Diabetes, Mental Health and the Future of the Drilling Industry

June 9, 2026

As Diabetes Week takes place from 8-14 June 2026, the focus will rightly be on blood sugar levels, diet, medication, lifestyle and physical health. These are all essential areas of awareness, but for the drilling and ground engineering sector there is another important dimension that also needs to be recognised, mental health.

For those working in operational, site-based and safety-critical environments, managing a long-term condition such as diabetes can bring additional pressures. Early starts, long shifts, travel, changing schedules, physically demanding work and the need to stay alert all create a working environment where physical wellbeing, mental resilience and safety are closely connected.

In this personal blog, Paul Breslin, Chair of the British Drilling Association (BDA) Health & Safety Sub-Committee, reflects on his own experience of living with Type 2 diabetes while working in the industry. He considers the practical challenges faced by those managing diabetes on site, the hidden mental load that can come with a long-term health condition, and why open conversations, supervisor awareness and practical support must form part of a modern approach to health, safety and wellbeing.

The Reality of Diabetes on Site

Our industry isn’t a 9–5 office environment. It’s early starts, long shifts, travel, unpredictable schedules, and often physically demanding work. For those of us managing diabetes, that can present real challenges:

  • Irregular meal times
  • Limited healthy food choices on site
  • Fatigue from long shifts
  • Managing medication around changing schedules
  • Lack of proper rest

Even with the best planning, things don’t always go smoothly. Blood sugar levels can fluctuate, and when they do, it’s not just your body that feels it, your physical and mental health takes a hit too.

The Hidden Impact: Mental Health

What’s less talked about is the mental load of living with diabetes, especially in a safety-critical industry. There’s a constant layer of awareness running in the background:

  • Have I eaten enough?
  • Is my energy dropping?
  • Can I safely carry out this task?
  • What happens if I feel unwell on site?

Over time, this can lead to:

  • Increased stress and anxiety
  • A fear of “slowing the team down”
  • Reluctance to speak up
  • Mental fatigue on top of physical fatigue

In an environment where resilience and reliability are expected, it’s easy to internalise the pressure and carry on silently.

Safety and Wellbeing Are Linked

From a QHSE perspective, this matters. If someone is experiencing:

  • Low blood sugar (hypoglycaemia)
  • Fatigue or brain fog
  • Reduced concentration

Then it’s not just a personal health issue, it’s a safety risk.

Whilst the industry has made significant progress in physical safety, we need to recognise that chronic conditions like diabetes sit right at the intersection of health, safety, and wellbeing.

What Needs to Change

We don’t need complex solutions, just practical, human ones.

  1. Normalise the Conversation – People should feel comfortable saying: “I need to eat” or “I need five minutes”. That shouldn’t be seen as a weakness, it’s responsible and professional
  2. Plan for Real Life on Site – Simple adjustments go a long way
  3. Supervisor Awareness – Line managers don’t need to be medical experts, but they should understand: The basics of diabetes; The signs of someone struggling; When to intervene or support
  4. Mental Health Support – Living with a long-term condition can wear you down over time. Access to: Employee Assistance Programme; Confidential advice line; Open conversations

All these can make a meaningful difference.

My Perspective

Managing Type 2 diabetes while working in this sector has taught me one thing above all: You can’t separate physical health from mental health.

There are days when everything is under control and others where it’s not. The key is having a culture where that’s understood, not judged.

I’ve also learned the importance of:

  • Being honest with myself
  • Planning where I can
  • Speaking up when needed
  • Taking ownership of your own health and wellbeing

That’s not just good for me, it’s good for the people around me and the operations we’re responsible for.

A Call to Action for Our Industry

As we recognise Diabetes Week, this is an opportunity not just to raise awareness, but to drive meaningful change across the drilling and wider geotechnical sector.

We are an industry built on resilience, problem-solving, and looking after our people in challenging environments. Supporting those living with long-term conditions like diabetes should be part of that commitment.

So, what should we do next?

  • Make wellbeing practical, not theoretical

Ensure site setups, schedules, and welfare provisions genuinely support people managing health conditions.

  • Embed health into safety conversations

Treat conditions like diabetes as part of day-to-day operational risk management, not something separate or hidden.

  • Equip leaders to respond

Give supervisors the awareness and confidence to support individuals without stigma or hesitation.

  • Create a culture of openness

Where speaking up about health is seen as a strength, not a risk.

A Role for the BDA and Its Members

The BDA has an important role to play in helping the industry continue to improve the way it approaches health, safety and wellbeing. As an Association, and through the work of its members, sub-committees and wider industry network, the BDA can help encourage more open conversations around long-term health conditions, mental health and practical support in site-based environments.

This is not about creating complex systems or placing additional burdens on employers, supervisors or operatives. It is about recognising that conditions such as diabetes are part of real working life and should be considered within sensible, practical and proportionate approaches to occupational health, welfare and safety planning.

By sharing good practice, promoting awareness, and encouraging dialogue between contractors, clients, supervisors and the workforce, the BDA and its members can help ensure that support is not left to chance or dependent on individual circumstances.

Final Thought

Looking after diabetes is not just about managing blood sugar. It is also about managing people, pressure, fatigue, confidence and performance in demanding environments.

For the drilling and wider geotechnical sector, this matters. When people feel able to speak up, take appropriate breaks, manage their health and ask for support when needed, the benefits reach far beyond the individual. They contribute to safer sites, stronger teams, better decision-making and a healthier, more resilient industry.

As Diabetes Week reminds us, awareness is important, but action is what makes the difference.

Author: Paul Breslin, Chair of the BDA Health & Safety Sub-Committee

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