The following is a guide to what you can do if you, a family member or friend is stranded abroad and in particular, are facing medication shortages.

Should you need medication

• Should you be a British national stranded abroad and you are running out of medication, you can check if any is available at your local pharmacy, or go to a local hospital or doctor.

Should you need a hospital or a doctor

• You can visit the website of the British Embassy to enable you to find a hospital or doctor www.fco.gov.uk/en/travel-and-living-abroad/find-an-embassy/
• Should you have a number, phone your local embassy for further advice. You ought to call the British Embassy if you have been admitted to hospital. British nationals stranded overseas can contact the Foreign and Commonwealth Office (FCO) advice line on +44 20 7008 0000 for more information.
• www.iamat.org The International Association for Medical Assistance to Travellers is able to provide names of English-speaking healthcare professionals in the country you in and is able to advice travellers.
• You can also contact the closest British Embassy or local medical schools for lists of English-speaking doctors.

Retain receipts

Should you have to pay for prescription medicines or other medical treatment, retain any receipts for possible reimbursement in case your travel insurance provider is able to reimburse you when you return home.

Latest travel news

• If you are concerned about the safety of a British national stranded abroad, you can phone a Foreign Office helpline on 020 7008 0000, or go to its website at fco.gov.uk
• All flights bar a few are grounded today due to the Icelandic volcanic ash cloud. It has been confirmed that British flight restrictions are to continue until 1pm on Tuesday.
• You can go to nats.co.uk the British air traffic control service for up to date information.
• Some flights are operating into Scotland.
• London is considering using Spanish airports, which are now open, as a ‘hub’, for flights coming from African, Asia and America.

Upon getting to Europen, passengers can then use other transport services like coach, train and ferry to get home.

Eurostar, ferry and coach services have also all been increased to help passengers unable to fly. Forecasters are predicting that the disruption is most likely to continue into next week.

People with diabetes stranded abroad

Should you have diabetes (or are on medication that is depleting) and are stranded abroad, you need to get in touch with your GP and your travel insurance company.

• It is also imperative to contact your airline or your tour operator. You may be given priority booking due to your health condition.

Rights if your flight is cancelled

Under European regulations, airlines are under no obligation to pay compensation should they be able to prove that the cancellation was due to ‘extraordinary circumstances’ which were unavoidable, even if all reasonable measures had been taken.

According to EU legislation, should you have been at the airport when your flight was cancelled, you may be entitled to refreshments, meals, appropriate telephone calls, hotel accommodation and transport to and from the hotel.

Should you have booked two single tickets, as opposed to a return ticket, the same EU rules may still apply. So you should be entitled to meals and accommodation until alternative transport home can be arranged.

Can I claim on my travel insurance?

You can claim on your travel insurance depending on what kind of insurance policy you have. Certain policies offer cancellation cover for natural disasters.

However, others exclude what they refer to as ‘acts of god’. Hence, you need to carefully check your contract terms and conditions. Your airline is likely to refund you for any cancelled flights Yet you may also need your insurance company to pay out for additional non-refundable bookings like accommodation and car hire.

Defaqto, the financial research company, is urging that you urgently contact your insurer and find out what cover you are entitled to.

Around 60,000 British tourists visit Zambia every year, which is only viably accessible from the United Kingdom by airplane.

Getting there takes 16 hours

Lusaka, the capital of Zambia, can be reached from London in around 16 hours, on average, but this can vary depending on your airline and stop times.

If you are unsure as to how best to stick to your medication schedule then it is best to discuss a plan with your diabetes team.

Time difference

The time difference in Zambia is one hour ahead of British Summer Time and two hours of Greenwich Mean time, which should not result in too much altering of your diabetes management.

Climate

In Zambia, the period of June to September is the coolest of the year, where average temperatures drop to around 15°C.

Otherwise, the centre of Zambia remains extremely hot all year round, with temperatures more prevalent at 22°C, on average. This heat could lead to enhanced insulin absorption so insulin takers should regularly check their blood sugar levels.

Currency

The currency used in Zambia is the Zambian Kwacha. Certain ATMs will accept certain credit or debit cards, but they can vary across different hotels and cities.

For this reason it is advised to always carry currency with you, with better rates of exchange often found before you arrive in Zambia.

Vaccinations

There are no mandatory vaccinations to enter Zambia, however several are highly recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling. Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Zambia.

It is not recommended for most travellers to receive yellow fever vaccine to enter Zambia, but it should be considered if you are staying a long time or will be heavily exposed to mosquitoes.

The government of Zambia also require proof of yellow fever vaccination if you have travelled from a country with a risk of yellow fever.

Otherwise, the opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Medication

UK citizens with diabetes will not be entitled to any free medication services while in Zambia. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment Treatment will be available from government hospitals, clinics and surgeries, as well as private institutions.

A number of chemists and pharmacies will stock blood and urine testing equipment, as well as some government and private hospitals. Cities are better stocked than rural areas.

The emergency services number to be called in Zambia is 991.

Insulin

You should note which syringes are available in Zambia, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic association to be contacted prior to your arrival in Zambia.

The address is:

• Diabetes Association of Zambia, PO Box 109X, Ridgeway, 10101 Lusaka, Zambia
  Tel: +260-211-253825
  Email: mzcmwansa@yahoo.com

Questions

• What language is spoken in Zambia? Bemba. It is important to learn basic phrases as a minimum requirement before entering Zambia. Only very basic English will be spoken so you will need to research the language to help you in your day-to-day activities.
• Will I need an international driving license when driving in Zambia? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Zambia? Diet versions of most soft drinks

Other highlights of Zanzibar include the House of Wonders and the Old Fort of Zanzibar.

Getting to Zanzibar

Flying to Zanzibar is the only viable form of transportation from the United Kingdom, with flight times, on average, taking around 15 hours.

If you are unsure as to how best to stick to your medication schedule then it is best to discuss a plan with your diabetes team.

Time difference

The time difference in Zanzibar is two hours ahead of British Summer Time and three hours of Greenwich Mean Time.

This should not result in major changes to your diabetes management, but you should consult a member of your diabetes team if you are uncertain regarding medicating in Zanzibar.

It get’s hot!

Temperatures can vary between 15°C-26°C throughout the year, but the average temperature often stands at 20°C, a prime reason for the tourism in Zanzibar.

On occasio, the temperature can soar to around 30°C, and insulin takers should be aware that this kind of heat can enhance insulin absorption.

As a result, blood sugar levels should be attentively checked, while you could consider reducing dosages if planning periods of physical activity.

Currency

The currency used in Zanzibar is the Zanzibar Shilling. There are many ATMs available, as well as Bureau de Changes for currency exchanges, while credit  and debit card payments are mainly accepted in major shops and most hotels and resorts.

Vaccinations

There are no mandatory vaccinations to enter Zanzibar, however several are highly recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Zanzibar.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling.

Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

It is not recommended for all travellers to receive yellow fever vaccine, however, it should be considered if you are staying a long time or will be heavily exposed to mosquitoes.

The government of Tanzania also require proof of yellow fever vaccination if you have travelled from a country with a risk of yellow fever.

