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Perspectives on Diabetes Care

This is the official blog of the Association of Diabetes Care & Education Specialists where we share recent research and professional opinions on diabetes care and education.


Explore Helpful Views on Diabetes Care & Education

If you're looking for professional opinions on diabetes care and education, you're in the right place. Perspectives on Diabetes Care is the official ADCES® diabetes care and education blog that shares helpful views on diabetes care and education. 

This is where you'll find practical tips on working with people affected by prediabetes, diabetes and related cardiometabolic conditions and the latest research and viewpoints on issues facing diabetes care and education specialists and the people they serve.



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Traveling With Type 1 Diabetes – 10 Tips Worth Sharing

Sep 18, 2018, 18:23 PM

I’m soon to travel to a developing nation for a meeting. Getting ready seems to take lots of time; making sure visas are secured, getting required immunizations, purchasing medications for treatment of traveler’s diarrhea and general first aid as well as obtaining flights, places to stay and potential guides for some additional trekking. But extra planning is needed when a person with type 1 diabetes goes on a trip – particularly out of country!

Here are some travel tips to share with people with diabetes: 

  1. Take twice the usual supplies for the time away
    That includes vials of insulin (or pens), pump and sensor supplies, strips for a glucometers, as well as a second glucometer – and do not forget the ketostix! 

  2. Take prescriptions in case medications are lost
    Be aware that many medications are not available in other countries.

  3. Review how insulin doses may be impacted by changing time zones
    Discuss a plan that is individualized and agreed upon.

  4. Write out a back-up plan in case of pump failure (if using an insulin pump)
    Pump companies can also be contacted for loaner pumps for travel in case of pump failure. Make sure the patient can program the loaner pump and provide the patient with a download of their present settings.

  5. Obtain a letter from the prescribing physician
    The letter should state that the person has diabetes and will need specific supplies. While not required, it is a prudent step.

  6. Take all medication in a carry on
    If the individual is traveling with a companion (always a good idea), split the medical supplies so each person has some in case even a carry on is lost. When touring, remember to watch for temperature changes – taking a Frio pack for trips in hot climates is easy and light to keep insulin cool. If the temperature is frigid, consider wearing insulin close to the body in inside pockets.

  7. Ask the individual to inform TSA of their diabetes
    This will help TSA (Transportation Security Administration) understand the need for supplies. 

  8. Test blood glucose often
    A change in routine always requires additional checks and balances!

  9. Have lots of easy treatments available
    Glucose tablets, shot blocks and dried fruit are easy to carry and quickly absorbed. Avoid juice which can spill, get too cold and/or too hot!

  10. Wear medical identification
    The wrist alert bracelet is the most recognized location for emergency personnel to check for health conditions. Fashion jewelry or a leg tattoo may be fashionable, but not as well recognized in an emergency situation. 

There are several helpful websites to help travelers with diabetes to prepare for their adventure. Encourage the individual to read through the following as a review.

Planning ahead, checking off the list of supplies and bringing way more than the individual thinks they will need helps to keep the trip safe and enjoyable!


Carla Cox

About the Author:

Cox is a registered dietitian and certified diabetes educator. She has been a certified diabetes educator for over 25 years and served as an assistant adjunct professor for 14 years, teaching in areas of sports nutrition and exercise physiology. Currently she works for providence medical group in Missoula, Montana and consults on diabetes technology nationally.

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