Type 1 diabetes insulin pumps deliver the right amount of insulin you need to keep your blood sugar balanced…
But a new study has found that when you fly, it affects the delivery of insulin due to cabin pressure changes…
It´s useful to know – find out more below…
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How in-cabin pressure changes affect insulin pumps…
For the study, published in Diabetologia, the researchers tested 26 insulin pumps by placing them in Europe’s largest hypobaric chamber…
The conditions in this chamber mimicked the atmospheric changes during a normal flight…
The researchers set insulin infusion on the insulin pumps to 0.60 units per hour and then de-pressurised the hypobaric chamber to 550 mmHg – which is what would happen over a 20-minute ascent in the aeroplane.
In these conditions, the full insulin cartridges over-delivered 0.60 units of insulin over a 20-minute ascent compared to ground-level performance.
The researchers noted that while this may reduce blood glucose slightly, it shouldn´t lead to clinically significant hypoglycaemia.
The opposite happened during descent – the cabin pressure increased and the cartridges under-delivered 0.51 units of insulin.
This may lead to blood glucose being higher than usual – but it´s not as serious as the effects of too much insulin, in case type 1 diabetics consider increasing their dosage…
The biggest change came in during rapid decompression – read about it below…
Keep reading…
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Rapid decompression during flight poses the most concern for type 1 diabetes…
Rapid decompression during flight resulted in 5.6 units of excess insulin being delivered. This causes an insulin overdose, which can result in blood sugar levels falling sharply, leading to hypoglycaemia.
It´s important to keep glucose tablets, or another form of short-acting carbohydrates, in your pocket and within easy reach in case this happens to you on a flight.
While normal changes in compression may not be significant – when everything else is unchanged – it´s important to know about them and to be prepared in case you need to adjust your medication on flight.
Always tell your doctor you´re travelling and discuss a plan, with specific dosages, in case of eventualities on flight.
Reference:
https://pubmed.ncbi.nlm.nih.gov/21816978/
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