There are two types of diabetic patients who need to be aware that they cannot travel to plateau areas.
1、 Patients with acute diabetic complications, including ketoacidosis, nonketotic hyperosmolar coma, hypoglycemic reaction, etc.
2、 Patients with chronic diabetic complications are also not suitable for high-altitude areas. These complications include diabetic retinopathy, diabetic nephropathy, diabetic peripheral neuropathy, diabetic foot and diabetes associated heart, cerebrovascular disease, limb vascular disease, hypertension, etc. Professor Xue reminded that these diabetic patients are also not suitable for altitude Travel? 。
If diabetes has no above complications, and the blood glucose control is stable (fasting blood glucose is controlled between 4.4 and 6.1 mmol/L, postprandial blood glucose is controlled between 4.4 and 8.0 mmol/L, and glycosylated hemoglobin is controlled below 6.5%), young and middle-aged diabetic patients can enter high-altitude areas for tourism.
For diabetics, traveling outdoors for outdoor activities is of great benefit to diabetics to enhance physical strength, especially cardiopulmonary function, improve glucose and lipid metabolism, and prevent complications. However, diabetic patients should pay attention to:
Before going out, you must go to the hospital for relevant examinations, including fasting blood glucose, 2-hour postprandial blood glucose examination and ECG examination, in order to understand your own blood glucose control and heart function.
Because insulin will be destroyed at high temperature, it is not suitable to be directly exposed to the sun. When flying, insulin should be put in the carry on bag, not in the checked baggage, because the temperature in the air cargo compartment will denature insulin. When traveling to hot areas, insulin should be stored in cold water bottles, and stored in the refrigerator of the room in time after arriving at the hotel. Insulin can be stored for one month below 25 ℃.
When traveling, you should do as you can, pay attention to the combination of work and rest, pay attention to sleep, and appropriately limit the amount of exercise for patients who have ischemic heart disease, arrhythmia, eyeground hemorrhage, diabetic nephropathy and gastric ulcer.
As the amount of exercise increases, patients may suffer from hypoglycemia, so when going out, they should carry fruit sugar, biscuits, etc. for urgent use.
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