes Day (November 14), highlights widespread discriminatory behaviour and a lack of institutional support for diabetic employees.

According to the study, 58% of employees with diabetes have considered leaving their jobs due to fear of mistreatment.

Iram Ghafoor, president of the National Association of Diabetes Educators of Pakistan and vice president of the IDF, described the findings as alarming. She stressed that it is unacceptable for people with diabetes to face discrimination, isolation, and negative attitudes at work, calling it a clear signal that employers must take urgent action.

The report found that 72% of employees with type 1 diabetes had experienced negative treatment, compared to 41% of those with type 2 diabetes. Additionally, 52% reported being denied breaks or time off necessary for managing their condition.

The study also notes that this discrimination not only affects emotional well-being but also hampers career growth.

37% of participants said they missed career advancement or training opportunities due to their diabetes.
While only one in 20 employees hid their condition from their employer, 50% feared discrimination if it became known, and 30% worried that disclosing their diagnosis would affect career development.

Many employees rely on support from coworkers rather than their organizations.

46% shared their diagnosis with only one trusted colleague.
26% disclosed it to a small group of selected coworkers.

These numbers reflect the significant challenges people with diabetes face at work and highlight the need for organizations to build more supportive and inclusive environments.

Daily diabetes management itself creates anxiety.

22% said they hesitate to inject insulin at work.
16% feel uncomfortable checking their blood sugar.

The lack of proper facilities makes these essential tasks even more difficult.

Type 1 diabetes advocate and educator Anam Anwar said managing work alongside diabetes is not easy. She explained that employees often need short breaks, must adhere to meal schedules, and carry insulin, glucometers, and other supplies.

“Even when you are unwell, you sometimes feel forced to prove that you can perform like everyone else,” she added.

Global findings show regional differences, with Pakistan recording the highest rate of workplace negativity toward people with diabetes. In comparison, 55% of employees in India and 42% in the US reported experiencing similar attitudes.

Iram Ghafoor emphasized that no one should feel pressured to hide their condition for fear of bias or losing opportunities. She said that simple changes -- such as flexible work hours, private spaces for insulin injections or glucose checks, and supportive policies -- can significantly improve the lives of employees with diabetes.

“People with diabetes deserve respect, understanding, and equal opportunities,” she said.

As part of its World Diabetes Day campaign, the IDF is urging employers to foster a supportive work environment where health-related conversations are encouraged. Increasing diabetes awareness among staff and adopting flexible arrangements for diabetes management can help ensure that employees with diabetes do not feel isolated.