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Diabetic meds+cross country touring = ?

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Diabetic meds+cross country touring = ?

Old 07-07-13, 08:17 PM
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Diabetic meds+cross country touring = ?

February of this year my husband awoke with sever chest pains, after getting him to the emergency room and latter told it wasn't a heart attack, i breathed a sigh of relief.( acute pancreatic/itus) when he went for the follow up Dr appointment, he was told that in addition to the pancreatitus he was now a Diabetic. he takes one pill with meals and a shot of insulin before bed.
Now my question is this has any one ever done a tour before with insulin? What how did they keep it cool? did they use something else in stead? If they did use something else what did they use?

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Old 07-07-13, 08:36 PM
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https://www.readycareco.com/splashpage_frio.htm

I have had excellent results in environments way tougher than touring. Just requires water...

T
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Old 07-08-13, 12:05 AM
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Originally Posted by beckieanne
February of this year my husband awoke with sever chest pains, after getting him to the emergency room and latter told it wasn't a heart attack, i breathed a sigh of relief.( acute pancreatic/itus) when he went for the follow up Dr appointment, he was told that in addition to the pancreatitus he was now a Diabetic. he takes one pill with meals and a shot of insulin before bed.
Now my question is this has any one ever done a tour before with insulin? What how did they keep it cool? did they use something else in stead? If they did use something else what did they use?

regards
Beckieanne
I'm insulin dependent diabetic and I spent April - September of last year hiking on the Appalachian Trail. Many days the temps were in the 90's but I didn't bother with refrigeration. I just made sure to bury my insulin deep in my pack where it would be insulated and used a mylar packing sleeve to add extra insulation/padding to make sure the bottles didn't break. I never had problems with the insulin I was carrying un-refrigerated on my back for a month +.

Also I use an insulin pump and the insulin is in a little box strapped to my 98.6 degree body all day for 3-5 days at a time and it works just fine, it cant be all that heat sensitive.
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Old 07-08-13, 11:00 AM
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You may find this previous thread useful: https://www.bikeforums.net/showthread...abetic-Touring
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Old 07-09-13, 09:00 AM
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Is he traveling with others that know the symptoms of low blood sugar? Going low could be a danger if he is newly diagnosed and taking insulin. Does he have a bracelet that identifies him as a diabetic taking insulin?

I do not take insulin, can't comment on keeping it cool. But I can say that virtually all McDonalds and a lot of other fast food stores allow you to fill a water bottle or two with ice if you are a paying customer. Convenience stores might allow that too if you asked first and explained that you needed to fill a water bottle with ice for your meditations.

I use a thermos brand water bottle that is a stainless steel vacuum bottle, keeps my liquids quite cold. It is slightly smaller in diameter than a water bottle, I use one of those neoprene soda pop can insulators to make it larger in diameter to fit in my water bottle cage.

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Old 07-09-13, 10:00 AM
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Good point about the diabetic knowing signs of low blood sugar. When my dad was first diagnosed, he took some time to get used to knowing the signs.

The good news may be that the regular exercise could lower his medication requirements, because simply he's burning through a lot more.

Hope this becomes more of something for him to do regularly, needing less medication. Same can't be said for my own dad *rolls eyes*
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Old 07-09-13, 10:15 AM
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Originally Posted by Nick The Beard
Also I use an insulin pump and the insulin is in a little box strapped to my 98.6 degree body all day for 3-5 days at a time and it works just fine, it cant be all that heat sensitive.
Agree. I've been an insulin-dependent diabetic for the last 32 years. Like Nick, I'm not overly concerned about refrigeration and I've never had a problem. I wouldn't leave bottles of insulin sitting in the sun, but I've had no problems shoving them into the center of a backpack or pannier. Rode from SF to LA a couple of years ago with no refrigeration and no problems. Also spent four months backpacking around Europe and Africa with dozens of bottles of insulin that never saw a refrigerator and didn't have a problem.

