travel to USA

4 posts, 4 contributors

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phileaton 1 post

Hi, I am travelling to florida and am trying to find information on adjusting insulin levels when travelling across time zones. I am on Levemir twice daily (7am and 7pm) and then Novorapid before each meal. Just looking for advise on how to manage doses when crossing time zones.
Cheers

HelenP DAFNE Graduate
Queensland Diabetes Centre, Brisbane, QLD
218 posts

Run two watches (local time/home time) How long will you be away? If it is only a short while the two watches works but if you have to slowly wean yourself back to a different schedule then you have to make more adjustments. I am assuming your levemir doses are similar. When ever I travel it takes me about 2 weeks to get things back to where they were before I left. Different foods. different sleep patterns, more activity, more stress etc. Keep it in perspective and try your best.

Helen

Alan 49 DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust
284 posts

When I flew from London Airport to Sydney a few years ago, I gave the details of my flights to my diabetes nurse and she created a 'flight plan' for the flight out then another for the flight back - this worked out very well. It's worth asking.


JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

It maybe more drastic in comparison, but when I went to Japan (quite a large time difference), I did end up flipping my doses over because due to the flight, I pretty much had two mornings in a row.

If there was a smaller difference in the times, I would work out my dose work times and try to plan it over the flight. When I visited Geneva, only a couple of hours ahead, I just took my doses a little later without too much disruption.

I know neither of these are behind time places for a UK traveller like myself, but I think the ideas can still apply. Learn what time of day you're leaving, how long the flight is and what time it will be at your destination when you land. Levemir can work for up to 18 hours so you should be covered.

When deciding what meal ratio to use during flight, try to keep in mind what your body may be expecting at home...

Have a great time!! Smile