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When work doesn’t get it: bad bosses, big lows and your rights

Type 1 diabetes at work: your rights under the Equality Act, what reasonable adjustments cover, and where to get help if a manager treats it as a problem.

Written by Updated 6 May 2025 4 min read

Most of the time, working with Type 1 is unremarkable. But there is a harder edge that Type 1 communities talk about honestly: a manager who treats your diabetes as a problem, or a severe low on shift that left you mortified. If either of those has happened to you, the anger and embarrassment you feel are valid, and there is concrete backup in the UK worth knowing about.

The two hard edges people describe

Two situations come up most. The first is a boss who does not get it: someone who treats Type 1 as a liability, questions your reliability, makes pointed comments, or bristles at the idea of you needing a moment to look after yourself. The second is a big low at work, a hypo (blood sugar dropping too low) that hit hard in front of colleagues and left you feeling exposed. People write about both with real feeling, and the first thing worth saying is that neither is a failing on your part.

The low that felt mortifying

A recurring, painful thread is the severe low on shift: going shaky, confused or tearful, needing help, maybe causing a scene, and then carrying the embarrassment for weeks afterwards. If that is you, the community’s response is remarkably kind and consistent: you did nothing wrong, your body had a medical emergency, and anyone decent understands that. On the safety side, it is worth colleagues knowing that a hypo is usually sorted quickly with fast-acting sugar, but that if someone with Type 1 becomes very confused, cannot swallow safely, has a seizure or passes out, that is a 999 emergency and they should call straight away rather than wait. Having that plan known in advance takes some of the fear out of it ever happening again.

What reasonable adjustments actually mean

A phrase worth keeping in your pocket is “reasonable adjustments”, which means changes an employer is expected to make so you can do your job well. For Type 1 this might include breaks to check your glucose or treat a low, somewhere to store insulin and snacks, keeping fast sugar to hand where you work, some flexibility around shift patterns or break timing, and time off for diabetes appointments. People often say that framing their needs as specific, reasonable adjustments, rather than apologising for the condition, changed the conversation with an employer entirely. You are asking for practical, lawful support, not a favour.

What the law is on your side about

In the UK, the Equality Act 2010 protects disabled people from discrimination at work, and diabetes is generally treated as covered. That means an employer should not treat you unfavourably because of your Type 1, and is expected to make those reasonable adjustments where they are needed. If a manager is trying to manage you out, or refusing sensible support, that can cross into unlawful territory. Proving it is not always easy, and communities are honest about that, but knowing the line exists changes how you approach the whole situation, and it is not something you simply have to accept in silence.

Where to get backup

You do not have to work this out alone. ACAS (the free, independent workplace advice service) can talk through your situation and your options, including when you are being treated unfairly. Diabetes UK has clear guidance on discrimination and your rights at work, plus a helpline you can call when something feels off. GOV.UK sets out disability discrimination law in plain terms. Writing down what happened, with dates, is a practical step people recommend if things start to escalate. Getting advice early tends to make a stressful situation feel far more manageable than carrying it by yourself.

You are not the problem

The message that runs through these threads most strongly is worth ending on. A condition you did not choose, managed responsibly, is not a liability, and a good employer knows that. If a workplace treats you as a problem for looking after your health, the failing is theirs, not yours. Plenty of people go on to find managers and teams who take it entirely in their stride, and who make the small adjustments without any fuss at all. You are allowed to expect that, and to get help holding an employer to it.

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