Diabetes during repatriation: food, insulin and monitoring en route
This information supports an individual transport file and does not replace assessment or treatment by the responsible physician.
Depart with one up-to-date schedule
Ask the treating clinician for a clear list of insulin type, dose, timing, correction rules and other diabetes medication. Note when the last dose was given and when the next one is scheduled.
The medical escort does not change this schedule independently. For a long journey or a time-zone difference, agree in advance with the treating clinician how the timing will be adjusted.
Measure glucose throughout the entire journey
Plan checks not only during the main journey, but also around discharge, ambulance transport, waiting and arrival. The meter, strips, lancets, sensor supplies and spare battery remain with the patient or escort.
Record at which value or symptoms the escort should take action and when local medical assistance is needed. A measurement result is recorded together with the time, food and medication.
Food and swallowing safety
Coordinate meals and snacks with the prescribed schedule and the actual travel time. In the event of swallowing problems, nausea or fasting requirements, the treatment team's instructions apply.
Take only food that can be stored and administered safely. Extra supplies are needed in case of delays, but family members must not administer insulin or fast-acting sugars on their own initiative without an agreed plan.
Transporting insulin safely
Insulin and essential supplies must not be placed in unsupervised checked baggage. Store them according to the product and pharmacy instructions and protect them from extreme temperatures.
Take sufficient supplies for delays, including needles, alcohol wipes, a means of disposing of waste and a copy of the prescription or medication list.
Handover in Belgium
The receiving party is given the latest glucose readings, insulin administered, amounts eaten and any deviations. Check in advance who will oversee the next dose.
This keeps diabetes care as one continuous line from the place of departure to care in Belgium, without timing or responsibility being lost during a transfer.