Otherwise, the opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Ensuring access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Zanzibar. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Zanzibar, but payment will be required from all pharmacies.

Blood and urine testing equipment is available in Zanzibar, with the ‘OneTouch’ brand of blood glucose meter the most common.

Public hospitals do not have emergency telephone numbers, but several private hospitals will and you can get the telephone numbers from newspapers or telephone directories.

Insulin

You should note which syringes are available in Zanzibar, with U-40 and U-100 syringes most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic associations in Zanzibar. The contact details are:

• Diabetes Association of Zanzibar, PO Box 1902, 000 Zanzibar, Tanzania Tel: +255773194431 Email: diabeteszanzibar@yahoo.com.au

Questions

• What language is spoken in Zanzibar? Swahili and English
• Will I need an international driving license when driving in Zanzibar? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Zanzibar? A variety of soft drinks such as Diet Coke and Diet Fanta are available.

Travelling to Saudi

British pilgrims travelling to perform Umrah and Hajj are required by Saudi government regulations to travel with a United Kingdom travel agency that is accredited with the Royal Embassy of Saudi Arabia.

Shariah law

Islamic law is strictly enforced in Saudi Arabia, which will require researching traditions and customs to ensure you do not offend locals. These include not eating, drinking or smoking in public during the daylight hours of Ramadan.

Getting there

Travelling to Saudi Arabia from the UK is only possible by airplane, with flight times varied depending on which airline you choose.

Flights from London to Riyadh, Saudi Arabia’s capital, can be booked for a shortest trip of less than seven hours, while the average time takes roughly 10 hours.

Time difference

The time difference in Saudi Arabia is two hours ahead of British Summer Time and three hours ahead of Greenwich Mean time, which should not necessitate major changes to your diabetes management.

However, if you are uncertain about managing your diabetes in Saudi Arabia, you should consult a member of your diabetes team.

Climate

Average summer temperatures of 45°C and high temperatures of 54°C are common.

If you take insulin, you should attentively check your blood sugar levels as insulin consumption can be enhanced in warmer weather.

You could consider reducing your dosages before periods of physical activity if you are concerned about hypoglycemia.

Currency

The currency used in Saudi Arabia is the Saudi riyal. Most ATMs accept a substantial number of both regional and international cards, however there is usually a fee for using ATMs which are operated by banks other than your own.

Vaccinations

You should seek to visit your doctor no later than two months before departing the UK to assess which vaccinations you may require before entering Saudi Arabia.

Visitors who are travelling to Saudi Arabia for the Hajj and Umrah pilgrimages to Mecca will need to produce a certificate of vaccination with a quadrivalent meningitis vaccine before they can be issued with a visa. This is also recommended for travellers not going to Mecca.

Otherwise, there are several recommended vaccines for all travellers entering Saudi Arabia, which include hepatitis A, hepatitis B and influenza.

A yellow fever vaccine is required from all travellers entering Saudi Arabia from a country where yellow fever is prevalent. Otherwise, this is not recommended.

Under 15s

Travellers under the age of 15 are required to undergo a polio vaccine if arriving from a country where polio still occurs. A one-time booster is recommended for adult travellers who have not had a vaccine as an adult but completed the childhood series.

A rabies vaccine is also recommended for travellers at high risk for animal bites or involved in any activities that might bring them into direct contact with bats. Both animals are known to carry the disease in Saudi Arabia.

The opportunity to ensure your existing vaccination against tetanus is up to date should also be taken.

Ensuring access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Saudi Arabia. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Saudi Arabia, but payment will be required from all pharmacies. Blood are urine testing kits are available from most pharmacies.

Most pharmacies open from 0930 to 1300, close for the afternoo, and then reopen from 1630 to 2230. Many hospitals in Saudi Arabia also have 24-hour pharmacies in which medication can be collected.

The emergency services number to call for in Saudi Arabia is 997.

Insulin

You should note which syringes are available in Saudi Arabia, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

The diabetic association of Saudi Arabia is the Saudi Diabetes and Endocrine Associatio, which has been a member of the International Diabetes Federation (IDF) since 1991.

The address is:

• Saudi Diabetes and Endocrine Association Al-Thuraya Building, 4th Floor, P.O.Box 1498, 31952 Al-Khobar, Kingdom of Saudi Arabia
  Tel: +966.38878970
  Email: sdea@sdea.org.sa

Questions

• How is blood glucose measured in Saudi Arabia? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Saudi Arabia.
• What language is spoken in Saudi Arabia? Arabic is the official language of Saudi Arabia, but English is widely used throughout the country.
• Will I need an international driving license when driving in Saudi Arabia? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? It is illegal for women to drive in Saudi Arabia.
• What sugar free drinks are available in Saudi Arabia? Most diet drinks available in the UK such as Diet Coke and Diet Vimto are available, as are most artificial sweeteners.

Visiting Singapore

Around 450,000 British tourists visit Singapore every year, which can only be viably accessed from the United Kingdom by airplane.

Flight times from London to Singapore can vary, with the minimum travel time around 13 hours. Longer flights, depending on your airline, can require an increased time of between 15-20 hours.

Time zone

Singapore is seven hours ahead of British Summer Time and eight hours ahead of Greenwich Mean time, which may require alterations to your diabetes management.

If you are uncertain about managing your diabetes in Singapore, you should discuss this with your diabetes team prior to departing.

Climate

Singapore is an incredibly warm country, with average temperatures throughout the year standing at roughly 26°C.

Regardless of what time of year visiting, travellers that take insulin should vigilantly monitor their blood sugar levels as insulin can be absorbed faster in warmer temperatures.

If you are concerned about hypoglycemia, you could consider reducing your dosages, especially before periods of physical activity.

Currency

The currency in Singapore is the Singapore Dollar, while most major credit and debit cards are accepted in all establishments. It is worth noting that a seven per cent Goods and Services Tax is imposed on all purchases, while tipping is not practised in Singapore. This is because most hotels and restaurants already levy a 10% service charge on bills.

Vaccinations

There are no mandatory vaccinations to enter Singapore, however some are recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Singapore.

There is no risk of yellow fever in Singapore, although the government of Singapore requires proof of yellow fever vaccination if you have travelled from a country with a risk of the disease.

Otherwise, the opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Ensuring access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Singapore. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Singapore, but payment will be required from all pharmacies. Blood and urine testing kits are available from most pharmacies.

The emergency services telephone number to be called in Singapore is 995

It is advisable to contact the manufacturing company of your medication prior to leaving the UK to find out what is available in Singapore if your medication gets lost, stolen or damaged. It is also worth checking to see what different names your medication may be listed as.