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Old 07-09-13, 08:15 PM
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I'd have plenty of diabetic socks as well. Foot sores take way longer than a tour to get cured.
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Old 07-10-13, 08:36 AM
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OP: I am not a diabetic, but I want to echo what a few have said. Things stored in the middle of a pannier or backpack can stay surprisingly cool even when it's hot out. That amazed me when I started touring.

I suggest that your husband pose the question to a his treating physician. He might be able to suggest some options and/or shed light on the real need for refrigeration. Is the litigious society in which we live, the refrigeration requirement could be out of an abundace of caution. As one person suggests, you probably don't want to leave it in the hot sun, but it may actually have a longer life unrefrigerated than the product description states
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Old 07-11-13, 06:28 AM
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I guess I need to update my post, I'm not a pump user (at least not yet, but it's looking very tempting here recently), so I don't know much about that insulin packaging. I have ruined several pens of Levemir and Novolog during the last ten years from heat, mostly during my time in the Middle East in unimproved areas (not bicycle touring).

I would assume your husband would like be using something like Levemir Pen at night and just need to keep is reasonably cool. Frio wallet has worked well for me, since all it needs is water and during those trips, there was always plenty of water. The only thing is it needs to be well ventilated, and it's fine for it to get rained on, but you can't stick it inside a pannier or a backpack.

Good luck, and remember to tell him that the condition does limit in what he can do in any capacity.

T
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Old 07-12-13, 09:29 PM
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Originally Posted by wsgts
https://www.readycareco.com/splashpage_frio.htm

I have had excellent results in environments way tougher than touring. Just requires water...

T
+1

I was on a tour in June and used the Frio, it works on evaporation. I carry in the mesh pocket on the top of my trunk bag since it needs to evaporate the water to keep the insulin cool. I was riding in 90+ temps and it worked fine. I have been using this for 10 years on my tours.

All you have to do is soak it in water for a few hours and put the medication in the pouch. It will normally keep cool for days. Mine didn't need to be resoaked during that week.

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Old 07-12-13, 10:53 PM
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My insulin (well humalog and lantus) can stay at room temperature up to a month, which was how long my tour was. I guess he could have someone mail him some insulin and/or refill the insulin prescription while on tour each month. And I'm probably the one person who doesn't care for the pumps, I just use a syringe.
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Old 07-13-13, 04:01 PM
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yes he will be traveling alone, he does not NOW have a bracelet. but he is picking one up in september. thank you fro the tip about the vacuum bottle.
ty
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Old 07-13-13, 04:05 PM
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Originally Posted by gpsblake
My insulin (well humalog and lantus) can stay at room temperature up to a month, which was how long my tour was. I guess he could have someone mail him some insulin and/or refill the insulin prescription while on tour each month. And I'm probably the one person who doesn't care for the pumps, I just use a syringe.
my husband, like you doesn't like pumps and even though he hates needles he would rather do that.

ty beckieanne
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Old 07-13-13, 09:36 PM
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After having used the pump, I'm not sure I could go back to injections. My blood sugars are better, I feel better, and my life is much more flexible than when I was injecting insulin. I would think that touring would be far more difficult without a pump...
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Old 07-13-13, 11:04 PM
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Originally Posted by wsgts

Good luck, and remember to tell him that the condition does limit in what he can do in any capacity.

T
in what way does it limit him?
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Old 07-15-13, 09:25 AM
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Originally Posted by beckieanne
in what way does it limit him?
I think the person you quoted meant to say that diabetes won't limit him.

One thing to be aware of, however, is that sustained exercise may greatly alter your husband's need for insulin. He should know the warning signs and treatment for low blood sugar (hypoglycemia) and discuss with his doctor whether his medications need to be altered while on tour. Be aware that many of the warning signs for low blood sugar can be masked by vigorous exercise, so frequent blood sugar testing is probably advisable (especially during the first few days of the tour). As Tourist in MSN suggests, some sort of MedicAlert bracelet or other identification is also a Very Good Idea.
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Old 07-19-13, 07:05 AM
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Before I go on tour, I always discuss the trip with my doctor and plan on a change to my insulin dosages. Also I keep some gels and snacks for the ride incase I start having low sugar events.
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