Doctors note due to hyperglycemia

Your doctor should give you a sick note after the first 7 days before that you have to fill out a self certificate. It used to be a SC1. After that it's a normal med cert. being as your bg is so high you shouldn't have a problem getting a doctors cert


Type 2 diagnosed 24/01/2013.
NovoRapid, Lantus, Victoza, Metformin (sr), Simvistatin

Hi @Imc nick ,

I don't know the answer to that last question, although logic dictates it is what your GP will need to know.

In the meantime, how long have you been employed there? Do your employers know you have T1D?

Just as importantly, are you getting to grips with what is causing the high BGs?

If they do decide to play awkward, email your boss / HR Director this link https://www.gov.uk/equality-act-2010-guidance, and point out that as someone with diabetes you are covered by the act and that you request your case is reviewed with due consideration.

Imc nick said:

Yes, I have. I talked to a 24 hour Nurse because I had questions about why it would be so high, what we did was we decided to raise my sliding scale on how much insulin I'm taking per 10Grams of carbs. and we also split my Levemir to takinging it before bed and in the morning. hoping this will change my levels,

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That's good to hear - both for your own health but also because it demonstrates that you are trying to treat the issues that have been causing your sickness and absence. Your employer is legally bound to make appropriate adjustments for you and issues such as this can fall into the spirit of the act - if you're making adjustments the law would take a dismal view of your employer if they didn't... and the penalties for infringement can be huge.

Imc nick said:

Thank you, I'm very grateful that you have showed me this document.

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No worries... I think they should include such info as part of ones 'education' upon diagnosis, and every five years thereafter.

Imc nick, the 24hr nurse. Is that a person anyone can ring? Is it a free help line?
It's just that during your night there. sometimes people asking for advice on the site
It might be appropriate that I refer them to this service
Please post phone number and details

I'm in austraLia, so unaware. I would advise work that you will have the dr write a letter to advise them what is 'viable' (whatever that means) with your situation
What you say is worth nothing, the dr has the say

Thanks for the number

Imc nick said:

Yes, it is a free help line. Any one can call it with any questions relating to any health problems.
The number is 1-866-797-0000..
I Also had a question for you I'm hopping you can answer @jack412
My work called me a second time and was asking if the days i called in to work sick are a "viable" reason to be calling in.
I wasn't sure how to answer that, if a doctor can see that my blood sugars have been over 33 for a couple weeks now..
Is it a viable reason to call in?

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Yes it is if it is an ongoing problem and you're having ketones and feeling under the weather with dehydration effects etc. Bu I can't to be honest understand why you've not been in touch with your GP before now to get some advice. He could have written you a fit note saying something like 'uncontrolled diabetes or just diabetes' and you wouldn't have the problem with your work calling you to ask if it's a viable reason.

Imc nick said:

Yes, I have. I talked to a 24 hour Nurse because I had questions about why it would be so high, what we did was we decided to raise my sliding scale on how much insulin I'm taking per 10Grams of carbs. and we also split my Levemir to takinging it before bed and in the morning. hoping this will change my levels,

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You will also need to work with your own diabetes team to get your bg levels down.

As for your Dr note, I think given that you are taking pro-active steps to bring your levels down your Dr will be encouraged by this and will understand that it was dangerous for you to work with such high bg levels, go along and discuss matters with them and hopefully they'll give you a note for the period you were absent. Good luck!!!!

ConradJ said:

No worries... I think they should include such info as part of ones 'education' upon diagnosis, and every five years thereafter.

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They should also 'educate' me to check on a person's state of residency

Hi @Imc nick , the link I originally included is for the UK. However, I've scouted online and found this for you:

http://en.wikipedia.org/wiki/Ontarians_with_Disabilities_Act

http://en.wikipedia.org/wiki/Accessibility_for_Ontarians_with_Disabilities_Act,_2005

http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_05a11_e.htm

In summary, it would seem that Canada as a whole does not have a diasbility / equalities act that protects people with disabilitis; however, Ontario has enacted laws that have some protection, etc., but principally for public organisations and not general.

In light of that, I would compile a brief dossier (do you record your BGs via a log book or use an onboard app that links to a PC, etc) that shows your BGs prior to this period of highs, and then summarise what you have been doing to tackle it, etc.

Get your Dr. to write your sick note and - if possible - your diabetes consultant to do likewise. What you'll need to do is paint a picture that this period of highs is an extremely unusual occurence for you that has hit you hard (like influenza can), but that you are getting back under control, etc. and therefore will be able to return to normal duties, etc., very soon.

In the meantime, if there's an opportunity for part-time hours, could you stage your return to work in a way that enables you to regain control of your diabetes in the workplace whilst giving you the flexibility in case things don't quite go as hoped?