What common situations during a journey can cause problems in the control of DM

Dietary habits should be maintained, as much as possible, during a journey. The food offered in the plane is sometimes inappropriate for diabetics, either because it is very low or very rich in carbohydrates. When travelling abroad, there is often no familiarization with the various local foods (content in carbohydrates) so a problem with glycaemic control can occur. Thus, in the beginning at least, it is wise to stick to international cuisine, if available, and to try unfamiliar foods in small quantities.

Traveller's diarrhoea constitutes a frequent and significant problem for diabetics. Instructions for preventing this should be given (use of bottled water only, avoidance of raw vegetables, fresh juices, and less well-cooked meat, etc.).

Particular attention should be exercised when the destination is a country with hot climate. In such climates, it is possible that a reduction in the dose of insulin is needed. The attention of the diabetic should be drawn to the problems of increased perspiration, the balance of fluids and the protection of the skin from the sun.

More often than not, during a vacation journey, situations of increased physical activity occur. Often, as pont of tourist tours, much more walking than usual is required. Proper directions should be given for adequate hydration and adaptation of the antidiabetic regimen especially to individuals not used to such situations. The physically unfit diabetic should avoid intense physical exercise (e.g., mountaineering, rowing, long swimming) because serious complications can result.

It is particularly important for the diabetic to check the feet daily, since problems due to wounds caused by shoes are more frequent when travelling. It is recommended not to wear new shoes on a journey, because as a rule more walking than usual in involved.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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