What should the diabetic individual carry on a journey

• Diabetic identity. It is recommended that this should be clearly visible when worn and that it should report that the individual suffers from DM. This is particularly important for individuals who use insulin. Unfortunately, in our experience (in Greece), very few individuals with DM agree to wear one.

Diabetes in Clinical Practice: Questions and Answers from Case Studies. Nicholas Katsilambros et al. © 2006 John Wiley & Sons, Ltd. ISBN: 0-470-03522-6

• Medicines (pills/insulin, syringes, pen(s), backup pen, glucagon kit). The patient should carry at least double the quantity of medicines that is usually required for the time interval of the travel, since significant delays may sometimes occur (extended stays in harbours, airports etc.). It is prudent that the proper quantity of insulin for the whole duration of the stay abroad is carried, since in some countries, problems with the supply of certain insulins may exist. Moreover, care should be taken that direct access to the medicines is available (placement in carrying bags that are not stowed away), both in case of delays, as well as for (the non-infrequent) case of loss, transfer to the wrong destination or theft of the baggages. Individuals who use insulin pumps should pay attention to consumable materials. Also, these individuals should carry with them pen(s) or syringes with the appropriate kind of insulin, in the event of pump dysfunction.

• A doctor's prescription and description of the therapeutic regimen used. During travels abroad, these elements should be written in English and, if possible, in the local language of the country of destination.

• Glucose meter, glucose measurement strips, lancets and acetone strips, in adequate quantities and probably for the entire time period of absence, since consumable materials may not be available abroad.

• Simple carbohydrates for the management of hypoglycaemias should be (glucose candies are recommended) easily to hand and taken in adequate quantities to allow for the possibility of delays.

• Plans that cover the possibility for a modification of the therapeutic regimen during the travel (mainly applies to long air journeys).

0 0

Post a comment