Traveling with Diabetes

Traveling with diabetes involves extra preparation and planning.
With proper care, however, you should be able to go anywhere in the world.
Here are some guidelines to follow when you’re traveling:

Always Carry Your Diabetes Supplies With You

Checked baggage can be exposed to temperature extremes that can damage insulin. Insulin, injection devices, and insulin pumps are specifically permitted on all US flights, per the TSA (see Orthopedic Shoes, Support Appliances, and Other Exterior Medical Devices, paragraph four).

Security Officers should not ask you to remove your orthopedic shoes, appliances, or medical device (insulin pump, feeding tube, ostomy or urine bag, or exterior component of cochlear implant) at any time during the screening process.

*Needs updating as some equipment should not go through?


Bring a Copy of All Prescriptions

Bring a copy of all prescriptions, including insulin, delivery devices (syringes, pens and pen needles, pumps, and pump supplies), glucagon, glucose test strips, ketone test strips, and lancets. If your diabetes supplies should be lost or stolen, these prescriptions will help you to get them replaced quickly. With restrictions on traveling with liquids and gels, these prescriptions can help you through security checkpoints.


Don’t Worry About X-Ray Effects

When going through security, don’t worry about X-ray effects on your your meter or your insulin. If you have any concern, ask to have your meter hand-inspected.


Duplicate Supplies During Travel

If you’re traveling with someone else, have them carry duplicate supplies, just in case.


Bring An Additional Two Weeks of Supplies

Bring more than enough diabetes supplies with you, perhaps an extra two weeks worth. This includes insulin, test strips, and lancets.
It wouldn’t hurt to bring an extra set of unopened insulin vials, in case you break a vial.


Glucagon Emergency Kit

In addition to your diabetes supplies, bring a glucagon emergency kit and medications for vomiting and diarrhea.


When Traveling to Another Country,
Take a Letter From Your Doctor Explaining
That You Have T1

If you’re traveling to another country, take a note with you from your doctor indicating that you have insulin-dependent diabetes. Customs agents are quite used to travelers with diabetes, so you are unlikely to experience any problems, but the note will help if you are questioned. You should also wear a medical identification bracelet that explains that you have type 1 diabetes.


Travel With Food

Take real food with you, such as a sandwich or other meal, in case meals aren’t available from elsewhere. You never know when you will be delayed, or when you’ll be stuck someplace for an extra hour or two. Good food choices are fruit, Power Bars, and peanut butter crackers.


Avoid Diabetic Meals on Flights

Avoid “diabetic meals” on airplanes. They’re usually very low carbohydrate meals designed for people with type 2 diabetes who need to lose weight.


Emergency Glucose For Hypoglycemia

Take a large supply of emergency glucose to treat hypoglycemia. Good examples are glucose tablets, which won’t melt in the heat or get sticky. Keep a sufficient supply on your person in case you are delayed and don’t have access to food.


Don’t Store Insulin in the Room Refrigerator

Unless it is really hot in your hotel room, don’t store your insulin in a hotel room refrigerator. These small refrigerators have poor temperature control, and you’re as likely as not to end up with frozen insulin, which must be thrown away.


Always Have Water

Always have a water bottle with you when you are out and about to help with high blood sugars.


Medical Identification Bracelet

It’s an excellent idea to wear a medical identification bracelet or necklace that indicates that you have insulin-dependent diabetes. Also, carry a card in your wallet or purse, too.


Get Information from Your Team

Finally, your diabetes team will have handouts about traveling with diabetes . Get copies of the handouts, and read them.