Author Topic: off on a holiday  (Read 549 times)

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Offline himtoo

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off on a holiday
« on: 30 January 2017, 08:20:14 PM »

hi all
just letting everyone know I am off to visit my parents in the USA on 6th march
Diane is coming with me.
we have a 4 night mini break in las vegas while we are there.


arrive home 21st march


I have libre to cover the before going , and while we are away so am pleased for that.


A bit concerned about pump timings / clock changing -- but have been going over it in detail and pretty sure I have a plan worked out ( 8 hour time difference )



T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Liam

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Re: off on a holiday
« Reply #1 on: 30 January 2017, 10:02:10 PM »
Have fun.

I've never gone that far in time either way. Normally an hour or two at most. I just change to the local time. I'm assuming you will to once you get over jet lag? I'd guess there will be a lot of firefighting to start with, I mean your body will be all over the place and so your basal rates aren't likely to match anything you use currently. Then again at least on a pump you can change things (like maybe a -temp basal for going to sleep at a strange time just to be safe, of course depending on what happens) 
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline sedge

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Re: off on a holiday
« Reply #2 on: 30 January 2017, 10:29:08 PM »
Have a fab time - how long has it been since you last touched base with them?
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: off on a holiday
« Reply #3 on: 31 January 2017, 09:48:06 AM »
Hi Paul


Have a lovely time!  I did go to the West Coast once, but I was still on injections and just split my Lantus.  Not sure how to go about it on a pump, perhaps keep changing the time gradually during the flight?  There must be guidelines somewhere to help you.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline colette3

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Re: off on a holiday
« Reply #4 on: 31 January 2017, 03:59:35 PM »
I've got an idea you are well able - and will research and plan - for this trip.  I'm in Spain until the end of March - rather by necessity than by choice.  But I've read a lot of your posts.  You will know what you are doing.  Do it and enjoy it and keep your counsel about how you DO IT and ENJOY IT because you know what you are doing and life has to be lived  - doesn't it.  Happy Holiday

Offline himtoo

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Re: off on a holiday
« Reply #5 on: 01 February 2017, 04:45:47 PM »
3 and a bit years since last visit there sedge !!

thanks for your vote of confidence Colette

my plan is to move my pump clock time back 4 hours approx. 1/2 through the flight and the other 4 hours upon landing.
I have also set up 2 new basal rates appropriately called travel west and travel east

they are set at approx. 85% of my normal basal rates -- this should allow me the space for sleeping the first night both directions without worrying too much about hypos.

 
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: off on a holiday
« Reply #6 on: 01 February 2017, 06:05:34 PM »
You MIGHT ask the airline at what junctures in the flight they'd normally serve meals, dim all the lights for sleep and stuff like that Paul.  Fine if you've done your basal timing and calculated when you will want to sleep and it fits in with them, but what if it doesn't?

Think that's what I'd do after I'd chosen and booked, were I going long haul again now.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline himtoo

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Re: off on a holiday
« Reply #7 on: 02 February 2017, 07:57:50 PM »
thanks for that sedge -- I have flown this exact route a number of times over the years -- so am fairly happy with their timings
just not done it on a pump before

I am more concerned about flying home as that is when I effectively "lose my highest middle of night doses " for an extended period

flying out there it is daytime the whole flight,

T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Venomous

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Re: off on a holiday
« Reply #8 on: 02 February 2017, 09:28:51 PM »
Have fun! Enjoy it, you'll be fine :)
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline sedge

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Re: off on a holiday
« Reply #9 on: 02 February 2017, 10:10:05 PM »
Re 'losing' your high dose necessity - you won't have, will you Paul? - cos your body clock will still be on the time you spent the last few weeks on, when you're flying back - so actually I wouldn't adjust your pump by all that much on the return leg - and then perhaps adjust it by an hour back or forwards at breakfast and dinner, for a few days once you are home, till your body catches up with your wake/sleep cycle and it all agrees with clock time again?

Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Alan

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    • Type 2 Diabetes - A Personal Journey
Re: off on a holiday
« Reply #10 on: 03 February 2017, 12:58:35 AM »
Have a great trip.

A few tips from a wanderer.

  • Set your brain to destination time as soon as you are settled on board. It helps with jetlag.
  • Choose an aisle seat if possible. That makes it much easier to get up for bathroom trips or aisle walking for DVT avoidance.
  • Do not put any meds or medical devices in checked luggage. Carry them all on board or you might never see them again. There is a reason this place is enormous: https://www.unclaimedbaggage.com/
  • Be aware of the rules for your devices for security. US TSA rules allow liquid needed for medical reasons to be exempt from the 3.1.1 rule, but I'm not sure if the UK rules are the same.

As a T2 I have found it usually takes three or four days for my body clock, specifically for BGs, to adjust to new time zones. Be a bit more alert to post-meal BGs for the first week.

Bon voyage :)
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Small New York Baked Low Carb Cheesecake)
Born Under a Wandering Star (Latest:Dambulla, Sigiriya and Polonuwarra, Sri Lanka)

Offline Liam

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Re: off on a holiday
« Reply #11 on: 03 February 2017, 12:50:59 PM »
Alan talking about liquid rules reminded me about pump getting checked.

The first time I flew with it about 2 years ago (Preswick airport) They said if I didn't do the body scanner with it on I'd need to be strip searched. My last holiday about 3 weeks back at Edinburgh airport, they knew what it was and got the swab ready for drugs / explosives without me having to ask. The lady even knew about it not going into the scanner and passed it around once I'd been scanned and frisked.

I know pump usage was very low in Scotland just before I got mine. Not 100% sure who but I remember at the time some diabetics (or a charity) saying this to the Scottish parliament and them coming back with 'we'll put more funding into that now'. So I'm not sure if it is them just seeing more or just a different airport / team. 
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: off on a holiday
« Reply #12 on: 03 February 2017, 03:42:40 PM »
Oh yeah... the other thing is take twice as many supplies as you think you'll need!  I find on holiday I have to change cannula/complete pump change far more often.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline himtoo

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Re: off on a holiday
« Reply #13 on: 04 February 2017, 10:19:56 AM »
thanks to everyone -- some good tips

I have ordered a spare controller for my omnipod pump -- these are supplied free as long as you don't break the seal on the packaging.
I have all of my pump settings and basal programs written down on a separate sheet of paper too -- in case my controller does fail -- so I won't have to be guessing at anything

T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014