It is necessary to organize to ensure the availability of what is needed for routine and emergencies. And you need to know what to do at the airport
My daughter in June will leave for the United States for a year of study abroad. You have had type 1 diabetes for 12 years and you use a pump with a CGM sensor (continuous blood glucose monitoring). My question: can I pack all the material in a suitcase, with the respective supply invoices and letter from the diabetologist? So far I have received conflicting opinions. Furthermore, the local health authority denies me the annual material in advance: is there a specific protocol that obliges me to supply it instead?
He answers Stefano Masidiabetologist ASL Salerno and ASL Napoli 3 Sud, president of the Campania Region Diabetic Doctors Association (GO TO THE FORUM)
In Italy the health organization varies from region to region but, as far as I know, the supply of consumables for insulin pumps and sensors it is provided and provided every three months and cannot be provided in advance for a whole year, despite the fact that there is a treatment plan drawn up by your referral diabetologist valid for one year. Therefore, the need arises to organize in time to have the consumable material delivered to her daughter by courier. Before leaving, make sure you bring everything you need to face any unforeseen events with serenity, such as technical failures of the devicesand always have both available fast and slow acting insulin pensand an alternative glucose monitoring system (glucometer).
Pump and metal detector
I am now sending you some general information for the management of the insulin pump during air travel. It is necessary, at the airport, to always carry with you the certification of your referral diabetologist and the documentation which shows that your daughter has a medical device, with the identification number of the pump. At the airport, you can wear your insulin pump to go under the normal one metal detectorbecause the micro resists common electrostatic discharges and electromagnetic interference from airport equipment. X-rays should be avoided used to inspect baggage e full body scannersas most pump manufacturers recommend.
Hand luggage
We must avoid putting insulin and sensors in checked baggage, as the temperature could be particularly low and often below freezing. It should always be used one hand luggage to manage mishaps or delays and to always have everything you need available during stopovers, also considering the inconvenience of any loss of hold baggage: infusion sets, spare batteries and cartridges for the insulin pump, fast-acting and slow-acting insulin pens, sensorsmaterial for carrying out the capillary blood glucose test during the flight, in which the value, in general, must be checked with a greater frequency (glucometer, test strips, lancing devices, blood glucose reserve batteries), kit for detecting ketones , skin disinfection kit (alcohol and gauze / cotton wool), dressings and plasters, sugar-based foods to correct possible hypoglycemia (for example, candies, glucose in tablets or in liquid form, fruit jellies, fruit juice and / or snacks) and, finally, the toll-free number of the manufacturer of the pump.
Contact with the diabetologist
In conclusion, your daughter’s referral diabetologist will be able to provide you with all the information relating to the supply of consumables valid in your region of residence and other information to better manage your trip. During the stay abroad desirable always maintain contact, via e-mail, with the same diabetologist. Finally, I remind you that in the US it is strongly recommended to have private health insurance.
April 14, 2022 (change April 14, 2022 | 18:12)
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