Traveling with diabetes
FR

Translated into English.

Original post
2P
Hi there! So, I'm hesitating about taking a long trip. I'd like to go away for 2 to 3 months and travel across several continents. I’d love some advice. I often have unexplained allergies and need to follow a daily treatment for my diabetes (insulin). I think I can get authorization from my doctor to travel for 6 months with the treatment—is that correct? After those 6 months, is it possible (instead of bothering a relative to send the medication) to see a foreign doctor to get another 6-month travel authorization? How does it work at the airport? Do I need just one medication transport authorization, or do I have to request a new one in each country (once the treatment runs out) for both the flight and a DCI? Also, travel insurance doesn’t cover chronic illnesses, so will I have to pay for foreign consultations out of pocket? I’m not sure if I explained myself clearly. Oh, and just to repeat—travel insurance doesn’t cover chronic illnesses, so foreign consultations will be at my own expense? Thanks in advance for your help!
SI Sissi57 Globetrotter ·
Hello, Regarding customs and airport security checks, all you need is a certificate stating that you are diabetic, insulin-treated, with... list the names of your insulins, specify pens and/or syringes, your glucose meter, test strips, and lancets. It should also state that you must keep all this equipment with you at all times. It’s absolutely essential that this document be in English, and depending on where you’re going (South America), it would be good to have a Spanish translation as well. For some Asian countries, it might also be helpful to have a translation in the local language. Since I’ve never been there, I don’t know what the language skills of the staff at these checks are like in China, for example. In Thailand, the Philippines, and other frequently visited Asian countries, English is sufficient. For other questions, I’m not familiar with French legislation. If you use the search function, you’ll see this question has already been asked quite a few times.
Je n'aurai pas le temps...
2P 2pi ·
Okay. Thanks for your reply. If I understood correctly, regarding the transport authorization for insulin, the authorization doesn’t need to be renewed after 6 months—it’s valid for life?
SI Sissi57 Globetrotter ·
I’ve done this quite a bit for my patients—we’d redo it when the paper started to wear out or to keep the document from getting too outdated, so it was often once a year.
Je n'aurai pas le temps...
2P 2pi ·
Just one last question and then I’ll stop bothering you. Is it possible to get the authorization renewed—and why not the DCI (if that also needs renewing)—with a doctor abroad to avoid all the back-and-forth between countries and France, even if it means paying full price for the consultation?
SI Sissi57 Globetrotter ·
Right now, I have to admit I can’t answer that—I’m not in France and don’t know your regulations regarding health insurance there. In Switzerland, I just provide a certificate to justify carrying medical supplies for customs and airport security. We don’t have any restrictions on the quantities of medication dispensed here, and someone can easily buy a 12-month supply in advance without any issues. However, if you want to purchase your medication abroad, you’ll need the INN (International Nonproprietary Name). But showing your insulin packaging to the pharmacist should be enough—these products are internationally recognized without any problems.
Je n'aurai pas le temps...
MG Mguibentif Globetrotter ·
Watch out for lancets. Make sure you bring enough with you.

I tried to buy lancets for someone in the south of France for a device purchased in Switzerland. For the same brand, the lancets are different in France—couldn’t get the model sold in Switzerland...
Mathilde
SI Sissi57 Globetrotter ·
In Switzerland, there are also several models of lancing devices, and the lancets are different each time. But you can also prick your finger directly with a lancet, so it’s not too bad if you have to do without your lancing device because you couldn’t find compatible lancets. For insulin pen needles, they’re standard. If by any chance the needle length you usually use (6 or 8 mm for adults) isn’t available, opt for a shorter one rather than a longer one—you absolutely must avoid injecting insulin into a muscle. Basically, it’s always recommended to bring a little more supplies than strictly necessary, but for a long trip, that’s not always easy.
Je n'aurai pas le temps...
2P 2pi ·
In Switzerland, are doctors allowed to provide a transport authorization for insulin as well as a generic prescription (INN) for French tourists traveling to Asia or South America, for example?
SI Sissi57 Globetrotter ·
You can only get this kind of documentation for your own patients.
Je n'aurai pas le temps...
2P 2pi ·
Alright. Thanks for all this info. I think the best time for a round-the-world trip is during retirement because budget-wise, you’ve saved your whole life and don’t have financial worries. But I’m really afraid that with my diabetes, my doctor won’t let me travel... It’s all about planning ahead, but I’m not sure I’ll be able to make this dream happen.
SI Sissi57 Globetrotter ·
When planning a long trip, it's clear that being in decent shape helps. The most important thing is to have your diabetes as well-balanced as possible to prevent complications, which I’d say are the real limiting factor. If you have ophthalmological, kidney, or heart issues, those could definitely interfere with your plans. Diabetes alone shouldn’t hold you back.
Je n'aurai pas le temps...
2P 2pi ·
During my research, I saw that cargo ship travel is an option. Are the "risks" related to chronic illnesses the same as those posed by air travel?
SI Sissi57 Globetrotter ·
I don’t understand the question—I’m not sure what travel risks you’re thinking of when flying? Other than a plane crash or seasickness on a cargo ship?
Je n'aurai pas le temps...
2P 2pi ·
I did some research and read that people with chronic illnesses aren’t allowed on cargo trips and that air travel is strongly discouraged for elderly people with chronic conditions. So I was wondering about the potential risks.
SI Sissi57 Globetrotter ·
For cargo ship travel, I don’t have any specific knowledge, but seasickness—if you’re prone to it—could contribute to destabilizing diabetes if you can’t eat or drink due to nausea. Plus, it’s a long trip with not many options to disembark whenever you want. For flights, there’s no contraindication if you can handle an altitude of 2,000m, which matches cabin pressurization. Then there are a number of formal or relative contraindications related to heart or lung issues or recent surgery, but a well-managed chronic condition isn’t a contraindication in itself.
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JA Jackchrist ·
Hi there, I’m traveling to Portugal in October and I have Fernand Vidal syndrome. I’ve been prescribed a great treatment, but it involves injections I have to give myself every two weeks. How do I transport them on the plane? Thanks
https://chambres-en-cevennes.jimdofree.com/

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