Insulin

You should note which syringes are available in Singapore, with U-100, U-80 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin If you take, or are given any other strength of insulin (e.g. U-80 or U-40 insulin) whilst abroad, your current doses will not be applicable.

f you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in Singapore that can be contacted for information prior to your stay. The addresses of these associations are:

• Association of Diabetes Educators (a member of the International Diabetes Federation (IDF) since 2011), Blk 141 Bedok Reservoir Road, SG-01 -1529 Singapore 470141
  Telephone: +65-90663805
  Email: adeseducation@gmail.com
  Website: www.ades.org.sg

• Diabetic Society of Singapore (a member of IDF since 1976), 141 Bedok Reservoir Road 01-1529 470141 Singapore, Singapore
  Telephone: +65-6842 3382
  Email: dss@diabetes.org.sg
  Website: www.diabetes.org.sg

Questions

• How is blood glucose measured in Singapore? Blood glucose levels are measured in mg/dl
• What language is spoken in Singapore? Singapore has four official languages – English, Malay, Mandarin and Tamil. Since 1987 English has been the official language in schools, colleges and most businesses.
• Will I need an international driving license when driving in Singapore? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Singapore? Diet Coke, Diet Pepsi and mineral water

Getting to Slovenia

Roughly 100,000 British nationals travel to Slovenia every year, which can be reached from the United Kingdom by airplane, train or car.

Ljubljana, Slovenia’s capital, can be reached by plane from London in roughly four hours.

Train travel can be slightly more unpredictable, with travel times from St Pancras Station taking anywhere between 15 and 22 hours. Driving, meanwhile, can require around 16 hours of time.

If you are uncertain about managing your diabetes in Singapore, you should discuss this with your diabetes team prior to departing.

Time zone

The time difference in Slovenia is one hour ahead of British Summer Time and two hours ahead of Greenwich Mean time, which should not require excessive adjustments to how your manage your diabetes.

Climate

The average climate in Slovenia is similar to that of the UK, although summer temperatures are higher and can rest at around 21°C.

Considerable heat can lead to enhanced insulin absorption and it is critical for insulin takers to check blood sugar levels scrupulously, especially during periods of physical activity.

Currency

The currency in Slovenia is the Euro.

ATMs are widely scattered across the country and most major credit and debit cards are accepted at shops, restaurants and hotels.

Vaccinations

There are no mandatory vaccinations required to enter Slovenia, but it is recommended to receive vaccination for hepatitis A, which can be contracted through contaminated food and water in Slovenia.

Rabies can be found in bats, dogs and other animals in Slovenia. This is not a major risk for travellers, but vaccination is advised for children, people who working with animals or planning activities in remote regions that put them at risk of bat bites.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Ensuring access to medication

Medication is available in Slovenia, but payment is required from a pharmacy

Possessing a GHIC card, however, allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK.

Blood and urine testing kits are available from many pharmacies in Slovenia, for which the translation in Slovenian for pharmacy is “lekarna”.

The emergency services telephone number to be called in Slovenia is 112.

Insulin

You should note which syringes are available in Slovenia, with U-40 and U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is diabetic association in Slovenia that can be contacted for information prior to your stay. The address is:

• Zveza Drustev Diabetikov Slovenije (a member of the International Diabetes Federation (IDF) since 1994), Kamniška ulica 25, 1000 Ljubljana, Slovenia
  Tel: +386-1-430 5444
  Email: sloda@siol.net

Questions

• How is blood glucose measured in Slovenia? Blood glucose levels are measured in mmol/l, as they are in the UK
• What language is spoken in Slovenia? Slovenian. Locals in a customer service environment will have a grasp of English, but it will pay to learn some basic Slovenian phrases to assist in your day-to-day activities.
• Will I need an international driving license when driving in Slovenia? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Slovenia? Juices and lemonade made by Dana and Fruchtal and mineral water

Popular for Brits

Around 12 million British nationals visit Spain each year, which can be accessed by either airplane, train, ferry or car from the United Kingdom.

By plane

Travelling by airplane from Birmingham to Madrid should take around five hours, on average, while taking the train can result in a 10-hour journey if you leave in the morning. Leaving the UK by train in the evening will require a second day of travel.

Ferry

Taking the ferry to Spain will again see you spend roughly a day travelling, at least between Portsmouth and Bilbao, but that is without the addition of any other transport to further locations.

Driving

Driving from London to Madrid, meanwhile, will take around 17 hours, which will increase to roughly 20 hours if you are driving further south to Cordoba, for example.

Time zone

Spain is one hour ahead of British Summer Time and two hours ahead of Greenwich Mean Time.

If you are unsure as how to manage your diabetes in Spain, you should discuss this with your diabetes team prior to arriving.

Climate

Spain is incredibly warm during the summer, with average temperatures of around 22°C lasting throughout June and September.

Considerable heat can lead to enhanced insulin absorption and it is critical for insulin takers to check blood sugar levels scrupulously.

You could consider reducing dosages, especially before periods of physical activity, if you are worried about hypoglycemia.

Currency

The currency in Spain is the Euro, although many restaurants, hotels and shops will accept credit and debit cards for certain purchases. ATMs are also scattered frequently across all major Spanish cities.

Vaccinations

There are no mandatory vaccinations required to enter Spain, however rabies is present in bats in Spain, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Spain is amongst the European countries that allow you to receive state healthcare either at a reduced cost or sometimes for free when on a temporary stay. It will cover you for medical treatment until you return to the UK.

The Spanish health authority will determine if the treatment you require is considered necessary and which cannot wait until your return to the UK.

Ensuring access to medication

Medication is available in Spain, but payment is required from a pharmacy, for which the Spanish translation is “ Farmacia”.

However, possessing an EHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK. Blood and urine testing kits are available from any pharmacy in Spain.

The emergency services telephone number in Spain is 112.

Insulin

Note which syringes are available in Spain, with U-100, U-80 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note any of the diabetes associations in the country, or countries, that you are travelling to.

There are two diabetic associations in Spain that can be contacted for information prior to your stay.

The addresses of these associations are:

• Sociedad Espanola de Diabetes (a member of the International Diabetes Federation since 2000), Eugenio Salazar 23 Entreplanta B, 28002 Madrid, Spain
  Tel: +34-91-4013342
  Email: meugeniaruiz@sediabetes.org

• Federación de Diabéticos Españoles (a member of the IDF since 2013), C/ de la Habara 35 posterior, Centro Civico “La Avanzada”, ES-28945 Fuenlabrada – Madrid, Spain
  Tel: +34-91-6908840
  Email: fede@fedesp.es

Questions

• How is blood glucose measured in Spain? Blood glucose levels are measured in mg/dl
• What language is spoken in Spain? Spanish, although many locals will have a basic grasp of English, especially those that work in a customer service environment.
• Will I need an international driving license when driving in Spain? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Spain? Most diet soft drinks, such as Diet Coke, Diet Pepsi and mineral water

Getting to Sudan

To reach Sudan from the United Kingdom you will need to travel by airplane, which is the only viable form of transportation.

Travelling from London to Khartoum, the capital of the Suda, can take a minimum of 10 hours, but this can extend to between 15-20 hours with different airlines.

FCO advice

The following parts of Sudan are not advised to be travelled to by the Foreign and Commonwealth Office (FCO):

• Darfur, the Red Sea State border with Eritrea
• The Abyei region
• Southern Kordofan and Blue Nile states
• Areas of Northern Kordofan and
• White Nile states south of the Kosti-El Obeid-En Nahud road.

The FCO also advise against all but essential travel to the areas west of the En-Nahud in North Kordofan towns up to the Darfur border.

