Why is Prediabetes rising among young Indian employees?
Prediabetes is on the rise in India, and a significant portion of the diagnoses now include working-age adults in their 20s, 30s, and early 40s. Recent workforce health reports show that roughly 1 in 3 professionals may have abnormal blood sugar levels or are at risk of prediabetes, with corporate screenings indicating that around a quarter of employees fall into the prediabetic range in some organizations. This trend affects employers directly through higher health claims, more sick days, and long-term productivity loss as metabolic diseases appear much earlier in careers.
Young employees are especially vulnerable because of long hours spent sitting at their desks, working late into the night, irregular meals, high stress levels, and poor sleep which are common in many white-collar roles. The heavy reliance of young urban populations on food takeaway and sugary beverages for energy, all while leading a sedentary lifestyle, may lead to an increase in weight, insulin resistance, and, ultimately, the risk of type 2 diabetes over time. For HR teams, this means workplace prediabetes prevention has now shifted from a “nice-to-have” wellness perk to a necessity.
What is prediabetes, and how does it affect young employees?
Prediabetes is a condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. It is defined using markers like fasting blood glucose, post-meal glucose, or HbA1c levels that sit in a borderline range between normal and diabetic thresholds. Without lifestyle changes and early intervention, many people with prediabetes will progress to type 2 diabetes and develop complications affecting the heart, kidneys, eyes, and nerves over time.
In young employees, prediabetes usually develops quietly with no obvious symptoms. People may feel “just tired”, gain a bit of weight around the waist, or ignore mild warning signs like increased thirst, and continue to work full-time. This makes routine health check-ups, blood tests through group health insurance, and workplace wellness screenings essential in spotting problems early, before they turn into serious, costly diseases.
Why is prediabetes in the workplace becoming critical now?
Prediabetes and diabetes are on the rise worldwide, and India is one of the countries with the highest numbers. Studies now show a significant prevalence of prediabetes in younger age groups, including professionals under 40, driven by modern work patterns like long hours of sitting, high stress, late dinners, limited physical activity, frequent eating out, and chronic sleep deprivation. These are all strongly linked to weight gain and impaired glucose control. For employers, this means more people are entering the workforce already at risk, and workplace conditions can either mitigate or worsen that risk.
Corporate health data in India indicate that prediabetes among employees is rising year on year, and many organizations report double-digit percentages of staff at risk. At the same time, inflation and steeply rising hospital costs make diabetes and its complications expensive for group health insurance plans, forcing companies to shift toward prevention and early intervention.
Group health insurance and corporate wellness plans together create a safety net:
- Group health insurance provides financial coverage for hospitalizations, tests, and consultations.
- Corporate wellness programs add screenings, lifestyle coaching, workshops, and digital tools that help employees manage risk before it becomes disease.
HR teams use this combination to protect employees, manage long-term claims, and position health as a core employee benefit.
Why should HR care about prediabetes in the workforce?
Prediabetes directly touches multiple HR and business outcomes:
- Productivity: Employees with poor metabolic health are more likely to experience fatigue, brain fog, and reduced concentration, which can quietly lower daily performance even before full-blown diabetes appears.
- Absenteeism and presenteeism: Unmanaged prediabetes and its associated conditions, such as obesity and hypertension, can drive more sick days and more “working while unwell”, affecting team output and project timelines.
- Healthcare and insurance costs: As prediabetes progresses to diabetes, the need for medications, specialist consultations, and hospitalizations grows, increasing group health insurance claims and pushing premiums higher over time.
- Retention and employee morale: A company seen as ignoring employee health may struggle to retain high-performing talent, especially younger workers who expect meaningful wellness support from employers.
- Workforce planning and employer brand: Public and internal perception of a company’s wellness programs influences employer branding and the ability to attract health-conscious candidates in a competitive market.
When HR treats workplace prediabetes prevention as a strategic initiative, it protects both the people and the business.
How HR can solve this: An actionable framework
Step 1: Identify employee health needs
- Conduct anonymous wellness surveys
- Review claim data for metabolic patterns
- Assess stress and lifestyle-related risks
Step 2: Evaluate existing benefits
- Check if the current group health insurance covers metabolic screenings
- Determine gaps in wellness or preventive initiatives
Step 3: Upgrade health & wellness components
- Offer annual health checkups, including HbA1c and glucose tests
- Introduce nutrition counselling and fitness support
- Provide coverage for diabetes management where needed
Step 4: Build preventive care programs
- On-site or virtual health camps
- Wellness challenges (steps, hydration, mindfulness)
- Stress management workshops
- Healthy cafeteria or snack options
Step 5: Track outcomes and iterate
What employees want today: insights from Gen Z and the young workforce
Younger employees expect benefits that feel modern, preventive, and easy to use. They view wellness as an essential part of employment, not an add-on. Workforce studies in India show rising demand for:
- Stronger group health insurance, including preventive check-ups, chronic disease support, and mental health cover, not just hospitalization.
- Personalized, preventive wellness, such as app-based coaching, habit-tracking, and programs that fit busy schedules.
- Mental health and stress support, recognizing how stress, poor sleep, and burnout connect to weight gain and metabolic risk.
- Clear, flexible benefits and smooth claims, where employees understand what is covered and can get reimbursements or cashless treatment without friction.
Designing workplace prediabetes prevention with these expectations in mind makes it more likely that employees will actually participate and sustain changes.