Bệnh nhân được điều trị insulin nên kiểm tra đường huyết của họ mỗi 4-6 giờ khi đi du lịch một chặng đường dài. (Thông thường nếu lái xe tự, xem trang 185.) Có thể trở nên rất bối rối về điều trị insulin. Các mưu kế đơn giản nhất là nghĩ về một ngày của du lịch là từ bữa sáng cho đất nước mà họ đang để lại cho đến khi ăn sáng tại điểm đến của họ. | 190 I TRAVEL glucose. Insulin-treated patients should test their blood glucose every 4-6 hours while travelling a long way. More often if driving themselves see p. 185. They may become very confused about insulin treatment. The easiest stratagem is to consider the day of travel as being from breakfast in the country they are leaving until breakfast in their destination. During that day they should reduce the insulins which are acting while travelling but be prepared to take a small extra dose say 2-6 units fast-acting insulin before an extra meal if the breakfast-breakfast time exceeds 24 hours and the blood glucose is 11 mmol l or more. This is obviously easier if the patient is using fast-acting insulin from a pen. Patients should eat something every 2-3 hours. If planning to sleep they should check that their glucose is over 6 mmol l and have a snack if it is lower. All diabetes medication and equipment should be carried personally in hand luggage bags or pockets perhaps divided between the patient and a relative or companion although the patient must carry it all through customs and security . It should never be entrusted to baggage handled by anyone else or out of sight of its owner. Unusual foreign food Some patients worry greatly about being able to stick to their diet in a hotel in More-cambe or on the Costa Brava. While it may be hard to find exactly the right balance of carbohydrate fat and protein all countries have a staple carbohydrate potato bread rice pasta maize beans etc. Obvious sugar and fat can be avoided. It is usually possible to find cooked vegetables salad and fruit. All uncooked fruit and salad must be washed or peeled very carefully to reduce the risk of gastroenteritis. Patients should drink only bottled water breaking the seal themselves or other canned bottled or packaged drinks with a previously unbroken seal. Alcohol of course is self-sterilizing but as always should be taken in moderation. A few weeks on a less than perfect diet is .
