Traveling is one of life's great joys, but for those who have Type 1 Diabetes, breaking the routine and changing the environment can be a challenge. However, with planning and some strategies, it is possible to take advantage of traveling without compromising blood glucose control. Let's explore practical tips for maintaining your care routine while traveling.
The key to a smooth trip is the planning in advance. Before you go out, make sure you have all your medical supplies available. This includes sufficient insulin, insulin syringes or pens, test strips, lancets, and a glucose meter (or a CGM if you use one). To avoid setbacks, take the Double the amount of supplies that you would normally use during the trip.
Also, prepare a Letter from your doctor explaining your condition and detailing the medications you use. This can be useful, especially when traveling internationally, as it makes it easier to pass through security controls at airports and can be presented in cases of medical emergencies.
If you're flying, remember to keep your supplies in your hand luggage. Never dispatch insulin or glucose monitors, as extreme temperatures in the cargo compartment can damage these items.
One of the biggest difficulties in traveling is maintaining a balanced diet and consistent. When traveling, it can be difficult to find foods that you normally consume, and meal times may change. To avoid spikes or drops in blood sugar, always look for healthy options. When eating out, choose dishes with lean proteins and complex carbohydrates, and avoid foods high in refined sugars and carbohydrates.
If possible, take healthy snacks with you, such as oilseeds, low-glycemic fruits, or protein bars. Having these snacks on hand helps ensure that you don't have to resort to less healthy options.
Also, try to keep your meal times as close to your usual routine as possible. If you're in a different time zone, gradually adjust your meal and insulin times as directed by your doctor.
During a trip, it's important Monitor blood glucose more often than usual, especially if you're eating different foods or doing more intense activities. This helps ensure that you're in control and can make quick adjustments if necessary.
If you use a CGM, this can facilitate the process, as you will be able to follow your readings in real time. If not, carry a portable meter and take measurements before meals and at strategic times throughout the day.
If you are traveling to a place where the climate is very different from what you are used to, be aware that extreme temperatures may affect your glucose levels. Cold may increase the need for insulin, while heat may reduce. Consult your doctor about how to make these adjustments.
Even with careful planning, unforeseen events can happen, and it's important to be prepared. Keep fast-acting carbohydrates with you all the time, such as box juices, glucose gels, or candies. These items are essential if you experience symptoms of hypoglycemia in an unfamiliar location or during lengthy activities, such as sightseeing.
In addition, inform your traveling companions about your condition and instruct them on how to act in case of emergency. To have a list of medical contacts and naming the nearest hospitals is also good practice to ensure you get quick help if needed.
