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Travelling abroad

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Lisa13100

New Member
Relationship to Diabetes
Parent of person with diabetes
Hi All
We are beginning our 3rd week of type 1 diabetes. My son is 16.
We booked a trip to New Zealand earlier this year to visit my family over
Christmas.
Does anyone have any advice for travelling, its a total of 36 hours from door to door. When your on a long haul flight it seems they feed you every couple of hours.
Any advice very welcome.
Thanks
 
Not an answer to your query, sorry... but have you told your insurance company about the diagnosis? It should be OK if you took out the cover when you booked the holiday because you had no idea this was going to happen - but it's yet another thing to think about! Hope all goes well and you enjoy your travels.
 
The most important things
-With a BG monitor and enough insulin and glucose, nothing is impossible
-Have a great time

The mechanics
-All the diabetes stuff MUST go in the hand luggage. DO NOT put it in the hold. Stuff in the hold might freeze, which is bad for the insulin. Stuff in the hold could also end up in Murmansk or Milan. So your son needs to keep all his stuff with him - pens, monitor, test strips, insulin, glucose.
-The security staff cannot prohibit you from taking this stuff in the hold with you. Most of the time they won't even bat an eyelid. But the DSN can also write an explanatory letter if you want real piece of mind.
-A good rule of thumb on how much 'stuff' to take with you is whatever you would usually use in that travel time plus 50% more. You might want to actually double your supplies as your son is new to this AND it's Christmas, where every food choice tends to rocket blood sugar

The flight
-DON'T order the 'diabetic' meal. The difference between a 'diabetic' meal and a regular one is the 'diabetic' mean contains probably double the carbohydrate and comes with very sugary fruit instead of very sugary chocolate. In other words, it's a worse option. This is because airlines are stuck in the 1950s when it comes to in-cabin service.
-Your son will probably need to test regularly ie. every two hours and correct as necessary. And he should expect his blood sugar to be more complicated than if he was just sat at home watching TV. Travelling and stress affect people in different ways - I tend to have my BG rocket up, others find it drops. He won't know until he tries it!
-He should inject every time he eats (assuming he's on MDI). Also, just because you're served food doesn't mean you need to eat it!

The nitty gritty
-I'm assuming your son is on a basal-bolus system of injections. If so, this makes things much easier.
-However, he'll need to consider when he does his basal injection. If it's at 6pm UK time, that's 7am NZ time which may be wildly impractical. So what he'll need to do is gradually move his basal forward before going ie. move it to 8pm UK/9am NZ, then the next day 10pm UK/11am NZ and so on. The trick is to just keep a 22-24 hour difference between each basal jab. And obviously he'll need to work back the other way before coming home.
-Bolus insulins won't need to change.
-If your son is on mix insulins ie 2 injections a day, you'll need to talk to your care team about the best way of splitting these things up.
 
Actually airlines are pretty good at doing things like turning all the lights off and the films, insisting all the blinds are down etc when it's time for bed in UK and making it plain this is sleepy time - even though if you raise the blinds, it's after dawn wherever you are by that time.

The advice I was given was to instantly change to Oz time when we arrived in Oz. This was easy for me comparatively, because I already split my basal, morning and evening and it was Levemir which doesn't stick around as long as Lantus anyway

If it's one jab of basal then you are stuck with moving it bit by bit till you catch up with yourself.

Are you confident yet with Correction doses of fast-acting? If not you probably need to take some instruction on that but the starting point for that is, 1u fast-acting brings your 'meter' reading down by 3.0. So if you want to be 7.0 and you are 10.0 - inject 1u. You might want to have a little play with that before you go anyway, try half a unit and see what it does.

Won't kill anyone to be a bit 'off' what they should be for a day or two and it would most likely happen during Xmas anyway even at your house!

Enjoy yourselves - you will !
 
I'd just add a couple of things. Make sure you take food with you on the plane - something to treat lows and maybe some cereal bars/other snacks in case you need them. You can normally get this stuff from the air stewardess on long haul flights, but I like the confidence of knowing I have it with me just in case. Also, it means that when you arrive in a strange hotel room in a strange city, you can collapse into bed and know that you have food if you need it in the night. Just make sure it's not fresh fruit or anything you can't take into your destination country.

And just to confuse you totally, I do the exact opposite of trophywench. I change to Oz time (or wherever I'm going) as I board the plane. Meal times etc are disrupted on the flight anyway, so I switch time immediately and use the flight to start getting used to the changes.

And finally, have a fabulous time.
 
If you take food and don't eat it all on the flight, make sure you declare it on the form they give you on the flight. Could work out very expensive if you don't!
 
A dual time digital watch is very useful - leave one time on GMT (or NZ time on way back) and change other to current time zone (if leaving plane on way there, so you get back on time) or to destination time zone.

As others have mentioned, do declare any food you carry, so you won't be fined for bringing in fruit, veg, honey etc, which could pose a risk to NZ agriculture / apiculture etc.

NHS and NZ have reciprocal health arrangements - see http://www.nhs.uk/NHSEngland/Health...e/NonEEAcountries/Pages/Non-EEAcountries.aspx You'll also need a travel health policy, and to declare diagnosis to insurer. Note that most polices will no cover costs of replacing lost / stolen insulin etc, so best to take care not to lose / have stolen.

For journeys longer than 28 days (check insulin patient information leaflet(s) - most say insulin can be kept out of fridge at room temp, defined as 25oC / 28oC / 30oc, for 28 days) I prefer to keep insulin in a cheap (particularly if you already own one), virtually indestructible stainless steel vacuum flask, which also offers very good temperature and physical protection to glass cartridges inside their blister packs, although you need to cut them to individual cartridges so they'll fit inside, and you can't have water in flask when passing through security, but can refill with cool water from tap once through.

When I worked in New Zealand a few years ago (a period which ended when I was diagnosed, meaning the end of my chance to continue working as a guide on seal & dolphin swimming tours) I discovered that eating too much asparagus has interesting efects on urine (it's so cheap that you can eat far more than in UK!), and enjoyed lots of types of kiwi fruit, ice cream, wines etc.

Hope you all have a great trip. 🙂
 
If your flight travels Easterly then DONT buy any alcohol on board as landing in Australia it will be confiscated from your hand baggage on the spot.
My brother lives in Auckland and has done the trip many times, both ways, Easterly via Aus and Westerly via L.A. its a very very long boring trip. Have fun in NZ though as its nearly mid summer down there.
 
If you take food and don't eat it all on the flight, make sure you declare it on the form they give you on the flight. Could work out very expensive if you don't!

Oh God YES - I got into terrible trouble with Customs at Sydney for failing to declare I was importing a packet of McVitie's Digestive biscuits ! I was appalled - I never thought of it as importing. Anyway I exported 98% of em when we left again to come home! LOL

I mean they didn't care actually, cos they aren't banned or anything - just you MUST tell them and they regard you not telling them as as serious as bringing live hedgehogs in or something. Not in the least friendly about it.
 
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