For people with diabetes mellitus, traveling, especially by plane, presents particular challenges. Careful planning and preparation are essential to minimize health risks and ensure a smooth journey.
This article provides a rough overview of the necessary precautions, from medical certificates and dealing with security checks to proper insulin storage and emergency procedures in case of hypoglycemia. Individual details should be discussed with a doctor and the operating airline, as individual needs can vary greatly.
Preparation and medical certificates
Before embarking on a flight, diabetics should make an appointment with their doctor well in advance, ideally four to six weeks in advance. This appointment will not only review their current health status but also issue a medical certificate confirming the need to carry medications and medical supplies. This certificate is especially important for airport security checks and can be written in several languages to avoid misunderstandings.
It's advisable to inform the airline in advance if you're carrying any medical equipment such as insulin pumps, blood glucose monitors, or syringes. Some airlines offer special diabetic meals that can be ordered in advance. It may also be helpful to reserve an aisle seat to make it easier to get up and move around during the flight.
Security checks at the airport
During security checks, all medical devices and fluids, including insulin, must be presented separately. Insulin pumps and continuous glucose monitoring systems should not be passed through body scanners or X-ray machines, as this may impair their functionality.
Instead, security personnel should be asked to conduct a manual check. The medical certificate serves as proof of the necessity of the medical equipment being carried.
Storage and transport of insulin
Insulin is temperature-sensitive and should be stored between +2 and +8 degrees Celsius. It is therefore important to carry insulin in your hand luggage and use suitable refrigeration during the flight.
There are special cooling bags and pouches designed for transporting insulin. Alternatively, pre-cooled thermos flasks or Styrofoam boxes can be used. It's important to prevent insulin from freezing, as this will cause it to lose its effectiveness.
Emergency measures in case of hypoglycemia
To be prepared for a possible hypoglycemia, diabetics should always have fast-acting carbohydrates such as glucose tablets, fruit juices, or sugary snacks on hand. A glucagon emergency kit can also be life-saving and should be carried in your carry-on luggage. It is also recommended to inform fellow travelers about how to deal with hypoglycemia so that quick and appropriate action can be taken in an emergency.
Tips for a safe flight
- Regular blood sugar checks during the flight, approximately every three hours, help to detect fluctuations early.
- Insulin should be injected only after the meal has been served to account for delays in eating.
- Adequate fluid intake is important because the dry cabin air can lead to dehydration.
- Regular exercise, such as standing up and walking around, prevents thrombosis.
- Alcohol should be avoided during the flight as it increases the risk of hypoglycemia.
With careful preparation and the right knowledge, people with diabetes can travel safely and with ease. Important aspects include early medical advice, proper insulin storage, carrying emergency medication, and observing special requirements during the flight. This ensures a carefree vacation.
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