Navigating the World: Traveling with type 1 diabetes

Embarking on a journey, whether it's to the bustling streets of a foreign city or the tranquil beaches of a tropical paradise, is an exhilarating experience.

However, with type 1 diabetes, travel can present some unique challenges. From managing blood sugar levels to ensuring access to necessary supplies, there are several factors to consider when venturing beyond familiar surroundings.

The above picture is one taken of me on one of my trips to France. If you look closely, you can spot the infusion cable peeking out of my pocket, as well as my fanny pack (filled with supplies, including glucose tablets).

Soon I'll be gearing up for another adventure of my own – a two-week holiday in the United States of America, departing next Monday. In this blog post, I'll share some insights, tips, and strategies for fellow travelers with type 1 diabetes to make the most of their journey while staying healthy and safe.

Planning and Preparation

Medical Supplies: Before setting off on my next trip, I always ensure that I have an ample supply of insulin, syringes, insulin pens/insulin pump, glucose monitoring supplies, and any other necessary medications. I've had a couple of trips to the United States where I was running low on insulin and was worried about running out. Do yourself a favor and always bring more than you think you need. Here's a travel supply list I use as a base template before every trip, keeping my current gear in mind. Your gear might differ from mine.

1. Insulin

2. Frio insulin cooler pouch (especially in hot climates, to keep your insulin/insulin pump cold - you can purchase these on Amazon);

3. Insulin pump & backup (loan) pump. Request one here when you're on Medtronic WeCare a couple of weeks before your trip;

4. Infusion sets;

5. Sensors;

6. Spare batteries, if relevant for your type of insulin pump/bgc/sensor;

7. Blood glucose monitor, lancets & teststrips;

8. Glucose tablets (I recommend Dextro Energy or Oral Glucose Tablets from Walgreens for proper dosing and ease of use);

9. Alcohol wipes
   

Getting prepared for my next trip! (I like to visualize all of the things I need to bring before every trip - OCD trait? Maybe. Handy? Definitely.)

Documentation: I carry a letter from my healthcare provider outlining my need for supplies like insulin, an insulin pump and/or syringes. I consider this documentation handy when traveling internationally, and it can help facilitate the security screening process at airports. Click here for an example. Honestly though, I've never had to show this to anyone in the airports before.

Insurance Coverage: Before any trip, I verify my own insurance coverage for medical emergencies while traveling.

Managing Blood Sugar Levels

Monitor Regularly: Traveling disrupts our daily routine, affecting meal times, activity levels, and stress levels. And that's not even considering differences in time zones and jet lag. It's important to keep monitoring your blood sugar levels, even more frequently than usual, especially during long flights or days packed with sightseeing. Also, be aware that stress (as often involved when travelling and/or preparing for a trip) impacts your blood glucose. When I'm at the airport my blood glucose tends to be elevated due to the stress I experience. After a couple of hours on the airplane, it stabilizes again (in case I don't snack too much ofcourse).

Adjust Insulin Dosage: Changes in time zones and daily schedules imply slight adjustments to my insulin dosage. Even though using an insulin pump is dynamic and flexible, it's important to adjust your time when travelling to a different time zone, especially when you have different carb-ratios throughout the day.

Stay Hydrated: I remind myself to stay hydrated, particularly in hot climates or at high altitudes. I always carry a refillable water bottle with me to drink water regularly throughout the day. If necessary, I'll even add electrolytes. There are plenty sugarfree options out there. I particularly like the flavors from Bolero.

Navigating Dining Out

Carry Snacks: I always carry fast-acting carbohydrates on hand, usually the glucose tablets I mentioned above. This, to treat low blood sugar episodes (hypoglycemia). Besides that, I carry some trial mix (nuts) with me, to make sure I eat enough calories. Travelling burns a lot more calories than you think, so eat accordingly!

Communicate Dietary Needs: Don't hesitate to communicate your dietary restrictions and insulin requirements to restaurant staff. Opt for balanced meals with a mix of carbohydrates, protein, and healthy fats to help stabilize blood sugar levels. I try to avoid processed foods (which can be quite challenging in the US).

Be Mindful of Alcohol: If consuming alcohol, do so in moderation and be aware of its effects on blood sugar levels. Remember that alcohol can cause hypoglycemia, especially if consumed on an empty stomach or in combination with certain medications.

Stay Active and Rested

Maintain an Active Lifestyle: Incorporate physical activity into your travel itinerary, whether it's walking tours, hiking excursions, or swimming in the hotel pool. Regular exercise helps regulate blood sugar levels and improves overall well-being.

Prioritize Rest: Traveling can be exhausting, so prioritize rest and relaxation to prevent fatigue and stress-induced fluctuations in blood sugar levels. Establish a consistent sleep schedule and listen to your body's cues for rest and recovery.

Conclusion

Traveling with type 1 diabetes requires mindful planning, preparation, and adaptability. By staying proactive, monitoring blood sugar levels regularly, and making informed decisions about diet and exercise, you can enjoy fulfilling and memorable travel experiences.

As I embark on my journey to the United States next Monday, I'm excited to see some of my friends and family—all while prioritizing my own health and well-being. With the right mindset and strategies in place, traveling with type 1 diabetes can be not only manageable but also immensely rewarding. Safe travels!