Diabetes and Travel: A Guide for Older Adults
For those who love to travel, having diabetes should never hold you back from exploring the world. While traveling can disrupt your diabetes management routine, a little planning and preparation can ensure a safe and enjoyable trip.
Whether traveling domestically or internationally, staying on top of your health is essential.
Pre-Travel Preparation
Before setting off on your journey, check in with your doctor well in advance. Your doctor can ensure you’re healthy to travel and make necessary adjustments to your medication, allowing time to see how they work before your departure. If you’re traveling internationally, check whether your destination requires vaccinations beyond routine immunizations in the U.S. Ensuring you are up to date on these will prevent potential health issues abroad.

Packing Your Diabetes Care Kit
A well-prepared diabetes care kit is crucial for managing your condition while traveling. Be sure to include:
- A detailed medical history, including a list of medications and allergies.
- A letter from your doctor stating all necessary medications, insulin, testing supplies, and devices like Continuous Glucose Monitors (CGMs) or insulin pumps. This will be helpful for airport security screenings.
- Extra refills of medication and insulin in case of loss or delay.
- A loaner insulin pump if you use one as a backup in case of malfunction.
- Extra blood glucose monitors, test strips, and a glucagon kit for low blood sugar episodes.
Wearing a Medical ID Bracelet
A medical ID bracelet that states your diabetes and other chronic conditions can be lifesaving in an emergency. It alerts medical personnel to your condition if you are unable to communicate due to hypoglycemia or other complications.
Smart Packing for Your Trip
When packing, divide your medications between your carry-on and checked baggage. Keep at least half of your medications in your carry-on bag so they are accessible. If you are on insulin, always pack it in your hand luggage, as checked baggage can be subjected to extreme temperatures that may reduce insulin effectiveness.
Bring healthy snacks such as protein bars, peanut butter, crackers, and a refillable water bottle to keep you fueled in case of meal delays. It’s also wise to research restaurant menus at your destination for healthy meal options that align with your dietary needs.

Choosing Your Seat on a Flight
For air travel, selecting an aisle seat can be beneficial. It allows for easier access to the restroom, which is especially important if your blood glucose levels are not well-controlled. Additionally, it enables you to stretch and walk up and down the aisle periodically, reducing the risk of blood clots on long flights.
Managing Time Zone Changes
If you are traveling across time zones, adjust your insulin schedule accordingly.
Eastward travel shortens the day, which may require a reduction in insulin dosage, while westward travel extends the day, possibly necessitating an increase in insulin intake. Consult your doctor for specific recommendations tailored to your insulin regimen.
Additional Travel Tips
- Wear comfortable clothes and shoes to prevent blisters and foot injuries.
- Inform your travel companions of your diabetes so they can assist in an emergency.
- Monitor your blood sugar levels more frequently and adhere to your medication schedule.
- Check with your insurance provider about medical coverage abroad.
- Consider purchasing travel insurance for added security.
- Label all medications clearly to expedite security screenings.
- People with diabetes are exempt from the TSA’s 3.4-ounce liquid rule for essential medications.
- Pack fast-acting carbohydrates like juice or glucose tablets in case of hypoglycemia.
By taking these precautions, you can confidently enjoy your travels while managing your diabetes effectively. With thoughtful planning, there’s no reason diabetes should stop you from seeing the world and making unforgettable memories!