Time difference

The time difference in Sudan is two hours ahead of British Summer Time and three hours of Greenwich Mean time, which should not result in too much altering to your diabetes management.

However, if you are unsure as how to manage your diabetes in Suda, you should discuss this with your diabetes team prior to arriving.

Climate

Sudan is a blisteringly hot country and extreme caution should be taken by insulin takers.

Average summer temperatures remain at around 35°C, which can lead to enhanced insulin absorption.

It is therefore critical to check your blood sugar levels vigilantly, especially if you are undertaking physical activity.

Currency

The currency used in Sudan is the Sudanese pound. It is advised to obtain currency before you depart the UK to secure the best rates, while there are no international ATMs in South Sudan and most hotels do not accept most credit or debit cards.

Vaccinations

There are no mandatory vaccinations to enter Suda, however several are highly recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A, polio and typhoid. Hepatitis A and typhoid can be contracted through contaminated food or water.

Polio, meanwhile, will be required if you were vaccinated as a child but have not had a polio booster as an adult, or if you were not completely vaccinated as a child and do not know your vaccination status.

If you plan to be in Sudan for more than four weeks, the Sudanese government may require you to show proof of polio vaccination when exiting the country.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Sudan.

Yellow fever is a risk in certain parts of Suda, so it is recommended that travellers under the age of nine months should receive immunisation. The government of Sudan also require proof of yellow fever vaccination if you have travelled from a country with a risk of yellow fever.

Vaccination against meningitis is recommended for travellers planning to visit Sudan during its dry season of December–June, in which the disease is most common.

Access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Sudan. Diabetic medication is available in Suda, but payment will be required. Upon payment, treatment is available either in a private hospital or government hospital. Government hospitals are available 24 hours a day. Blood and urine testing kits are available.

The number to call in case of an emergency in Sudan is 999.

Insulin

You should note which syringes are available in Suda, with U-80, U-40 and U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Questions

• How is blood glucose measured in Sudan? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Sudan.
• What language is spoken in Sudan? Arabic, but English is quite widely spoken as well
• Will I need an international driving license when driving in Sudan? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Sudan? Soda water, although drinks can be made sugar free on request at certain establishments

Otherwise there are plenty of attractions for the whole family such as Skanse, an open-air museum and zoo.

Visiting Sweden

Stockholm, the capital of Swede, can be reached by an airplane travelling from London in around two-and-half-hours on a non-stop flight.

Driving this trip, meanwhile, can take 22 hours, while taking the train from St Pancras Station will require at least a full day’s travelling time, plus a few extra hours.

If you are uncertain about managing your diabetes while travelling to Sweden you should discuss this with your diabetes team.

Time difference

Sweden is one hour ahead of British Summer Time and two hours ahead of Greenwich Mean time, which should not greatly affect your diabetes management.

Climate

Sweden generally has a colder climate than the UK, with similar summer temperatures but much more severe winters which regularly see the average temperature fall below freezing.

Currency

The Swedish Krona is the currency of Swede, although ATMs are frequently available and most major credit cards (some restriction may apply to American Express) are widely accepted throughout Sweden at banks, hotels, shops and restaurants.

Vaccinations

There are no mandatory vaccinations required to enter Swede, however rabies is present in bats in Swede, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Access to medication

Medication is available in Swede, but payment is required from a pharmacy, for which the Swedish translation is ‘Apotek’.  However, possessing a GHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK.

Most Norwegian pharmacies are open from Monday to Friday between 1000-1800 and 1000-1400 on Saturdays, although this can vary locally. In every major city you will be able to find a 24-hour pharmacy.

The number to be called in case of an emergency in Sweden is 112.

Insulin

You should note which syringes are available in Swede, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in Sweden. The contact details and addresses are is:

• Svenska Diabetesforbundet (a member of the International Diabetes Federation (IDF) since 1950), PO Box 1107, Sturegatan 4A, 172 22 Sundbyberg, Sweden Telephone: +46-8-56482100 Email: info@diabetes.se
• Swedish Society for Diabetology (a member of the IDF since 1991), c/o Endocrine and Diabetes Center, Dpt of Internal Medicine, Central Hospit, 65185 Karlstad, Sweden Email: stefan.jansson@orebroll.se

Questions

• How is blood glucose measured in Sweden? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Sweden
• What language is spoken in Sweden? Swedish, although most Swedes have a  good understanding of English and speak it very well
• Will I need an international driving license when driving in Sweden? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Sweden? The same drinks that are available in most European countries, such as Diet Coke, Diet Sprite and mineral water

Lake Geneva also provides sensational photo opportunities, while the climate in Switzerland is very similar to that of the United Kingdom.

Visiting Switzerland

Switzerland can be accessed from the United Kingdom most easily by plane, car or train.

Travelling by plane from London to Geneva, the second most populous city in Switzerland, on a non-stop flight will take around one hour and 40 minutes.

Driving, meanwhile, will see you absorb the sights of France, with journey times around 11 hours. The train, departing from St Pancras International, will take slightly less than this at an average of roughly eight hours.

If you are unsure as to how best to stick to your medication schedule then it is best to discuss a plan with your diabetes specialist.

Time difference

Switzerland is one hour ahead of British Summer Time and two hours ahead of Greenwich Mean time, which should not require significant adjustments to your diabetes management.

Currency

The currency in Switzerland is the Swiss Franc. ATMs are found in high frequency and offer favourable exchange rates as a convenient way of obtaining francs. Otherwise, most major credit and debit cards are accepted across establishments such as supermarkets and restaurants.

Vaccinations

There are no mandatory vaccinations required to enter Switzerland, however, rabies can be found in bats in Switzerland, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Access to medication

Diabetic medication is available in Switzerland, but payment is required from a pharmacy. However, possessing an EHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK.

The emergency services telephone number to be called in Switzerland is 112

It is advisable to contact the manufacturing company of your medication prior to leaving the UK to find out what is available in Switzerland if your medication gets lost, stolen or damaged.

It is also worth checking to see what different names your medication may be listed as.

Insulin

You should note which syringes are available in Switzerland, with U-100, U-80 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic association in Switzerland, the addresses is:

• Schweizerische Diabetes-Gesellscheft (a member of the International Diabetes Federation (IDF) since 1958), Rütistrasse 3a, 5400 Bade, Switzerland
  Tel: +41-56-2001790
  Email: sekretariat@diabetesgesellschaft.ch

Questions

• How is blood glucose measured in Switzerland? Blood glucose levels are measured in mmol/l, as they are in the UK.
• What language is spoken in Switzerland? German is mostly spoke, although French and Italian are common as well.
• Will I need an international driving license when driving in Switzerland? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Switzerland? Soda water and artificially sweetened mineral water in different flavours

Getting to Tanzania

Around 75,000 British nationals visit Tanzania every year, which is only feasibly accessible by airplane, or a car journey of roughly 150 hours.

Flying from London to Arusha Airport, for example, can produce a selection of flight times that will depend on your airline and how many stops you make.

Flights can range between 17-25 hours in most cases, but other flights could require a travel time of nearer 44 hours.

