Planning is essential and that begins with where you want to go and what you are going to do while you are away. One week of back packing in the Rocky Mountains, two weeks in Southeast Asia, or a week on a cruise are all going to create different demands on your diabetes. The longer the trip and more exotic the location the more research and planning you need to do.
- Make an appointment with your health care provider 4 – 6 weeks prior to your trip.
- Check your A, B, C’s (A1c, Blood Pressure and Cholesterol). With 4 – 6 weeks before departure you have an opportunity, if necessary, to make some small adjustments to your self-management routine before your trip.
- Discuss your travel plans with your doctor and get any necessary immunizations 3 – 4 weeks prior to your departure, as some of the shots do have mild adverse reactions and can alter your glucose levels for a short time.
Get written documentation from your doctor outlining any particular diagnosis you have including your diabetes. The letter should also list the medications you take for each condition. It should list insulin, syringes, and any other medications or devices you use. Be sure your doctor includes any allergies you have, or any foods or medications to which you are sensitive.
Also get an extra prescription for any medications. Of course, you are going to pack DOUBLE what you need for the entire trip, but a prescription can come in handy in case of an emergency. In the United States, prescription rules may vary from state to state. Just in case, get the names of the generic versions of the drugs that you take from your pharmacist so, if you have to get them on vacation, you have more than one option.
In general, you should stick with the exact brand and formulation of insulin your doctor has prescribed. However, if you run out while you are on the road, and your regular brand is unavailable, you may substitute another brand’s equivalent formulation (for example, NovoLog for Humalog, Humulin R for Novolin R). But never substitute a formulation (for example, from rapid-acting Humalog to short-acting Humulin R) without medical supervision. Be sure to discuss the appropriate options with your doctor beforehand.
Insulin, in the United States, is all U-100 strength. In foreign countries, however, insulin may come as U-40 or U-80. If you need to use these insulins, you MUST BUY new syringes to match the new insulin to avoid a mistake in your insulin dose. For example, if you use U-100 syringes for U-40 or U-80 insulin, you will take less insulin than your correct dose. If you use U-100 insulin in a U-40 or U-80 syringe, you will take too much insulin.