Q1 I’m diabetic on insulin (type 1 DM) and intended to travel by air , my concern is my insulin supply how can I carry it?
A1 First of all make sure that your diabetes is under control before you do the reservation, as in this case air travel should not pose significant problems for patients with well controlled diabetes.
It is essential that the diabetic passenger carries adequate equipment and medication in their hand baggage. It is important that insulin is not packed in the hold baggage even if it is not being used during the flight as insulin in the hold may be exposed to temperatures that could degrade it and there is the potential risk of loss of baggage en-route.
Insulin may be satisfactorily carried in a cool bag for even the longest sector.
Q2 Do I need any adjustment in the dose?
A2 Pre-planning is important and discussion of the itinerary with your medical team is an important part in preparation for travel.
Individual regimes should be discussed with the diabetic management team, but some general guidelines may be helpful. When travelling east, the day will be shortened and if more than two hours are lost, it may be necessary to take fewer units with intermediate or long-acting insulin. When travelling west, the travel day will be extended and if this is more than 2 hours it may be necessary to supplement this with additional injections of short-acting insulin or an increased dose of intermediate acting insulin.
Q3 I’m diabetic on medication (type 2 DM) do I need adjustment of the daily dose?
A3 Type 2 diabetes is not a problem on diet or oral medication, nor indeed on insulin as the endogenous insulin, which remains in Type 2 diabetes will provide a suitable buffer and assist control.
Q4 Im Diabetic using some oral medications to control my diabetes, and as my flight will last more than 8 hours, I need to carry my medication with me on board, will that be a security issue?
A4 Medications in daily dosage containers are allowed through the checkpoint once they have been screened.
Q5 I’m diabetic on insulin and I need to carry my diabetic kits and insulin with me on board the aircraft, will there be any security issues in doing so?
A5 Notify the Security Officer that you have diabetes and are carrying your supplies with you.
The following diabetes-related supplies and equipment are allowed through the checkpoint once they have been screened:
• Insulin and insulin loaded dispensing products (vials or box of individual vials, jet injectors, biojectors, epipens, infusers, and preloaded syringes;
• Unlimited number of unused syringes when accompanied by insulin or other injectable medication;
• lancets, blood glucose meters, blood glucose meter test strips, alcohol swabs, meter-testing solutions;
• Insulin pump and insulin pump supplies (cleaning agents, batteries, plastic tubing, infusion kit, catheter, and needle); Insulin pumps and supplies must be accompanied by insulin.
• Glucagon emergency kit;
• Urine ketone test strips;
• Unlimited number of used syringes when transported in Sharps disposal container or other similar hard-surface container.
• Sharps disposal containers or similar hard-surface disposal container for storing used syringes and test strips.
Q6 I’m using an insulin pump which will be difficult to be removed ,how can I pass security check with this device?
A6 If you are concerned or uncomfortable about going through the walk-through metal detector with your insulin pump, notify the Security Officer that you are wearing an insulin pump and would like a full-body pat-down and a visual inspection of your pump instead.
Advise the Security Officer that the insulin pump cannot be removed because it is inserted with a catheter (needle) under the skin.
You have the option of requesting a visual inspection of your insulin and diabetes associated supplies.