If you are unsure as to how to manage your medication while in the air then you should discuss a plan with your diabetic specialist.

Time difference

The time difference in Tanzania is two hours ahead of British Summer Time and three hours of Greenwich Mean time, which should not result in drastic altering of your diabetes management.

Climate

In Tanzania, which is just south of the Equator, the period of June to September is the coolest, but average temperatures still remain at around 20°C.

If you take insulin, be wary that insulin absorption can be enhanced in warmer temperature and additional monitoring of blood sugar levels will be required.

Currency

The currency used in Tanzania is the Tanzanian Shilling. Exchanging money in Tanzania is possible in most populated areas, although the rates are usually worse in hotels than banks.

Vaccinations

There are no mandatory vaccinations to enter Tanzania, however several are highly recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling. Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

It is not recommended for all travellers to receive yellow fever vaccine, however, it should be considered if you are staying a long time or will be heavily exposed to mosquitoes.

The government of Tanzania also require proof of yellow fever vaccination if you have travelled from a country with a risk of yellow fever.

Access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Tanzania. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Tanzania, but payment will be required from all pharmacies.  You will be able to obtain urine testing equipment, although blood testing equipment is not widely available in rural areas. It is, however, available in most major towns and cities.

The number to call in case of an emergency in Tanzania is 111

Insulin

You should note which syringes are available in Tanzania, with U-100, U-80 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin.

If you take, or are given any other strength of insulin (e.g. U-80 or U-40 insulin) whilst abroad, your current doses will not be applicable.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in Tanzania. Their contact details are:

• Diabetes Association of Zanzibar (a member of the International Diabetes Federation (IDF) since1991), PO Box 1902, 000 Zanzibar, Tanzania, Tel: +255773194431 Email: diabeteszanzibar@yahoo.com.au
• Tanzania Diabetes Association (a member of IDF since 1994), Makuti, PO Box 65201, Dar Es Salaam, Tanzania Tel: +255-22-2114991 Email: tdassociation@gmail.com

Questions

• What language is spoken in Tanzania? Kiswahili. It is important to learn basic Kiswahili phrases as a minimum requirement before entering Tanzania. Only very basic English will be spoken so you will need to research the language to help you in your day-to-day activities.
• Will I need an international driving license when driving in Tanzania? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Tanzania? Soda water

The vast Lumphini Park and Railay Beach also provide memorable excursions for tourists.

Popular tourist destination

Thailand is very popular with British tourists, with over 800,000 British nationals visiting Thailand every year. Given its 5,862-mile distance from the United Kingdom, Thailand is only accessible by airplane.

Flight time

Flight time from London to Bangkok, Thailand’s capital, can take a minimum of just over 11 hours, but this can increase to between 14-15 hours depending on airlines and stop durations.

If you are unsure as to how best to stick to your medication schedule then it is best to discuss a plan with your diabetes specialist.

Time zone

Thailand is six hours ahead of British Summer Time and seven hours ahead of Greenwich Mean time, which may require alterations as to how your manage your diabetes.

This should be planned for in advance with a member of your diabetes team.

Climate

The average temperature of Thailand remains at around 28°C all-year round.

Considerable heat can lead to enhanced insulin absorption and it is critical for insulin takers to check blood sugar levels scrupulously.

You could consider reducing dosages, especially before periods of physical activity, if you are worried about hypoglycemia.

Currency

The currency in Thailand is the Thailand Baht. Foreign Exchange booths are very common, while there are no charges for bringing home currency with you and exchanging it into baht.

Vaccinations

There are no mandatory vaccinations to enter Thailand, however some are recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Thailand.

Vaccination against Japanese Encephalitis may also be recommended for travellers visiting remote areas of Thailand for more than a month, depending on what time of year you are travelling.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling. Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

There is no risk of yellow fever in Thailand, although the government of Thailand requires proof of yellow fever vaccination if you have travelled from a country with a risk of the disease.

Access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Thailand. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

You will need to carry your passport and insurance documents as identification to receive treatment.

The emergency services telephone number to be called in Thailand is 1554.

It is advisable to contact the manufacturing company of your medication prior to leaving the UK to find out what is available in Thailand if your medication gets lost, stolen or damaged.

It is also worth checking to see what different names your medication may be listed as.

Insulin

You should note which syringes are available in Thailand, with U-100, U-80 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic association in Thailand that can be contacted for information prior to your stay.

The address of this association is:

• Diabetes Association of Thailand, Royal Golden Jubilee Building, Floor 10, 2 Soi Petchburi 47, Petchburi Road, Bangkapi, HuayKwang, 10310 Bangkok, Thailand
  Tel: +662-7165412
  Email: dm.thai@diabassocthai.org

Questions

• How is blood glucose measured in Thailand? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Thailand
• What language is spoken in Thailand? Thai, although many locals, especially in a customer service environment, will have a grasp of English
• Will I need an international driving license when driving in Thailand? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Thailand? Mineral water, soda and canned soft drinks

Over 30,000 British nationals visit Trinidad and Tobago every year, which is only accessible from the United Kingdom by airplane.

Getting to Trinidad

Flying from the UK will require an exceptionally long travel time, with the journey from Birmingham to Port of Spain, Trinidad and Tobago’s capital, taking 21 hours, on average.

You should discuss a plan to best manage your diabetes prior to departure with a member of your diabetes team.

Time difference

Trinidad and Tobago is three hours behind British Summer Time and four hours behind Greenwich Mean time, which should only cause minimal disruption to your diabetes management.

If you are uncertain about managing your diabetes in Trinidad and Tobago you should discuss this with your diabetes specialist.

Climate and taking care

The climate of Trinidad and Tobago is consistently around 25°C all-year round, which will require vigilant checking of blood sugar levels for insulin takers as warmer temperatures can result in enhanced insulin absorption.

Currency

The currency used in Trinidad and Tobago is the Trinidad and Tobago Dollar. Not all ATMs  accept all types of cards, it would therefore be advised to either arrive with money or secure an exchange as soon as you land.

Vaccinations

There are no mandatory vaccinations to enter Trinidad and Tobago, however some are recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by bats in Trinidad and Tobago.

Yellow fever is a risk in certain sections of Trinidad and Tobago, so vaccination is advised for travellers over nine months of age. The government of Trinidad and Tobago also requires proof of yellow fever vaccination if you have travelled from a country with a risk of the disease.

Access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Trinidad and Tobago. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

You will able to obtain treatment at both public institutions (where charges are minimal) and private institutions (where treatment is more costly).

Some brands of blood and urine testing equipment are available at all times. The Diabetes Association of Trinidad and Tobago monitors availability and costs since occasionally there may be shortages of specific brands.

The emergency services telephone number to be called in Trinidad and Tobago is 990.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic association in Trinidad and Tobago, the address is:

• Diabetes Association of Trinidad and Tobago 10-12 Success Street, 500235 Chaguanas, Trinidad and Tobago
  Tel: +1-868-6553704
  Email: diabetes.association_tt@yahoo.com

Questions

• How is blood glucose measured in Trinidad and Tobago? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Trinidad and Tobago
• What language is spoken in Trinidad and Tobago? English
• Will I need an international driving license when driving in Trinidad and Tobago? No. A British license is valid for up to 30 days
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Trinidad and Tobago? A variety of commercial diet drinks

Popular destination for British tourists

Tunisia is accessible from the United Kingdom by either airplane or substantially longer train or car trips.

