Topic 11: Diabetes and Travel

Diabetes and Travel

(modified from Australian Diabetes Council Diabetes –What you need to know
Chapter 21, www.australiandiabetescouncil.com)

Having diabetes does not mean your travelling days are over. Plan ahead.

Discuss your travel plan with your doctor or diabetes educator. Disucess medication adjustments for situations you may encounter (eg. crossing time zones, or when experiencing diarrhoea and/or nausea).

Carry several copies of a typed, signed letter from your doctor outlining your diabetes management plan, medications, devices used to give medication and equipment needed to test your blood glucose level. You will also need to carry scripts for all medications (clearly detailing your name), doctors contact details, and both the name and type of medication and emergency contacts.

If possible, wear some form of identification that says you have diabetes.

Pack more test strips, insulin, pens and other diabetes equipment than you will need for the trip. If possible, pack a spare meter in case of loss or damage.

Depending on your journey and destination, you may need to consider taking an insulated travel pack for your insulin.

Keep insulin, pens and testing equipment in your hand luggage. Do not place insulin in your regular luggage that will be placed in the cargo hold because it is not temperature controlled. The insulin may be damaged or lost. When flying, check with the airline in advance for specific security guidelines.

Custom regulations vary from country to country so it is advisable to contact the embassy of the country you’re visiting before travelling.

When visiting some countries, certain vaccinations are recommended. Information in regard to vaccinations can be obtained from your doctor.

The anticipation/stress of a trip or changes in routine may affect your blood glucose levels, so you may need to check your blood glucose level more often.

Contact your airline about meal times and food available during your flight. Carry your own supply of portable carbohydrates in case of unexpected meal delays or if you dislike the meal offered. If you take insulin with meals, do not give your insulin until your meal arrives.

To help prevent blood clots, move about the cabin at regular intervals and do chair-based exercises. Drink plenty of water. Your doctor may advise you to wear support stockings.

If you are driving long distances, stop regularly and take your blood glucose levels before and during your trip.

Carry a small first aid kit with you in case of minor illness or injury.

AT YOUR DESTINATION

Check your blood glucose levels more often as some differences (routines, food, stress) may affect your blood glucose levels.
Food options may differ from home. It is important to maintain carbohydrate intake such as rice, noodle, bread and biscuits. If you are going to a different country do some research before you leave to help you make appropriate food choices.
Take care with food and drink choices, particularly in developing countries where food hygiene may not be adequate. Bottled water is preferable even for brushing teeth.
Protect your skin from sun burn, cold rash or chilblain.
Do not go barefoot. Be careful of hot sand and pavements. Check feet daily.

Travel insurance is highly recommended. If you already have a health insurance, make sure it covers situations which may arise in relation to diabetes. Remember to take your insurance card with you.