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Extensive clinical experience: a simple guide to basal insulin adjustments for long-distance travel.

Abstract

Long-distance travel across multiple time zones presents unique challenges for patients taking insulin, requiring adjustments in both timing and dosage of basal insulin when several times zones (≥5) are traversed. Travel across the International Date Line adds to the confusion, as existing resources and dosing calculators often do not account for the date change. We review recommendations from available guidelines and dosage calculators used for long-distance travel basal insulin adjustments and then present our patient handouts which allow for a safe, specific, single dose adjustment for eastward and westward travel. The included handouts are easy to use and can be freely reproduced for use in diabetes clinics.

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  • Authors+Show Affiliations

    ,

    Department of Pediatrics, Division of Endocrinology, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA. jordan.e.pinsker.mil@mail.mil.

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    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24360506

    Citation

    TY - JOUR T1 - Extensive clinical experience: a simple guide to basal insulin adjustments for long-distance travel. AU - Pinsker,Jordan E, AU - Becker,Erik, AU - Mahnke,C Becket, AU - Ching,Michael, AU - Larson,Noelle S, AU - Roy,Daniel, Y1 - 2013/12/20/ PY - 2013/07/10/received PY - 2013/10/07/accepted PY - 2013/12/24/entrez PY - 2013/12/24/pubmed PY - 2013/12/24/medline SP - 59 EP - 59 JF - Journal of diabetes and metabolic disorders JO - J Diabetes Metab Disord VL - 12 IS - 1 N2 - Long-distance travel across multiple time zones presents unique challenges for patients taking insulin, requiring adjustments in both timing and dosage of basal insulin when several times zones (≥5) are traversed. Travel across the International Date Line adds to the confusion, as existing resources and dosing calculators often do not account for the date change. We review recommendations from available guidelines and dosage calculators used for long-distance travel basal insulin adjustments and then present our patient handouts which allow for a safe, specific, single dose adjustment for eastward and westward travel. The included handouts are easy to use and can be freely reproduced for use in diabetes clinics. SN - 2251-6581 UR - https://www.unboundmedicine.com/medline/citation/24360506/full_citation L2 - https://jdmdonline.biomedcentral.com/articles/10.1186/2251-6581-12-59 ER -