Going on a long vacation?
Travel and holidays in distant lands is not uncommon nowadays. Some problems may cause your trip to be shorter.
Flights across the Atlantic may take up to six hours (east coast of America) and up to ten hours (west coast America). Diabetic patients receiving insulin several times a day or twice-daily (long-acting insulin) may need to take extra injections to overcome time-gap. If you receive a ready mixture of insulin, require an additional injection to bridge the extended day.
Those who receive the combination of short and long-acting insulin once or twice a day may extend to bridged day by an additional injection of insulin (short acting). With these additional injections of insulin you must provide additional meal.
Long and short lasting insulin shots
Those who receive the pills usually do not need an extra dose. The next day both switched to its steady rhythm of treatment. In all these decisions much help self-control. In return, the shortened day for the indicated number of hours. Drain evening dose of short and long-acting insulin. If the need for additional insulin, always add a short acting one. Such additions or corrections is very suitable for ultras-hort insulin (NovoRapid, Humalog). Also omit evening dose of tablets.
On the second day when you are already in Europe you can return to your home and to your established method of treatment. The same is true when traveling east (China, Japan, Australia). In flight, there is shortened day for eight to ten hours, so it should be an evening dose of insulin released in return when the day is extended, but the daily dose of insulin add another dose of short-acting insulin.
Diabetic patients with chronic complications
Diabetic patients may have already developed chronic complications and other chronic diseases that must be be taken into account when planning holidays and trips. For those with diabetes more recommendation applies (only traveling to places with adequate health service).
Those diabetics who need hemodilizo drug must stay near the hemodialysis centers where the tourist can have a dialysis.
Even before going on holiday you must provide dialysis measures. Patients with peritoneal dialysis can have lightly more freedom, but must ride with all the necessary equipment. You must also foreseen possible complications of peritoneal dialysis when they need a specialist or hospital medical assistance. Diabetic patients with coronary artery disease or heart failure should be especially careful. Those with stage I or II NYHA (New York Heart Association) have no limitations. Patients with stage III and IV (heart failure, frequent stenocardia stenocardia) are advised against travel, especially long airplane flight.
If the flight is necessary, such a diabetic patient needs a companion who has the necessary medicines and oxygen to control blood sugar levels.
For diabetics who travel to countries with infectious diseases, the same rules apply as for non-diabetic subjects. It should be vaccinated against tetanus, yellow fever, typhoid, polio, smallpox and medication against malaria, cholera, etc. For more information about compulsory vaccination on an annual basis for each country SZD, you can check it on the regional Institute of Public Health, which carried out the vaccination and have a stock of prophylactic drugs.
Convenient traveling pharmacy
Every diabetic should think of a short walk to a pharmacy if needed – adapted to his diabetes and others of his illness, but should also have quick access to general medicine. All medicines should have sufficient quantity of insulin which regulates blood sugar levels. Patients should be aware that many countries are not so well stocked with drugs, as you are in your country.
You need to know which medications will be used and must also be familiar with drugs chemical names, whether you write or take with you a pack of medicine, if necessary, to receive parallel medicine.
Convenient traveling pharmacy diabetic patient should include:
insulin or diabetic pills in sufficient quantity,
needles for injection of insulin, alcohols,
glikometer, lancets and sensors
medicines that you take regularly to lower blood pressure, blood lipids, etc.,
dressings (dressings, adhesive plasters), scissors, tweezers,
thermometer and tablets to heat (paracetamol: Lekadol)
darvel against various pain (Buscopan, Voltaren, Nalgesin, Naklofen etc.)
anti-diarrheal (animal charcoal powder Nelit to replace electrolytes)
protection against insects (Autan)
If you need any other medication (anti-allergy, anti-emetics, antacids, etc.) it is smart to about discuss with your doctor who will also prescribed you longer acting medicine.
Remember: Diabetic patients should write about a method of treating their diabetes in at least two languages just so you are safe in case of hypoglycaemia and needed assistance. Also do not forget the international health insurance.