I've travelled extensively through South America (although not been to India or Uganda), and I've also travelled a lot in Eastern Europe...and I can honestly say that it was fine; T1 shouldn't stop you doing these things, but you just have to be a bit more organised! I totally understand that just being diagnosed may be a bit of a worry for you. So some generally advice I have (in addition to what's been said above which I won't repeat but agree with!):
- Don't worry about fridges: you can get 'Frio' packs (
http://www.friouk.com/) which are little packs that come in all sorts of sizes and can be kept topped up with cold water to keep your insulin cool. It's hard to explain, so just look at the website. I never used fridges while I travelled, only these, and I never had a problem with the insulin warming up.
- Keep diabetic supplies in all bags in case anything is stolen (I doubt it will be, but it's best to prepare!). Certainly don''t put anything in your hold baggage on the flight (keep it all with you then).
- Take way more insulin/test strips/glucose tablets etc than you'll think you'll need. You'll find the climate and different activity levels change what your requirements, and you'll want to test more. Take loads and loads of glucose tablets for hypo treatment.
- I found the altitude in Ecuador/Boliva/Peru made me very insulin resistant for a few days until my body adapted to the altitude. I didn't go into DKA because I kept checking BG and injecting insulin, but I didn't feel well at all and I could easily have had DKA if I hadn't been so prudent. I'm saying this not to scare you at all, but just to make you aware that this might happen - as I wasn't aware it could (although you might be different). It might be good to speak to your diabetic team about how you would manage such a situation if you don't feel confident doing so, but it certainly shouldn't stop you going up to altitude (Bolivia is particularly beautiful!).
- If you're planning to go up to altitude/very hot climates/very cold climates, check whether your BG meter will work. At that time, I was using a Freestyle Lite meter but my team gave me another one (I can check if you like?) which I knew would work reliably at altitude.
- In terms of emergencies, do you have e-mail addresses for your diabetic team (and a phone number)?
- Have you been on a DAFNE course? Might be a good idea to try to get on one before you go if at all poss...
Hope that's helpful! As I said, this is totally doable, but you just have to think a bit more and be more organised!. Am more than happy to answer any more questions though...