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Can They Stop Me Going On Holiday ?

Rhondc1981

Newbie
Messages
1
Type of diabetes
Type 1
Treatment type
Insulin
I was diagnosed yesterday with type 1 diabetes ( had Gestational diabetes 18 months ago) my hba1c was 90 but no ketones in my urine. I’m due to fly to Spain on Monday but they say I can’t go !!! Anyone else experienced this ?
 
Of course they can't stop you. The question is what risks do you take if you go? Having a deep hypo or ketoacidosis on a plane or a remote beach can be ugly.
I hope things work out well for you, and you'll have a wonderful holiday, wether in Spain or a bit closer to home.
Good luck!
 
No experience of this sorry but a bit more info may help - who is saying you can't go? Is it the doctors or the airline? What is the reasons they've given? What insulin regime are you on?

Do you feel confident enough to go?
I have tagged @daisy1 for you who posts info for new members- it may not help with your dilemma but it's still good sound info to have

Hopefully someone who can help will be along shortly :)
 
Your holiday health insurance will not cover you if you go, but you may be able to claim the cost of the holiday from your insurance company as most cover cancellation due to medical advice.
 
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I see a type one diagnosis as few nights minimum in hospital, in order to get the baseline doses sorted out.....

I suppose if you have been exposed to diabetes before, which you have on some level, you may be in a better position than those who haven't been exposed, but you still need to get those doses sorted out......
 
Your holiday health insurance will not cover you if you go

Would she still be covered for emergencies by an EHIC card?
@Rhondc1981, are they sure you've got T1 rather than T2? Have they given you insulin yet? A week can be a very long time for an untreated T1, much less so for a T2.
 
EHIC card only gives you the same coverage as a local, and most of the EU have high charges for healthcare with no concept of "free at the point of need".
 
EHIC card only gives you the same coverage as a local, and most of the EU have high charges for healthcare with no concept of "free at the point of need".
She is going to Spain so the EHIC card would work but lack of insurance could be a big problem in other ways, having to come home early, holiday curtailed or extended for a partner etc. I would claim on the insurance now and have another holiday later.
 
I was in the hospital for a week to stabilise and get used to my new life and everything, but that was back in the early 00s and I was just a teen, so that may have changed for all I know and may well be different for adults who have jobs.
 
I can appreciate how much you may be looking forward to a holiday but an HbA1c of 90 is something to be very concerned about. Going to Spain could involve a change of eating pattern, consumption of alcohol, changes in sleeping patterns, dehydration and a host of other things that could make your blood glucose levels even worse. You may be feeling extremely tired and thinking that a holiday will be the solution but the risks are high. Your travel insurance should pay out if you cancel. Then you could reschedule when your blood glucose has stabilised. I do sympathise with your frustration!
 
I was diagnosed on a Friday, and was planning on attending a dog show that weekend. Spent nearly a week in hospital instead, starting Friday evening.

I don't think the doctors can stop you going, BUT you will have no travel insurance, a high probability of becoming really ill while abroad and travelling 'against medical advice' makes you financially responsible for all bills. I think there's also something in the plane ticket conditions about travelling AMA that makes your ticket invalid. You really don't want to pay for a medical evacuation from Spain if the plane refuses to take you back home.

Like others have said, cancel and take your holiday later.
 
Yep, just done some checking. World and UK ticket conditions require you to report an 'unstable medical condition' to the airline, who then refuse to take you unless you can get a 'fit to fly' letter from a doctor. It's all in the small print, sorry.
 
@Rhondc1981

Hello Rhondc and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you like and someone will help.

BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
Hi @Rhondc1981,
I think you should take your doctor's advice.
This is NOT a time to get bolshy and I disagree with others who say go for it when they have no idea of your health and the stability or otherwise of your newly diagnosed condition in regard to its treatment.
You have not mentioned what treatment your are prescribed but true type 1 treatment is insulin. And for your body to have reached the stage of you now being diagnosed means that there have been adjustments your body has made to accomodate the rise in blood sugars etc. With treatment your body has to readjust. I know of friends diagnosed with Type 1 diabetes who needed mineral supplementation or had to have reviews of minerals levels in the blood (e.g. potassium) as these had changed as part of adjustment to the developing diabetes and at low levels can cause major health problems.
And during stabilisation on insulin, say in hospital, with further adjustments once out of hospital there are risks of high BSLs again and of hypos.( low blood sugars)
Getting a severe hypo in Spain on a holiday resort without proper and adequate education and knowledge, experience etc is pretty unwise. You risk brain damage and worse.

Please be sensible, get a medical certificate which hopefully will allow you to cancel your holiday without financial penalty but even if you lose money etc you need to consider your doctor's medical advice very , very carefully for you and your family's sake.
 
I went shortly after diagnosis with a hba1c of 147. Was in a&e but never over night. It's not that hard to understand how to take BG levels and adjust insulin / carbs!
 
I went shortly after diagnosis with a hba1c of 147. Was in a&e but never over night. It's not that hard to understand how to take BG levels and adjust insulin / carbs!
But going to a foreign country just after diagnosis is like going on a bushbash without ever having ridden a motorbike before. Discretion is the better part of valour.
 
Hi, I live and work in London 3 weeks at a time. For the fourth week I pop back home to Gods own Garden (Malta) and spend a week to 10 days depending on my shift pattern. My doctor is aware of this and has never expressed any serious concern about a three hour flight however he does always tell me to do a blood test before flying and not to fly if it is abnormally high or low etc. His advice is to ensure that I am stable for the 2 - 3 days before travelling and of course actually on the day of travel.

So far I have never had to cancel a trip
 
just my view on things

Listen to the doctor. you can always have another holiday but getting this under control will stop you being seriously ill or worse not waking up again. I do not know your results apart from the 90 and no ketones, but whilst this is a complex illness the doctor may be accommodating whilst you are learning if you open to suggestions. Always ask for alternatives.

not the news I would want to hear, it is my honest view
 
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