One of the things we often have preached to us regularly here in the south is to be ready for emergencies, especially during tornado and hurricane seasons. They can strike any time, anywhere.
But wherever you live, there is always a chance of something happening to disrupt your daily life, whether it is a tornado, blizzard, earthquake or terrorist attack. During natural disasters, emergencies and hazards, people with diabetes often face specific challenges to their health care. So it is imperative that those who are diabetic or are caring for someone with diabetes always be prepared for the unthinkable.
Chances are you already have some idea on how to avoid standard diabetic emergencies. Here are some tips to help you be ready for the big, unplanned emergencies. Feel free to share these with other friends and family who may care for you or other diabetic family members.
Have a plan
Know what you’re going to do if the worst happens. Who will you call? Where will you go? Remember to consider proper diabetes care when making these decisions.
Have emergency supplies ready
The American Diabetes Association recommends to consider storing three days worth of diabetes supplies which, depending on how you take care of your diabetes, could include oral medication, insulin, insulin delivery supplies, lancets, extra batteries for your meter and/or pump, and a quick-acting source of glucose. You may also want to have an extra glucagon emergency kit. All these items should be kept in an easy-to-identify container, and stored in a location that is easy to get to in an emergency.
Emergency supplies include food, drink
It is important to prevent dehydration by drinking enough fluids, which can be difficult if drinking water is in short supply. Be sure you have enough bottled water for a few days. In addition, it is helpful to keep something containing sugar with you at all times in case hypoglycemia (low blood glucose) becomes an issue.
Don’t forget the paperwork
An extra copy of your prescriptions — just in case — would be prudent. It’s always good to have a copy of your emergency information and a medical list with your physician’s contact information. Also, don’t assume you are going to have all of this in your cell phone. What if you don’t have your charger, run out of battery life or don’t have cell service? Put this information on paper and have it with your emergency supplies.
Don’t forget the storage
Insulin may be stored at room temperature (59-89 degrees F) for 28 days, and pens in use can be stored at room temperature according to the manufacturer’s directions. Remember to not expose the insulin to excessive light, heat or cold. And any insulin that clumps or sticks to the side of the bottle should not be used.
One final tip: Since people with diabetes are more vulnerable to infections, pay careful attention to the health of your feet. Check for irritation, infection, open sores or blisters each day and never go without shoes.
Hopefully a natural disaster or other emergency will never be an issue for you, your family or loved ones. Be vigilant and prepare you and your family now. There may come a time when you will be glad you did.
Dr. Ovalle is a Professor of Medicine at the UAB School of Medicine and senior scientist in the UAB Comprehensive Diabetes Center. He has a very active clinical practice and serves as the director of the Multidisciplinary Comprehensive Diabetes Clinic at UAB. Read his weekly Everyday Health column for an expert’s take on the U.S. diabetes epidemic.