Diabetes and travel

You can travel anywhere in the world you wish to go. However, as you have diabetes, you will need to make some extra preparations before you set off.

You should have any vaccinations that are required for your destination but do have these in good time as they may upset your diabetes control for a short time. Ask your travel agent or GP for advice.
Medical attention is officially free in all EU countries providing that you have obtained certificate E111 (from your post office, DSS office or many GPs) before you go to prove you are eligible for treatment. However treatment under this scheme may not be adequate for your diabetes.
You must have adequate travel insurance for your trip wherever you are going. Check that "pre-existing conditions" are not excluded. The British Diabetic Association runs a travel insurance scheme for people with diabetes - call 0990 001541.

What should I take with me?

Twice as much insulin, syringes or pens, needles, tablets and testing equipment as you think you will need. This must all be carried in your hand luggage so that it does arrive with you. You could give some supplies to your travelling companion. Don't put insulin in checked in luggage as the hold temperatures are very low and may damage it.
You should have a diabetes identity card or jewellery. In some areas a doctor's letter may be helpful at customs points if you are carrying syringes and needles.
Think about any first aid supplies you may need. For instance, travel sickness prevention, anti-diarrhoea medication and plasters.
Depending on your area of travel, you may need antimalarial medication or water purification tablets.
Sun protection cream is a must as is a sun hat.
A good supply of food and drink for delays. It is not advisable to ask for a "diabetic meal" from an airline, as these often contain no carbohydrate.
Comfortable, well-fitting shoes in case your feet swell in hot weather. (Beware of going barefoot, particularly on hot sand.)

If you are treated with insulin

Find out what types and strengths of insulin are available in other countries in case of emergencies. U100 is not available everywhere. The BDA will have up to date information.
Insulin should be kept out of direct sunlight and kept cool. Cool bags are available or find cool storage on your arrival. Don't keep in the glove compartment or the boot of a car because these can get very hot.
Insulin may be absorbed faster in warmer climates so regular blood tests are important.
Insulin should not be allowed to freeze, as this will make it less effective.
If you are crossing time zones, ask for specific advice from your diabetes care team before you leave. The British Diabetic Association provides an information sheet on time zones.

When travelling, try to be flexible, particularly if you are flying and don't aim for perfect control. Above all, enjoy your holiday.

If you are taken ill while on holiday NEVER STOP YOUR INSULIN OR TABLETS EVEN IF YOU CANNOT TAKE SOLID FOODS. You should discuss managing sickness and diarrhoea with your diabetes care team before travelling. As a precaution, only drink bottled water, avoid salads and be careful about the hygiene level of restaurants. If sickness and/or diarrhoea persist you should SEEK MEDICAL ADVICE.