Getting to Tunis

Flying from London to Tunis, the capital of Tunisia, can take a variety of times depending on your airlines. Some can complete the trip in between three and five hours, while this can also extend to between 13-15 hours.

However, driving this trip, or taking a combination of train and ferry can require over 30 hours travelling.

If you have doubts regarding managing your diabetes while travelling to Tunisia, you should consult your diabetes specialist prior to departure.

FCO advice

The Foreign and Commonwealth Office (FCO) advises against all travel to certain sections of Tunisia for the safety of visitors, including:

• the militarized zone south of, but not including, the towns of El Borma and Dhehiba
• the area of the Chaambi Mountain National Park
• the border crossing points at Ghardinaou, Nefta and El Kef between Tunisia and Algeria
• within 5km of the Libya border area from north of Dhehiba up to, but not including the Ras Jedir border crossing

Several areas of Tunisia have declared military zones and visitors should scrupulously research their destination and any safety restrictions that may apply.

Time zone

The time difference in Tunisia is the same as British Summer Time and one hour ahead of Greenwich Mean Time.

Climate

The average climate in Tunisia is vastly hotter than that of the UK, with the summer period of June-September seeing average temperatures of roughly 26°C.

Insulin takers should be wary as warmer temperatures can enhance insulin absorption. Subsequently, additional checking of blood sugar levels is advised.

Vaccinations

There are no mandatory vaccinations to enter Tunisia, however some are recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Tunisia.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling. Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

There is no risk of yellow fever in Tunisia, although the government of Tunisia requires proof of yellow fever vaccination if you have travelled from a country with a risk of the disease.

Getting medication when in Tunisia

UK citizens with diabetes will not be entitled to any free medication services while in Tunisia. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Tunisia, but payment will be required from all pharmacies. Blood and urine testing equipment is available from most pharmacies.

The emergency services telephone number to be called in Tunisia is 197.

Insulin

You should note which syringes are available in Tunisia, with U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you take, or are given any other strength of insulin (e.g. U-80 or U-40 insulin) whilst abroad, your current doses will not be applicable.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There is one diabetic association in Tunisia.

The address is:

• Association Tunisienne des Diabetiques, Boulevard 9 Avril, Immeuble SNIT – app 5L2, 1006 Tunis, Tunisia Tel: +216-71-569096 Email: association.diabetiques@planet.tn

Questions

• How is blood glucose measured in Tunisia? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Tunisia
• What language is spoken in Tunisia? Arabic, although French is often used as the language of commerce. It is advised to learn enough basic Arabic phrases, as well as those relating to your diabetes, to engage in day-to-day conversation as not all locals will have a grasp of English
• Will I need an international driving license when driving in Tunisia? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Tunisia? Mineral water and soft drinks such as Diet Coke

Visiting America

Around 5.5 million British nationals visit USA each year, which can be accessed only by airplane given its 4,242-mile distance from the United Kingdom.

The USA is roughly 3,000 miles wide and travel times will therefore depend on which part of the country you are visiting. Travelling to London to New York, for example, can take a minimum time of eight hours, while departure from London to Texas can require a minimum flight time of nine-and-a-half hours.

Regardless of where you are visiting, you should expect to be in the air a long time, which will in likelihood require medication when on board the plane.

If you are unsure as to how to manage your medication while in the air then you should discuss a plan with your diabetic specialist.

Time difference

The time differences in USA are again dependent on your destination. Miami is four hours behind Greenwich Mean Time (GMT), while Hawaii is 10 hours behind GMT. It is essential to assess your time difference before arriving in USA to analyse your medication plan.

Summer periods in many USA states such as Texas, California and Florida can see exceptionally hot weather welcome travellers.

Control in warmer climates

If you take insulin, be wary that insulin absorption can be enhanced in warmer climates. You will need to regularly check blood sugar levels, especially if you are undertaking physical activity.

Currency

The currency used in USA is the US Dollar, although ATMs are easily accessible and most credit and debit cards will be accepted when paying for goods.

Vaccinations

There are no mandatory vaccinations required to enter USA, but this opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Getting medication in the USA

UK citizens with diabetes will not be entitled to any free medication services while in USA. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in USA, but payment will be required from all pharmacies. Blood and urine testing kits are available from pharmacies in USA.

The emergency services telephone number to be called in Thailand is 1554.

Insulin

You should note which syringes are available in USA, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you take, or are given any other strength of insulin (e.g. U-80 or U-40 insulin) whilst abroad, your current doses will not be applicable.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in the USA, which are:

• American Association of Diabetes Educators (a member of International Diabetes Federation (IDF) since 2011), 200 W. Madison Street, Suite 800, IL 60603-1901 Chicago, USA Tel: +1-800 3383633 Email: communications@aadenet.org
• American Diabetes Associatio, (a member of the IDF since 1950), 1701 North Beauregard Street, Alexandria, VA 22312, USA Tel: +1-703-5491500 Email: lcann@diabetes.org

Questions

• How is blood glucose measured in USA? Blood glucose levels are measured in mg/dl
• What language is spoken in USA? English
• Will I need an international driving license when driving in USA? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in USA? A wide variety of diet, or sugar-free drinks, are available, including Diet Coke and Diet Soda

Thinking of visiting?

Around 9,500 British nationals visit Venezuela every year, but the Foreign and Commonwealth Office (FCO) advises against all travel to within 80km of the Colombian border in the states of Zulia, Tachira and Apure.

The FCO also advises against all but essential travel to the remainder of Tachira state.

13 hour flight

Venezuela is 7,745 km from the United Kingdom and is only accessible by airplane, with rare flights from London to Caracas, Venezuela’s capital, taking travellers around 13 hours.

Most flights will take around 28 hours, but this can increase to between 40-50 hours depending on which airline you use and how long stops take.

If you are unsure as to how to manage your medication while in the air then you should discuss a plan with your diabetic specialist.

Time zone

Venezuela has a unique time zone that is four-and-a-half hours behind Greenwich Mean Time.

This may affect your diabetes management and you should consult a member of your diabetes team if you have any concerns regarding medication in Venezuela.

Climate

The climate of Venezuela depends on whereabouts you travel to, but the average climate of Caracas sees average temperatures of around 28°C all-year round.

If you take insulin, you should attentively check your blood sugar levels as insulin consumption can be enhanced in warmer weather.

You could consider reducing your dosages before periods of physical activity if you are concerned about hypoglycemia.

Currency

The currency used in Venezuela is the Venezuelan Bolívar.  It is wise to obtain currency before you leave for Venezuela as exchange rates will be better, while paying with foreign credit cards can result in quite substantial charges.

Vaccinations

There are no mandatory vaccinations to enter Venezuela, however some are recommended. You should consult your doctor eight weeks prior to your departure in order to receive the vaccinations in time.

