Originally when planning my current trip to Vegas, Toronto and New York I was on an insulin pump, but as you are all mostly aware I have since changed to multiple daily injections (MDI's).
My world of diabetes management has changed a lot in the last 2 months but as I have always said - you never stop learning... and I mean NEVER!
The world of a type 1 diabetic just doesn't stop.
The last few weeks I have been trying to decide on what form of management plan I should be on for my trip. As usual, I made a list of pros and cons for both MDI's and an insulin pump.
I am extremely lucky to have the option of both but I needed to make the right decision for myself. For the last 8 years or so, I have travelled with an Insulin Pump. I know that with the pump you get reliability, conveniency and flexibility. There is no need to worry about difference in time zones until you actually get to your destination. You may need to alter your dosages depending on activity throughout your trip however overall, I feel the pump makes travelling simple and stress free.
In the other hand, MDI's require a lot more planning, calculation and routine. The 'diabetes supply' travel bag may be lighter due to not carrying all the additional pump consumables but the question that I needed to keep asking myself is what do I need and want to do?
My answer: I am sticking with MDI's for my trip (YIKES).
I figured that because I have been doing well the last month on needles, I would give traveling on them a go. I spoke to Janelle (my fabulous educator) and she re-assured me that it can be done with just a bit of planning.
So, my current routine is 30 Units of Lantus at 3pm then Nova Rapid at meal times. The dosage for my meals vary depending on what my levels are and what I'm eating but I trust my new metre, the Freestyle InsuLinx. The metre pretty much thinks like a pump without delivering the insulin, so it calculates all my short acting insulin for me!
Anyway, I am not too concerned with the short acting insulin - that is relatively straight forward. The Lantus injection is what I had to think carefully about. If it is 3:00pm Aus EST then in Vegas it would be 11:00pm and Toronto/New York it would be 1:00am!
I can't predict how many late nights I will have or if I would still be up at 1:00am so over the last week I have given myself the Lantus injection earlier gradually, day by day. Three days ago I gave myself my Lantus at 2:00pm, then the following day 1:00pm so then when I am overseas the hour isn't so ridiculous!
So, when I finally worked that out I got excited and relieved. It didn't last long.... what about my flight times? I leave Syd at 9:00am and arrive in LA at 6:00am for my change over flight to Vegas. My initial thought was how am I going to calculate when the Lantus injection is due with all these time changes.....
Please, let me introduce the iPhone timer function! I have set an alarm to go off every 24hours from when the last injection is taken! So, let the countdown begin!