Why shift work changes chronic disease
Night and rotating rosters push dinners to 10PM, skip breakfasts, and make “take metformin with morning meal” advice collapse. BP tablets get missed after overtime. The result is HbA1c creep and clinic readings that look nothing like the worker’s rest-day numbers.
We review timing of medicines against your actual roster, not a textbook 9–5 day. Bring your glucometer log and blister packs.
ECG, HbA1c, lipids and kidney markers can often be done the same visit when due.