All travellers are recommended to get vaccinations for hepatitis A and typhoid, which can both be contracted through contaminated food or water.

Some travellers are also recommended to receive vaccinations for other diseases, including hepatitis B and rabies, which can be carried by dogs, bats and other mammals in Venezuela.

You should also talk to your doctor about how to prevent the contraction of malaria while travelling. Your doctor may prescribe you medication before, during and after your stay and will advise you on what to do to avoid getting malaria.

There is no risk of yellow fever in Venezuela, although the government of Venezuela requires proof of yellow fever vaccination if you have travelled from a country with a risk of the disease.

Access to medication

UK citizens with diabetes will not be entitled to any free medication services while in Venezuela. Securing comprehensive medical insurance will be essential in order to obtain even basic treatment.

Diabetic medication is available in Venezuela, but payment will be required from all pharmacies, for which the Spanish translation is “ Farmacia”.

Blood testing equipment is widely available at medical supplies stores, as well as larger pharmacy stores. Urine testing kits s less available, but you should be able to obtain urine testing strips at diabetes associations in Venezuela.

The emergency services telephone number to be called in Venezuela is 171.

Insulin

You should note which syringes are available in Venezuela, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in Venezuela, the addresses are:

• Federacion Nacional de Asociaciones y Unidades de Diabetes (a member of the International Diabetes Federation (IDF) since 2000), Colegio Médico del Estado Miranda, Av El Golf, Qta 76, El Bosque, 1050 Caracas, Venezuela, Tel: +58-212-7313039 Email: fenadiabetes@gmail.com
• Sociedad Venezolana de Endocrinologia y Metabolismo (a member of the IDF since 1982), Veracruz con Principal de Las Mercedes, Res. La Hacienda piso 5 Oficina 35-O Urb, 1060 Las Mercedes, Venezuela, Tel: +58-212-660 7994 Email: svem1957@gmail.com

Questions

• How is blood glucose measured in Venezuela? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Venezuela
• What language is spoken in Venezuela? Spanish. Some locals in a customer service environment may know English, but it will be greatly beneficial to learn some general phrases to assist in your day-to-day activities. Learning phrases relating to your diabetes will be essential should you, or a member of your party, require medical assistance.
• Will I need an international driving license when driving in Venezuela? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Venezuela? Light coke, Pepsi light, Laim free and Chinotto light

The Foreign and Commonwealth Office (FCO) advise against all travel to the breakaway regions of South Ossetia and Abkhazia, for the safety of visitors.

All but essential travel to the areas near the Administrative Boundary Lines with Abkhazia and South Ossetia is also unadvised.

Getting to Georgia

Tbilisi, the capital of Georgia, can be accessed in a number of different ways.

Flight times from London to Tbilisi can vary, with certain flights arriving in around seven hours, while others, depending on airlines and stops, can take 13 hours or on rare occasions well over.

Driving or train travel, meanwhile, can require between two and three days of travel.

Time zone

Georgia is three hours ahead of British Summer Time and four hours ahead of Greenwich Mean time, which which may not require major alterations to your diabetes management.

However, if you are unsure as to how best to stick to your medication schedule then it is best to discuss a plan with your diabetes specialist.

Climate

Georgia has a similar climate to the UK, except summers have a tendency to be warmer, with average temperatures of around 25°C.

Hot weather can lead to enhanced insulin absorption so insulin takers should be attentive in checking blood sugar levels, especially during periods of activity.

If you are susceptible to hypoglycemia, you should carry sugar on you at all times.

Currency

The currency in Georgia is the Georgian lari, with ATMs widely available for money exchange throughout the country.

Vaccinations

There are no mandatory vaccinations required to enter Georgia, but it is recommended for most travellers to receive vaccination for hepatitis A, which can be contracted through contaminated food and water.

Rabies can be found in dogs, bats and other mammals in Georgia. This is not a major risk for travellers, but vaccination is advised for people who will be working with or around animals, children, or those planning activities in remote regions that put them at risk of animal bites.

If you believe you may require these vaccines then you should consult your doctor at least eight weeks before travelling which should allow enough time for you to receive them.

Otherwise, the opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Insulin

You should note which syringes are available in Georgia, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Getting medication when in Georgia

Georgia has a reciprocal healthcare agreement with the United Kingdom. Your passport will need to be shown as identification when purchasing medication, but it will be provided at a reduced cost or, in some cases, free.

Some medical treatment will be free, but prescription medicines will normally require payment. Blood are urine testing equipment is available from most pharmacies in Georgia.

The emergency services telephone number to be called in Georgia is 112

It is advisable to contact the manufacturing company of your medication prior to leaving the UK to find out what is available in Georgia if your medication gets lost, stolen or damaged. It is also worth checking to see what different names your medication may be listed as.

Diabetes associations

There is one diabetic association in Georgia that can be contacted for information prior to your stay. The address of this association is:

• Georgian Union of Diabetes and Endocrine Associations (a member of the International Diabetes Federation (IDF) since 1994), National Centre for Diabetes Research, 1 Chachava Street, 0159 Tbilisi, Georgia Tel: +995-32-517654 Email: diabet@access.sanet.ge

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

Questions

• How is blood glucose measured in Georgia? Unfortunately, we do not have the information of whether blood glucose is measured in mg/dl or mmol/l in Georgia
• What language is spoken in Georgia? Georgian and Russian. It wise to learn some basic Georgian phrases to assist in your day-to-day activities
• Will I need an international driving license when driving in Georgia? Yes
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Georgia? Diet Coke, Diet Fanta and mineral water, among others

The climate in Poland is very similar to that of the UK.

Visiting Poland

Poland can be accessed from the United Kingdom either by airplane, train or a lengthy journey by car.

Flying to Poland

Flying from Birmingham to the capital of Poland, Warsaw, can take just over four hours, depending on your airline, but this can increase to between seven-eight hours if your stops last longer.

Car

This journey will take around 19 hours by car, while the train from St Pancras International to Warsaw will require a journey time of just over four hours.

Ferry

Ferry trips can be made, but not directly to Poland and will require at least two days worth of travel.

If you are unsure as to how best manage your diabetes schedule while travelling to Poland then you should discuss a plan with your diabetes specialist.

Time difference

Poland is one hour ahead of British Summer Time and two hours ahead of Greenwich Mean time, which should not require any significant adjustments to the way you manage your diabetes.

Currency

The currency in Poland is the Polish Złoty. Some establishments, such as supermarkets, accept Euros, while ATMs are scattered across Poland.

Vaccinations

There are no mandatory vaccinations required to enter Poland, however, most travellers are recommended to receive the hepatitis A vaccine which can be caught in Poland through contaminated food or water.

Rabies can be found in bats in Poland, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Insulin

You should note which syringes are available in Poland, with U-100 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Getting medication in Poland

Diabetic medication is available in Poland, but payment is required from a pharmacy, for which the Polish translation is “Apteka ”

However, possessing a GHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK.

There are two emergency services telephone number to be called in Poland. 112 is an all-service emergency number, with 999 also used for an ambulance.

