For many, traveling is an exciting adventure—packing bags, planning itineraries, and setting off to explore new places. But for those with Type 1 Diabetes (T1D), traveling comes with an added layer of preparation, challenges, and unexpected twists. From carefully packing medical supplies to managing blood sugar fluctuations due to time zone changes and different activity levels, a trip with T1D requires careful planning and flexibility. Here’s what many people may not realize about traveling with Type 1 Diabetes and what those with T1D can do to stay prepared and enjoy their journey.
Packing: Overpacking is a Necessity, Not a Choice
One of the biggest things that people don’t realize about traveling with diabetes is how much extra packing it requires. For someone without a chronic illness, packing light might be the goal. But for a person with T1D, overpacking is essential.
Before any trip, a detailed checklist is a must. Here are some of the supplies that must be packed—and often in double or triple the necessary amounts:
- Insulin (both long-acting and rapid-acting)
- Insulin pump supplies (extra infusion sets, cartridges, batteries, adhesives)
- Continuous Glucose Monitor (CGM) supplies (extra sensors, transmitters, alcohol wipes)
- Syringes or insulin pens (as backups)
- Glucose meter and test strips
- Ketone strips (especially important in case of high blood sugar)
- Glucose tablets, juice boxes, or fast-acting sugar for lows
- Snacks and emergency food supply (in case of travel delays or food unavailability)
- Medical ID bracelet and a doctor’s note for security checkpoints
- Frio insulin cooling case or ice packs to keep insulin at the right temperature
- Backup prescriptions in case of loss or damage
Since lost luggage is always a risk, all essential diabetes supplies should be carried in a carry-on bag rather than checked luggage. A travel-friendly, well-organized diabetes bag is a lifesaver when moving through airports or traveling long distances. Mine is from Sugar Medical and I LOVE it!
Security and Airport Considerations
Navigating airport security with diabetes supplies can sometimes be stressful. Many people don’t realize that insulin pumps and CGMs should not go through X-ray scanners, as they can potentially damage the device. Instead, travelers with T1D should request a manual pat-down. Additionally, carrying a doctor’s note explaining the need for medical supplies can help avoid unnecessary delays.
Having snacks and juice on hand is also crucial, as long waits at security or flight delays can lead to unexpected lows. Some airlines allow people with diabetes to pre-board in order to have time to organize their medical supplies and ensure everything is easily accessible during the flight.
The Impact of Traveling on Blood Sugar
Traveling, especially long-distance or international travel, can significantly affect blood sugar levels. Here’s how:
- Time Zone Changes: When crossing time zones, adjusting insulin schedules can be tricky. Long-acting insulin may need to be shifted gradually, and pump settings may require changes to align with a new schedule.
- Increased or Decreased Activity Levels: Traveling often means more walking and sightseeing, which can lead to lower blood sugar levels. On the flip side, long hours of sitting in planes or cars can cause blood sugar spikes.
- Different Foods and Eating Schedules: Eating on the go often means dealing with unpredictable carb counts, unfamiliar foods, or delayed meals, all of which can make blood sugar management more challenging.
- Climate Changes: Warmer climates may make insulin absorb more quickly, increasing the risk of lows, while cold weather can slow absorption and lead to higher blood sugars.
Tips and Tricks for Easier Travel
- Set phone alarms for insulin doses and CGM checks. Time zone changes and busy travel schedules can make it easy to forget a dose or monitoring session. Setting reminders can help maintain consistency.
- Use a travel case with built-in cooling. Insulin should be kept at a stable temperature, so a Frio cooling pouch or a mini travel cooler can be a game-changer for longer trips.
- Download offline maps and locate nearby pharmacies. In case of an emergency, knowing where the nearest pharmacy or hospital is can be incredibly helpful, especially in unfamiliar destinations.
- Carry a letter from your doctor. This can help smooth over any issues at airport security and make it easier to get emergency prescriptions if needed.
- Rotate your supplies between different bags. Keeping extra insulin, test strips, and glucose tabs in different bags can prevent a total loss if one bag is misplaced.
- Plan meals ahead of time. If possible, research restaurants or grocery stores at your destination to ensure access to reliable food options that won’t throw off your blood sugar management.
Final Thoughts
While traveling with Type 1 Diabetes requires extra planning, it shouldn’t stop anyone from exploring the world. With careful preparation, the right mindset, and a flexible approach, those with T1D can navigate their travels confidently and safely. Whether it’s a weekend road trip or an international adventure, having diabetes doesn’t mean missing out—it just means being extra prepared for whatever comes your way.
So pack those extra supplies, double-check insulin storage, and embark on your next adventure knowing that with the right precautions, traveling with Type 1 Diabetes can be just as enjoyable and fulfilling as it is for anyone else!
