Travel Planning with T1D

Insulin & Medications

• 2-3x your usual insulin supply (split between carry-on and checked bags)
• Extra pump supplies or pen needles
• CGM sensors and transmitters (extras)
• All diabetes medications in original packaging
• Glucagon emergency kit
• Any other prescription medications

Testing & Monitoring Supplies

• Blood glucose meter with extra batteries
• Plenty of test strips
• Lancets and lancing device
• Ketone test strips or meter
• Extra CGM receiver/phone charger

Hypo & Emergency Supplies

• Fast-acting glucose (tablets, gel, juice boxes)
• Snacks for travel delays (granola bars, crackers)
• Medical alert bracelet or necklace
• Emergency contact information

Storage Solutions

Use insulated bags or cooling cases for insulin, especially in hot climates. Don't let insulin freeze or get too hot (keep between 36-46°F when refrigerated, room temp when in use).

Doctor's Letter

Get a letter from your doctor that includes:

• Diagnosis of type 1 diabetes
• List of all medications and devices you use
• Statement that you need to carry supplies and medications
• Your doctor's contact information

Prescriptions

Carry copies of all prescriptions in case you need refills or lose supplies. Keep one copy in your carry-on and one in checked baggage.

Travel Insurance

Purchase travel insurance that covers pre-existing conditions. Verify coverage for medical emergencies, lost medications, and trip interruption due to diabetes complications.

TSA Notification Card

Download and carry a TSA Notification Card from diabetes.org to speed up security screening and explain your medical needs.

Before You Leave

Discuss your travel plans with your diabetes team at least 2-4 weeks before departure. They can help you create an insulin adjustment plan.

Traveling East (Shorter Day)

When traveling east, your day is shorter. You may need less basal insulin. For pump users, change your pump time gradually or keep it on home time initially.

Traveling West (Longer Day)

When traveling west, your day is longer. You may need extra basal insulin. Monitor blood sugar frequently and take correction doses as needed.

Monitor Frequently

Check blood glucose more often than usual during travel and for the first few days at your destination. Jet lag, activity changes, and different foods can affect your levels unpredictably.

CGM Time Settings

Most CGMs allow you to keep your device on home time for short trips. For longer stays, change to local time when you're ready.

Research Healthcare Options

Before you go, identify hospitals and pharmacies near your destination. Save addresses and phone numbers in your phone.

Learn Key Phrases

If traveling internationally, learn how to say "I have diabetes," "I need sugar," and "I need a doctor" in the local language. Carry a translation card.

Airplane Travel Tips

• Always carry all diabetes supplies in your carry-on bag
• Inform flight attendants you have diabetes
• Pre-order diabetic meals or bring your own food
• Set alarms for bolus reminders if you're sleeping
• Stay hydrated and walk around regularly

Activity & Food Adjustments

Vacation often means more walking and different eating patterns. Check blood sugar before activities, carry glucose, and adjust insulin doses as needed for unfamiliar foods.

Travel Companions

Make sure at least one person traveling with you knows about your diabetes, can recognize hypoglycemia symptoms, and knows how to use your glucagon.