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Diabetes and travel.

Fatema Jawad1, Sanjay Kalra2

  • 1Consultant Diabetologist, Department of Diabetology, SIUT, Karachi, Pakistan.

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Summary

This guide offers practical advice for safe diabetes travel, covering insulin adjustments, monitoring, foot care, and sick day management for primary care physicians and patients.

Keywords:
Eastward travel, Foot care, Hypoglycaemia, Insulin, Insulin degludec, Self monitoring, Sick day, Westward travel.

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Area of Science:

  • Internal Medicine
  • Endocrinology
  • Travel Medicine

Background:

  • Diabetes management requires specific considerations during travel.
  • Patients frequently seek guidance on managing diabetes while abroad.
  • Primary care physicians (PCPs) need accessible resources to advise diabetic travelers.

Purpose of the Study:

  • To provide pragmatic advice for safe travel in individuals with diabetes.
  • To equip PCPs with information to address common patient queries regarding travel and diabetes.
  • To simplify complex travel-related diabetes management topics.

Main Methods:

  • Review of current guidelines and best practices for diabetes travel management.
  • Compilation of frequently asked questions from patients planning travel.
  • Structured information on insulin adjustment, self-monitoring, foot care, and sick day protocols.

Main Results:

  • Comprehensive guidance on insulin dose adjustments based on travel itinerary and activities.
  • Recommendations for effective self-monitoring of blood glucose levels during travel.
  • Essential advice on diabetic foot care and management of common travel-related issues.
  • Strategies for sick day management tailored for travelers with diabetes.

Conclusions:

  • Safe travel for individuals with diabetes is achievable with proper planning and management.
  • PCPs can effectively guide patients by understanding key travel-related diabetes care aspects.
  • Empowering patients with knowledge enhances their confidence and safety during travel.