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All about diabetes and travel: the disease doesn't take a vacation, but it doesn't have to disturb your
Suitcases ready, passport up to date, air ticket issued, reservations made. In addition to these basic details, people with diabetes need to take extra care when planning a trip. But it is possible to enjoy the ride peacefully knowing everything about diabetes on the road. With tips from the American Diabetes Association 1 , it's easy to check all the items you need before scheduling your vacation or business trip.
food
Regardless of the duration of the trip and the means of transport used, food for people with diabetes requires some care. Therefore, it is recommended to always bring some easy-to-eat snacks, such as fruits, cereal bars, raisins, cookies or glucose gel in case of hypoglycemia. Priority should be given to foods that do not require refrigeration and that are easy to transport.
When traveling by plane, it is advisable that the patient only applies insulin when meals are already being served. Doing this ahead of time can increase your risk of hypoglycemia. Up to two days before the flight, it is important to request from the airline the special menu for people with diabetes, low in fats, sugar and cholesterol.
Drinking plenty of water to maintain hydration is also another constant care during the journey.
Monitoring
Nowadays, the advanced technology in equipment and medicines that help to monitor blood glucose allows people with diabetes to travel much more carefree. Therefore, it is essential to always carry the glucometer, with reagent strips, lancets and extra batteries. Make sure you leave the house with all the necessary items in your luggage.
It is recommended to take a test before leaving home, especially if traveling by car and driving. In that case, it is advisable to stop and repeat the test every three or four hours or whenever hypoglycemia is suspected. Stops are also a good opportunity to stretch your legs and have a snack.
If you notice any symptoms of hypoglycaemia while driving, stop the car immediately, get tested and eat something to restore blood glucose levels. The trip should only be resumed when you are feeling better.
Medication
Before traveling, it is essential to ask the doctor for a report explaining that you have diabetes and that you will take medicines and supplies with you. A good tip is to have copies in Portuguese and in English, if it is an international trip. The doctor must also highlight in this statement the International Diabetes Code (ICD) specific to diabetes. It is a worldwide medical language about diseases and their diagnoses that will leave no doubt about your condition anywhere in the world.
Also ask the doctor for a prescription for medicines and supplies, also in Portuguese and English, and always take it with you. It may be necessary to board the plane if customs officials want to know what kind of medication you are carrying.
Medicines and supplies must always travel in hand luggage. Calculate how much medication you will need during your travel time and, to avoid any setbacks, always take a larger amount than necessary.
Wear an identification bracelet (in English and in the language of the destination), explaining that you have diabetes, with your name and an emergency phone number, especially if you are traveling alone.
Exercises and mobility
On long journeys, avoid staying in the same position for long periods. Those traveling by bus or plane should try to take a seat in the aisle, with more space to stretch their legs.
Whenever possible, take short walks on the plane or at stops, when traveling by car or bus.
Shoes should also be chosen carefully. Remember that on airplanes, especially, your feet tend to swell. Blisters can cause potentially dangerous infections for those who have diabetes. It is therefore advisable to take material for dressings and use it as soon as any signs of a bubble appear.
Timezone
Time differences can also have an impact on insulin applications. Trips to the east mean a shorter first day and this can cause less insulin to be applied. If you travel from Brazil to Europe, for example, you will "lose" a few hours, since Europe is ahead of Brazil in the time zone. Travel to the west, on the other hand, means a longer day, which may require more insulin. In this case, if you travel from Brazil to California, for example, you will earn a few hours in your day and must calculate more applications. It is essential to talk to the doctor about these adjustments and make a careful planning of medication schedules.
When arriving at the destination, one should try to make meals and give injections respecting the local time.
Health insurance
Before traveling, you need to check if your health plan is international and has coverage at the destination. Otherwise, it will be necessary to hire specific health insurance for the period of the trip, which can be done through a travel agency.
Knowing all about diabetes and travel before embarking, your vacation is sure to be more peaceful.







