TRAVEL TIPS
FROM THE HEAVENS
by Monique Hanley
Above and beyond any advice you
receive, trust in the catch-cry of the Hitchhikers Guide to the Galaxy, by
Douglas Adams:
Before
you go: Go and see the Travellers Medical and Vaccination
Centre. Tell them where you are going, and they'll tell you what shots you need
and special gear to take (water purification tablets, malaria staff, etc.). And
although you will get bombarded with questions, mention the d word anyway, they
ask you stuff more out of curiosity for their own sake than to help you.
Insurance
Make sure you get travel insurance for both health and belongings. Pre-existing
conditions usually require an excess, around $100 on top of what you
normally pay (depending on length of trip and countries travelling to).
Holiday Travellers Insurance will cover you (for an
excess of course) but obviously deal with a lot fo people with diabetes,
so will not ask you tricky questions and are fairly low key about the
pre-existing medical (call 03 9882 2958, or toll free 1300 300 132).
You will have to get a form signed by a doctor - so allow time
for that!!
MedicAlert Bracelet Just get one, they are
corny and you feel very 'special' while wearing them, but when you are
travelling alone, it's just best to have it on you. Your parents naturally
worry heaps while you are off overseas, and it's amazing how having this
bracelet helps them to relax just a little. The symbol is recognised in North
America, and the writing on the back will explain things to anyone who can read
English.
Good
things to take: Letter from your doctor (just remember at
your next appointment) saying you have diabetes and that you take insulin. I
haven't ever heard of someone needing to use it, but it may be good for when
you're stuck in some remote boarder with custom officials who have never seen
an Australian in their life and think you're a bit dodgy. Medical
kit: Just take one with the essentials. For Europe and North America,
you'll be fine, but for other places, treatments for water, diarrhoea and
gastro are very important. Cool
Pack: One of those Frio packs, which are really really cool. They need to
soak in water for a while, then you stack your insulin in and they keep cool
for up to 45 hours, before you need to resoak them in water. Nice. Pen
with a light on the end: My sister gave it to me as a going away gift and
it was incredibly useful!!
Supplies: This depends on a couple of things:
For short trips, like say you're going to spend a week in Bali and you plan to
sit on the beach and not move for seven days, carry what you normally need and
don't bother too much with packing twice as much as you would normally use.
It's not worth the hassle of carrying extra stuff.
For example, Barry spent a
fortnight in Thailand last year, and just carried with him exactly what he
needed. It saved on space, and worrying about whether or not his bags were in
the sun, losing them or whatever. For longer trips, you need to be aware of
where you are going, the level of development (third world, second world, war
torn, super advanced, etc.) and length of time away. A trip to Thailand is no
worries if you are sticking to the main populated and tourist regions. However,
trekking through remote regions will mean you should be a little more prepared
in case something does go wrong. In these cases, splitting your supplies into
separate luggage items, or having relatives send you supplies to a location
that you intend to visit are a good idea.
Time
Zones Go with the flow (ie. your normal routine) until you stop
travelling and have a long sleep, and then start from scratch when you wake
again. This is best played by how you are feeling - there are no real formulas
to handling this well, and in the end it is no big dramas having your shots a
little out of sync for a couple of days.
Food on
Planes Diabetic meals = boring as. Try not to put yourself
through the pain. However, by asking for a diabetic meal you do receive special
treatment as they put it together that you have diabetes and can serve you
meals/snacks whenever you want, including before take-off! Usually, flight
attendants are very clued into the needs of diabetics whether you ordered a
special meal or not.
Customs It has been said that Australia is
the worst place for dealing with customs of them all! Every country has a
diabetic or two residing there, so they do know that you are carrying this
stuff for a legitimate reason. This is never a big issue for
travelling.
Language I always memorised the sentence 'I have diabetes'
applicable to the country I was travelling in. I didn't use them at all, but
when I got home I wowed my parents with my ability to pick up languages and say
sentences that they didn't understand. You can work out these sentences through
those little Language Guides like Lonely Planet. The word 'diabetes' is pretty
much understood, as the equivalent word for each language is derived from the
English (or Latin) one (not in Asian cultures though - ed).
Extreme
Conditions / Remote Regions It's sometimes easy to forget about
important stuff when you are dying from the heat and can't think about anything
else than how to cool down, let alone how your insulin may be travelling. It's
exactly the same when you're walking along in -30oC temperatures - all you want
to do is save yourself first! But when you do remember, carry a Frio Cool Pack
if you are in the hot stuff and away from refrigeration, and in the cold keep
everything as close to your body as possible - if this is at all possible. I
have spent nights sharing my sleeping bag with my gear - as my body heat was
the only reliable source of warmth to stop everything from freezing.
Disposal
of gear Just carry a little empty juice container for your
sharps, and empty it when you return home, or if you happen to visit a dodgy
toilet in the London underground. Be aware in tropical regions of local blood
transmitted diseases that you normally don't worry about here in Australia, by
maybe changing your equipment more frequently, and wiping down injection sites
before and after.
What if
something goes wrong? Don't Panic! Take is easy, slow the
breathing down and maybe curse random objects to release the tension. Hospital
Emergency Departments can issue scripts for you, and get you other supplies.
Any costs incurred can be recovered through your medical insurance when you get
home! Anything that does go wrong will always made for a terrific story. This
is half of what travelling is all about: having great stuff to tell your kids
one day, and to any interested friends when you return. Remember:
- When travelling, extra
space in your bags in worth gold: if you can get away without carrying
extra stuff: do it! Insulin does go off after a while, so don't take so much
stuff that it'll go off by the time you get around to using it.
- When travelling, you only
ever think about food, when is the next time I eat, what will I eat,
what does this local delicacy taste like, will I have enough money to eat? Etc.
etc. It's always about the food. This obsession with food may affect your
insulin intake: you may end up using more during the trip. Most importantly,
don't sacrifice a travelling food experience just because you may be worried
about what it does to your levels: do it, because you'll never get a chance to
do it again!
- Get yourself an email
address so you can write home and tell them you are still doing okay.
Internet cafes are absolutely everywhere. It's better than calling as you don't
have to worry about time zone changes, expensive calls and the worrying voice
on the other end.
How Much
Insulin for a Scorpion? Studying in China by Elise Read
Barbados
Beijing, China
Postcard
from Canada Cate Watt
Travel by
Alison Tiernan
On the Road with Trudi
Haylock
A Quick Guide to Living in London
with Type 1 Diabetes by Kate Gilbert
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