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Advice for travelling to America

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lynnlou63

New Member
Relationship to Diabetes
Type 2
Hi, I am going to New York for my 50th birthday next month and have never been on a flight that is over 2 hours. Taking into consideration the 8 hour flight and the time differences, does any one have any advice or tips on what to do or not do please?

One concern is the actual flight and food intake during that time, we have a meal booked but I have been told that food such as fresh fruit and biscuits cannot be taken through American customs. On a gluten free diet also, so not easy to buy snacks en route!

Everything else is ready: doctor's letter, insurance, frio pack for insulins etc, etc! Trying not to stress about it all and just enjoy the experience 😱 😱

PS - I am a type 2 (although I think I may be a T1.5) using insulin and tablets.
 
and me...

Can't help I'm afraid Lynn but I'm off to the far east at the end of next month.

Newly diagnosed T2 with Metformin and diet. So all advice welcome here as well.
 
Hi there, I'm also nearing my half-century - but can't manage a fab trip like yours this time, though I did go to Canada for my 40th. I've also been to NYC and loved it!

I can't help with the timing/insulin stuff, but can help a bit re: food. If you take a small supply of stuff that you can eat, there should be bins in the arrivals hall so you can dispose of any uneaten snacks before you clear customs (or leave them on the plane). I'd write a list (because I'm a deeply sad-sack) to make sure none are forgotten in the excitement.

Have a fantastic time, and try not to worry too much if you go off-plan a bit, the number of naughty days will not be all that many in the grand scheme of things.
 
Firstly, don't panic.

Once you get to the States, getting gluten free and low carb food should not be a problem. Everyone in America seems to be allergic to something so there's masses of food that complies with specific diets or whatever.

With your insulin injections, the time difference will be an issue so you will need to work around this. Are you on a basal-bolus system, or a mix insulin?

If it's basal-bolus, this can be quite easy. You bolus as normal for your food. Your basal, you need to move - if you usually do your basal at 10pm UK time, for instance, this could be something like 6pm US time or whatever, which may not be convenient.

Moving your basal is easy though. You simply move it each day by 2-hourly intervals either forward or back to where you want it to be. So say you usually inject at 10pm UK (6pm US?). Before you go, you might then do an jab at 12am UK (8pm) US and then when you arrive, inject at 10pm US (2am UK). And reverse the process when you go home. Or, you might find that you don't even need to move your basal. The important thing is that if you're on once a day basal, keep 22-26 hours between each dose, and if it's twice-a-day basal, 10-14 hours between each dose.

If you're on mix insulin, you've a little less flexibility in that you will also need to move your meal times forward or backwards. You would move it in the same way you would move a basal dose, but remember to eat after doing your injection.

On the flight itself, you will find that the stress of travelling combined with sitting still for 8 hours will affect your blood sugar. I find that flying just pushes my insulin resistance right up and I need to take quite a bit more insulin on the journey....although sometimes, just to keep me on my toes, I find it's the complete opposite and I need to guzzle regular soft drinks for the whole journey. In other words, expect the unexpected and prepare accordingly. Biscuits are a very good idea. An 8-hour flight will probably also include free soft drinks so you can also use these without dipping into your 'stash'. Test frequently, keep an eye on how you're doing.

And of course, don't forget all the usual rules - keep your diabetes stuff in your hand luggage, NEVER check it into the hold. Don't book the 'diabetic' meal as frequently it is completely inadequate and often can be far higher in carbs than the regular meal.

Also, rest assured that the US is probably the easiest place in the world to have diabetes. You will be astounded by the range of diet soft drinks and the sheer choice of food options so you will be able to find something that fits for you. The hardest part is the portion control!
 
....except for the fact that the pancakes and waffles are far worse on your blood sugar than a little syrup....
 
We are going to Florida next month.

I am going to take snacks for the plane in case I don't like the meal. You can leave behind things like fruit and sandwiches etc on the plane.

If you are carrying hypo snacks like jelly babies or biscuits these are fine, but you must declare them on the customs form as you could be fined for not advising.

As other posters have said you won't be short of things to eat that accommodate your dietary requirements.


Have a great trip.
 
When we went to Canada we took snacks and food for little one (not diabetic, but allergic to vinegar) because they couldn't guarantee what was in the food.

We just dumped the surplus stuff (fortunately not too much) in the bin when we got there since also not allowed to bring most food stuffs into Canada also.

No problem with eating in Canada at all so I'd expect New York to be similar.
 
Hope you have a great time in New York. There's plenty to see and do. However, make sure you have adequate insurance cover as any health care is very expensive. Unfortunately health cover to the states is expensive for diabetics.
 
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