| Field Diabetes Care
Insulin storage - wrap the bottles or delivery devices in aluminum foil and mark using sports tape. This will insulate and protect the insulin from a hard knock. Use a small coffee thermos to protect from the heat or the cold. Foot care - inspect feet daily and use a foot powder recommended by your MD. Clean socks are imperative. Clean your nails and between the toes with the alcohol swab used for injections. Eye care - wear good shades; spend the money to protect those retinas. Skin care - take some good body lotion if prone to dry skin so as to avoid cracked skin and infections. Use an spf 30 with UV A and B protection when on water, snow or in the mountains. Hypoglycemia - energy gels such as PowerGel, Gu, or Cliff Shots offer a predictable amount of carbs in a fast absorbing form and easy to carry packet. Hyperglycemia - drink fluids to flush out the sugar and ketones. This will require extra cooking fuel so plan ahead. You may have to delay your start time so as not to stress the body while high. Partner - have a good one who is informed about your diabetes and how to treat and recognize highs and lows. Do not go solo. Have them carry the gels too. Travel - when international, have an MD note in the local language that explains why you have needles, strips, a blood meter and so on. Most language teachers and some computer programs can translate for you. Do not place your meds in the cargo hold of a plane as they will freeze. Instead, split your load in half and have your partner take some and you the rest. If a bag is then lost or stolen you still have meds. Take extra scripts in the event that everything is lost, delayed or stolen. Consider wearing a Med Alert bracelet or necklace with internationally recognized Med Alert sign and contact info. If you pass out, this will be the only clue for an unsuspecting helper. Blood testing - test early and often when in a new environment, time zone or activity. Write down the results, record the new diet and notice trends so that you can function at your best. In the cold, protect the strips and device deep in your sleeping bag and warm it up under your arms when ready to test. Bring a back up device. |