Prepare before your holiday
Before you book your holiday, do some research to find out where the nearest hospital is with appropriate medical facilities and get the name and number of a doctor who speaks English in the area.
Make sure your travel insurance covers emergency treatment of issues related to diabetes. To avoid problems with security, ask your healthcare team for a letter confirming you have type 1 diabetes and specifying the supplies you need to carry on the plane. Get your letter translated into the language of the country you are travelling to to avoid any misunderstanding.
Take time-zone changes into account
Discuss time-zone changes with your diabetes team so you can adjust insulin doses accordingly.
Medical equipment that is! Make sure you have three times as much medical equipment as you expect to use including insulin, test strips, glucagon, glucose tablets, lancets, needles and set change equipment. Pump users should take pens and insulin cartridges in case your pump fails, along with manufacturers’ helpline numbers for any countries being visited. Carry emergency supplies when going on days out or travelling far from the hotel.
Buy cooling packs to store insulin in
Cooling packs are great for keeping insulin supplies cool in hot weather while you’re out and about. Transfer insulin to a fridge as soon as you can.
Divide your medical supplies into two and pack them in separate bags…just in case you lose one. If you are travelling with someone else, then give them some of your equipment too!
Avoid packing medical supplies in hold baggage
If you’re flying, don’t put any of your supplies in your checked-in luggage as the temperature in the hold can drop to freezing and bags can get lost. Instead, keep everything with you in your hand luggage.
Stock up on snacks for the journey
Always pack extra snacks and hypo treatments for the journey and excursions, especially if you dislike plane food. Never rely on finding a place to buy snacks. If you’re not sure where your nearest shops will be at your holiday destination, then bring snacks and hypo treatments to cover the whole trip too so you aren’t caught short.
Prepare for extra tests
You may need to do extra tests on holiday to cope with different foods, the varying temperature and levels of activity and time zone changes. Be prepared with everything you need.
Prepare for varying insulin doses
You may find you need to vary insulin doses for very active holidays or holidays in unfamiliar climates. If swimming for extended periods, test your blood glucose level regularly. In the evening and night, your blood glucose level could drop after periods of prolonged aerobic exercise, so beware of night-time lows.
Insulin absorption is more rapid in a hot climate so watch out for after-meal lows, followed by a spike. If you’re on a pump, the dual or square wave function might help.
Bonus tip: Insulin pumps and airport security
A person should not be required to remove an insulin pump to go through airport security. This is based on hospital as well as certain insulin pump manufacturers’ advice that the electromagnetic radiation used by x-ray screening and full-body airport scanners may interfere with the motors of insulin pumps resulting in a potential impact on insulin delivery. Learn more about airport security and having a less stressful experience.
Insulin pump users carrying official documentation should now be offered alternate screening methods such as the wand and swab security check instead.
The Civil Aviation Authority has subsequently added the section: Advice for people with diabetes who wish to travel by air, as a result of the campaign, which includes information on insulin pumps.
There are variations on how the equipment may affect an insulin pump, meaning individual pump users should always contact the manufacturer of their particular pump prior to flying. They are also advised to contact the airline and the airports they will travel through to find out their requirements, if the manufacturer advises that the pump cannot go through some screening equipment.
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