Before you leave:
• ¿li Have a medical checkup. If you are going to an area where diarrhea might be a problem, ask your doctor to prescribe an anti-diarrhea medication. You may also want to take along something to prevent or treat nausea.
• /h Have required vaccinations weeks ahead of your departure time to avoid reactions that might disturb your blood sugar balance while away from home.
• When planning a trip to areas where English is not the principal language, try to learn how to say: "I have diabetes; please get me to a doctor." and "Sugar or juice, please," in the language of each country you plan to visit.
• Choose hotels carefully. Know what facilities are offered what services are available.
• Always wear or carry some form of medical identification. A tag, bracelet, or necklace with the medical emblem is best.
• If you take oral medications for diabetes, carry enough for the entire trip. You may have trouble getting
your prescription filled in a foreign country.
• Take along familiar blood glucose and urine monitoring equipment. Remember, many changes take place during travel, and the only way to assess your control is by monitoring frequently.
• If you are traveling by plane, notify the airline 24 hours in advance for a special diet order. Tell the flight attendant that you have diabetes. CARRY ALL MEDICATIONS WITH YOU ON THE PLANE.
• Keep active while in transit. If you are traveling by car, stop every so often and take a walk for at least five minutes. On a train, walk through the cars now and then. On a bus, take advantage of stopovers by getting out and walking around to stretch cramped muscles.
• On car trips, carry food in case of an emergency. A flat tire or mechanical failure may leave you stranded far from a restaurant at your scheduled meal time.
When you get there:
• Keep copies of the address and telephone number of your doctor near your hotel-room phone and in your wallet or purse. That way, if you need medical attention you won't have to waste time searching for this information.
• You can eat anywhere, but full-service restaurants are usually more compatible with your need for a balanced diet. Don't wait until the last minute to order from room service. Order at least 30 minutes before your scheduled meal time.
• In South or Central America, Asia, and Africa, avoid the following foods: raw meats, milk, ice cream, cream sauces, soft cheese, water or ice cubes, peeled fruits, and lettuce and other leafy vegetables.
• Always carry small cans of juice, dried fruit, peanut butter, crackers, or packaged cheese and crackers. These snacks can be a substitute meal if necessary.
• Don't overexpose your skin the first few days you spend in the sun. Apply #15 sun screen to protect against burning.
• Remember your basic rules of foot care (see Chapter 11). Don't wear new shoes on vacation. Check your feet daily. If you get blisters from walking, apply a mild antiseptic and a small gauze pad held in place with non-allergic tape. Don't break blisters!
• Don't walk barefoot on hot beach sand or in areas where sea shells may cut your skin. Always wear beach or swim slippers, sandals, or some other foot covering.
• If you are ill during a trip, remember your rules for sick day management (see Chapter 10). Check blood sugar frequently and test urine for ketones. Ice chips or sips of regular (not diet) cola or ginger ale are good for nausea. Try to take some every hour. You may also try cereal, milk, ice cream, tea, toast, broth, and soups to replace full meals. If you take oral medications for diabetes and you are too sick to eat, try to drink plenty of liquids. If your urine tests are all positive for sugar, or your blood sugars remain high, call for help.
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