Integrating Prediabetes Management into Workplace Health Programs: Outcomes and Challenges

Author(s): Ishrat Jahan Shila, Md. Masud Rana, Mst. Somaiya Sultana, Dilshad Sony, Taiyeba Akter, Moniruzzaman

Background: Integrating prediabetes management into workplace health programs offers a critical opportunity to prevent the progression to type 2 diabetes. This study aimed to evaluate the effectiveness of a workplace intervention focused on improving glycemic control, lifestyle behaviors, and biometric measurements among prediabetic employees.

Methods: A prospective interventional study was conducted at City Dental College, Dhaka, Bangladesh, from January to June 2021. Seventy employees with prediabetes, identified through routine screenings, participated in a program that included dietary counseling, physical activity promotion, and weight management support. Key biometric measures (fasting blood glucose, HbA1c, BMI, and blood pressure) were recorded at baseline, 3 months, and 6 months. Lifestyle behaviors and adherence were also tracked. Paired t-tests and thematic analysis were used for quantitative and qualitative evaluations, respectively.

Results: Over six months, significant reductions were observed in fasting blood glucose (115.2 ± 7.8 to 104.3 ± 7.9 mg/dL, p < 0.001), HbA1c (6.0 ± 0.3% to 5.6 ± 0.2%, p < 0.001), and BMI (29.5 ± 4.5 to 26.4 ± 4.0 kg/m², p < 0.001). Blood pressure also improved (p = 0.020). Regular physical activity increased from 34.3% to 65.7%, and adherence improved from 30.0% to 54.3%. Qualitative insights highlighted increased health awareness, though challenges with diet and exercise were noted.

Conclusion: The workplace health program significantly improved glycemic control, BMI, and lifestyle behaviors among prediabetic employees. However, adherence and long-term maintenance remain challenges, suggesting the need for enhanced follow-up and support.