Welcome to Let's Talk Fleet Risk, a podcast for those who manage drivers and vehicles, and want to reduce road risk in their organisation. In this episode, I'm talking to Kate Walker, Managing Director of the Diabetes Safety Organisation. We'll be discussing: Why Driver Safety Managers need to understand the hidden epidemic that is diabetes.When is diabetes a DVLA notifiable condition?The potential consequences of a typical on-the-road diet, enabling conversations with employees around driving with diabetes.Good practice for managing diabetes risk, and some resources to help. Hello everyone and welcome to this edition of Let's Talk Fleet Risk. This quarter we're looking at various aspects of fitness to drive, and my guest today is Kate Walker, who is Managing Director of the Diabetes Safety Organisation. Welcome to the podcast Kate. Kate: Thanks for having me today, Simon. Simon: Kate your website says that diabetes is a hidden epidemic leaving all companies exposed to increased absenteeism, increased risk of accidents, and therefore increased risk of company liability, so, why is that? And why does somebody who manages the safety of people who drive for work need to listen to this podcast? Kate: I think it’s really important to address this epidemic of diabetes. I think it's hidden in several ways, so I don't think people necessarily living with it understand the complexity of it. And also, I think it's hidden in the workplace. There's actually one in 12 in the working population living with diabetes and we've just hit 5 million people in the UK. And we can touch on some of the stats in a minute but in terms of your question around why, why is this important for a manager… I think we need to understand that diabetes is a known foreseeable risk in the workplace. And there is legislation that needs to be followed, which again, is often not understood – people think diabetes and they think medical, GPs. And I think there’s a lot of work that needs to be done around bringing this to light and removing the stigma, and also understanding the implications in the workplace. We know that there are 5 million people with the condition. A further 12.6 million in the UK have pre-diabetes. So, these numbers are significant. And if people are unmanaged, time off of work increases, there is an increased risk of accidents from those who are undiagnosed, or those who are not necessarily managing it as well – we know it’s not always easy to get GP appointments, or the time and support that may be needed for people living with diabetes. And there's also the experience we have when we're going to companies – it's hard for people to come forward and share, because of the unknown. Are they going to lose their job? Is their job still safe? What are the requirements? You know, it’s either let's not get diagnosed and we never have to address it, or let's hide away from it – and that poses a risk in so many different ways. As an employer as well – and I think for any safety managers –there's a real need to understand the difference between the two types of diabetes, which we’ll come on to. The right conversation needs to be had, also to understand that the Health and Safety at Work Act does come in here, and people, need to make sure they are managing this risk. People living with diabetes have to also comply with DVLA regulations, and they fit under the Equality Act because, more often than not, diabetes would be a disability. So, for all of those reasons, I think we really need to start a conversation around diabetes across the industry to make our roads safer and to help anyone who is living with it to feel safe to come forward, and really be able to share and understand that it's okay and safe to do so. Simon: Before we started this discussion, I went on the DVLA's website just to see what they had to say about diabetes and notifiable conditions. And it said that if you have diabetes and you manage it with diet, it's not notifiable. But if you do need insulin, it is notifiable. So am I right in thinking that if you're treating with insulin, it's type one, if you're treating with diet, it's type two. And if so, what's the difference? And I guess, how do you come to have diabetes? Kate: So no, it's not only type one on insulin. And again, this question alone, I think really raises a good question of how can we have the right conversation in the workplace if we don't understand diabetes and the two variations here? So, type one people living with diabetes often are frustrated. So, type one diabetes is an autoimmune disease – at some point, their body had a reaction and now their pancreas, which produces insulin, no longer works. And of the 5 million, only 4% - about 400,000 – are living with type one diabetes. Predominantly everybody else is living with type two. In my experience, when we work with people with type one diabetes, they find it frustrating that they are bundled into the ...