Diabetes associations

It is important to note any of the diabetes associations in the country, or countries, that you are travelling to. There are two diabetic associations is Poland, the addresses are:

• Polskie Stowarzyszenie Diabetykow ul. Gdanska 10, 85-006 Bydgoszcz, Poland Tel/Fax: +48 52 346 06 92 Email: biurozg@diabetyk.org.pl
• Polskie Towarzystwo Diabetologiczne Chorób Wewnetrznych-Diabetologii i Nefr, Ul 3-go Maja 13/15, 41-800 Zabrze, Poland Tel: +48-42-6776 672 Email: czupryniak@yahoo.co.uk

Questions

• How is blood glucose measured in Poland? Blood glucose levels are measured in mmol/l, as they are in the UK.
• What language is spoken in Poland? Polish, although many locals will have a good grasp of English.
• Will I need an international driving license when driving in Poland? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Poland? Hortex-light drinks, Pepsi Max, Diet Coke and mineral water

Roughly two million British nationals visit Germany each year, which can be accessed from the United Kingdom either by airplane or a lengthy journey by train or car.

Getting to Germany

A train journey from London to Berli, Germany’s capital city, can last 13 hours minimum if you are travelling from St Pancras International station. The duration of the same trip by car could take anywhere between 12 and 13 hours.

For those who are flying to Germany, an expected journey length of just under two hours can be expected if you are travelling from London.

Time zone

Travellers must account for the time difference in Germany, which is two hours ahead of Greenwich Mean Time.

If you are unsure as to how best to adaptyour medication schedule then it is best to discuss a plan with your diabetes specialist.

Familiar climate

The average climate across Germany is very similar to that of the UK, so travellers with diabetes should have no problems adapting to the weather.

Diabetes associations

There are two diabetic associations is Germany, it is important to note these before entering Germany or any other countries that you may be travelling to. The addresses are:

• Reinhardtstrasse 31, 10117 Berli, Germany Tel: +49-30-20167710 Email: info@diabetesde.org
• Deutsche Diabetes – Union EV, DDU, German Diabetes Unio, Staffelseestr.6, 81477 Münche, Germany Tel: +49-89-51399283 Email: info@diabetes-union.de

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

Currency

Germany’s currency is the Euro, although many restaurants, hotels and shops will accept credit and debit cards, while money can be exchanged within hotels and money exchange services.

Vaccinations

There are no mandatory vaccinations required to enter Germany, however rabies is present in bats in Germany, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

If you believe you may require this vaccine then it is advised to consult your doctor eight weeks before travelling which should allow enough time for you to receive it.

Otherwise, the opportunity should be taken to ensure existing vaccinations such as your yearly flu jab and those against polio and tetanus are also up to date.

Insulin

You should note which syringes are available in Germany, with U-100 and U-40 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin , say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Access to medication

Diabetic medication is available in Germany, but payment is required from a pharmacy, for which the German translation is “Apotheke ”

However, possessing a GHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK.

Pharmacy opening hours are usually 0900-1830 on weekdays, while the opening times on Saturdays are reduced to 0900-1300. On occasio, some pharmacies may stay open on a Saturday until 1600, while in emergencies, there is always at least one pharmacy opening day and night in every area.

The emergency services number to be called in Germany is 112.

Questions

• How is blood glucose measured in Germany? Blood glucose levels are measured in mg/dl
• What language is spoken in Germany? Germa, although many locals will have a grasp of English, especially those that work in a customer service environment.
• Will I need an international driving license when driving in Germany? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Germany? Germa, although many locals will have a grasp of English, especially those that work in a customer service environment.

Popular destination

Around 2.1 million British nationals visit Portugal every year, which can be accessed from the United Kingdom by airplane, car, train and ferry.

Airplane is the quickest form of transportatio, with a flight from London to Lisbon, the capital of Portugal, taking just under three hours on average.

Taking this trip by train will require at least two days’ travel, driving will take around 21 hours, while the ferry can be travelled from Plymouth to Santander, however, additional arrangements will need to be in place to get you into Portugal.

If you are unsure as how to manage your diabetes while travelling Portugal, you should discuss this in advance with your diabetes team.

Time zone

Portugal is one hour ahead of Greenwich Mean time, which will not necessitate major changes to your diabetes management. However, it is always best to check online as daylight savings can ensure the time zones are the same.

Climate

Portugal has a very enjoyable climate, with warm winters and beautiful summers.

Average summer temperatures reach around 25°C across most of the country.

Regardless of what time of year visiting, travellers taking insulin should vigilantly monitor their blood sugar levels as insulin absorption can be enhanced in warmer temperatures.

You could consider reducing your dosages if you are planning any physical activity and are worried about hypoglycemia.

Currency

The currency in Portugal is the Euro, with exchange rates much better in the UK than in Portugal for those looking to exchange money.  Most major debit and credit cards will be accepted in restaurants and supermarkets.

Vaccinations

There are no mandatory vaccinations required to enter Portugal, however rabies is present in bats in Portugal, so it is advised for those planning activities in remote areas that put them at risk for bat bites to receive a rabies vaccine.

UK Global Health Insurance Card

Apply for a GHIC (UK Global Health Insurance Card) – you can apply online at https://overseas-healthcare.nhsbsa.nhs.uk/get-healthcare-cover-travelling-abroad/start and you can receive free cover in some European countries.

Ensuring access to medication

Medication is available in Portugal, but payment is required from a pharmacy, for which the Portuguese translation is “ Farmácia ”.

However, possessing a GHIC card allows you to receive treatment at a lesser cost and this money can be recouped when you get back into the UK. Blood and urine testing kits are available from any pharmacy in Portugal.

If you are travelling with another person, the emergency services telephone number to be called in Portugal in the event of an emergency is 112.

Insulin

You should note which syringes are available in Portugal, with U-100 syringes the most commonly used.

The vast majority of insulin in the UK is U-100 insulin. If you need to take a different strength of insulin, say in an emergency, it’s important that you use the correct device and syringes for that insulin.

For example, you would use a U-40 syringe for U-40 insulin. You will need to work with a doctor getting the right dose if you’re using a different form of insulin.

Diabetes associations

It is important to note the diabetes associations in the country you are travelling to in case of an emergency.

There are two diabetic associations in Portugal that can be contacted for information prior to your stay. The addresses of these associations are:

• Associacao Protectora dos Diabeticos de Portugal (a member of the International Diabetes Federation (IDF) since 1952), Rua do Salitre, 118 – 120, 1250-203 Lisbo, Portugal Tel: +351-213816100 Email: diabetes.int@apdp.pt
• Sociedade Portuguesa de Diabetologia (a member of the IDF since 1997), Rua do Salitre 149, 1250 – 198 Lisboa, Portugal Tel: +351-213 524 147 Email: diabetes@spd.pt

Questions

• How is blood glucose measured in Portugal? Blood glucose levels are measured in mg/dl
• What language is spoken in Portugal? Portuguese, although many locals will have a basic grasp of English, especially those that work in a customer service environment.
• Will I need an international driving license when driving in Portugal? No
• If I want to hire a vehicle during my visit, will I face any form of discrimination? No
• What sugar free drinks are available in Portugal? Diet Coke and mineral water, among others