š Why HGV drivers are high-risk for pre-diabetes & Type 2 diabetes
- Paul Williamson

- Dec 20, 2025
- 2 min read
š Why HGV drivers are a high-risk group for pre-diabetes & type 2 diabetes
This isnāt about blame ā itās about job design.
HGV drivers are one of the highest-risk occupational groups for metabolic health issues, and the reasons are structural, not personal.
Hereās why š
1ļøā£ Prolonged sitting Drivers can sit for 9ā11 hours a day.
Long periods of sitting reduce insulin sensitivity ā even if calories arenāt excessive.
2ļøā£ Limited food choices Lay-bys, service stations and tight schedules mean:
Ultra-processed foods
High sugar snacks
Liquid calories (energy drinks, fizzy drinks)
Not because drivers donāt care ā because options are limited.
3ļøā£ Irregular meal timing Skipping meals ā long gaps ā overeating later
This causes large blood sugar spikes and keeps insulin elevated all day.
4ļøā£ Poor sleep & shift patterns Early starts, nights out, sleeping in the cab.
Poor sleep directly increases insulin resistance and appetite hormones.
5ļøā£ Chronic stress Deadlines, traffic, road conditions, compliance pressure.
Stress hormones raise blood glucose ā even without food.
6ļøā£ Low opportunity for exercise Not lack of motivation ā lack of:
Safe places to walk
Time
Facilities
Yet exercise is often wrongly seen as the only solution.
š The result?
Very high rates of overweight and obesity
High prevalence of pre-diabetes and undiagnosed type 2 diabetes
Increased risk of heart disease and fatigue-related incidents
š The key point: HGV drivers arenāt unhealthy because of poor choices ā theyāre operating in a poor environment for health.
The solution isnāt ātry harderā. Itās health strategies designed for driver reality:
Cab-friendly nutrition
Blood sugarāaware eating
Micro-movement
Sleep support
Education that fits the job
As an HGV driver and nutrition coach, this is the space Iām focused on ā helping drivers and transport companies reduce risk without pretending drivers live normal 9ā5 lives.
This is a workplace wellbeing issue, not an individual failure.
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