Working diabetics confront tangle of discrimination laws

MINNEAPOLIS — John Steigauf spent more than a decade fiddling with the innards of those huge United Parcel Service trucks, until an icy day two years ago when the company put him on leave from his mechanic's job. A supervisor escorted him off the premises.

His work was good. He hadn't socked the boss or embezzled money. It had to do with what was inside him: diabetes.

UPS framed it as a safety issue: Steigauf's blood sugar might suddenly plummet while he tested a truck, causing him to slam into someone.

Steigauf considered it discrimination, a taint that diabetes can carry. "I was regarded as a damaged piece of meat," he said. "It was like, 'You're one of those, and we can't have one of those."'

With 21 million American diabetics, disputes like this have increasingly rippled through the workplace:

• A mortgage loan officer in Oregon was denied permission to eat at her desk to stanch her sugar fluctuations and eventually was fired.

• A Sears lingerie saleswoman in Illinois with nerve damage in her leg quit after being told she could not cut through a stockroom to reach her department.

• A worker at a candy company in Wisconsin was fired after asking where he could dispose of his insulin needles.

In each instance, diabetics contend that they are being blocked by their employers from the near-normal lives their doctors say are possible. But the companies say they are struggling, too, with confusion about whether diabetes is a legitimate disability and with concern about whether it is overly expensive, hazardous and dis- ruptive to accommodate the illness.

The debate will probably intensify. The number of diabetics in America swelled by 80 percent in the past decade. Experts say the disease is on its way to becoming a conspicuous fact of life in the nation's labor force, raising all sorts of issues for workers and managers.

Even an outspoken advocate for diabetics like Fran Carpentier, a Type 1 diabetic and a senior editor at Parade magazine, understands the implications for business. "Knowing what it's like to live with the disease hour by hour, day by day, I wonder if I owned my own company if I would hire someone with diabetes," she said. "I'm being bluntly honest. And it kills me to say this."

Doctors, though, say that with improved medications and methods of self-testing blood sugar, most diabetics can do almost any job if they properly manage their illness. Yet myths about the disease persist, advocates say, leading many companies to shun diabetic employees.