The Essential Diabetes Emergency Supply Kit for Travelers

Published: June 1, 2024 travel tips

I’ve had insulin go bad, pumps fail, and bags get lost. Each experience taught me something about what really needs to be in an emergency kit. This isn’t about packing everything. It’s about packing the right things so that any single failure won’t become a disaster.

Here’s my complete emergency supply kit, refined over years of travel.

The Core Principle

Your emergency kit should let you survive any single point of failure for at least 48-72 hours. Lost luggage, broken pump, failed CGM, spoiled insulin. Any one of these should be manageable with what you carry.

The Three-Bag System

I split my supplies across three locations:

BagContentsPurpose
Personal item (always on me)Immediate needs + emergency backupSurvives if luggage is lost
Carry-onMain suppliesAccessible during travel
Checked bagExtra backup onlyIf I have checked luggage

Rule: Never put anything critical only in checked luggage.

Personal Item Emergency Kit

This stays with me at all times during travel. Small enough to fit in a day bag or jacket pocket.

Immediate Response Items

ItemQuantityWeight
Fast-acting glucose8-10 tabs or equivalent50g
Glucagon or Baqsimi1 kit50g
Rapid-acting insulin pen1 (backup)30g
Pen needles510g
Blood glucose meter1 (small backup)50g
Test strips2520g
Lancets105g

Why Each Item

Fast-acting glucose: Obvious. Hypos happen. Having glucose always accessible is non-negotiable.

Glucagon/Baqsimi: Severe hypos are rare but deadly. This is insurance you hope to never use.

Backup insulin pen: If my pump fails or luggage is lost, I can still dose. One pen gets me through 2-3 days minimum.

Meter and strips: If CGM fails, I need to test. A small backup meter dedicated to the emergency kit.

Carry-On Main Kit

This is my primary supply bag for travel days.

Insulin and Delivery

ItemQuantityNotes
Rapid-acting insulinTrip length + 50% bufferMain supply
Long-acting insulin1-2 pensPump failure backup
Insulin pens or syringesEnough for backup MDIIf using pens
Pen needlesTrip length + 20 extra
Pump suppliesTrip length + 2-3 extra changesIf using pump

Monitoring

ItemQuantityNotes
CGM sensorsTrip length + 2 extra
CGM transmitter1 spare if possibleExpensive but critical
Glucose meter1 (main)Backup to CGM
Test strips100 minimum for long trips
Lancets50
Ketone strips25For sick days

Storage and Organization

ItemPurpose
Insulin cooling case (FRIO or similar)Temperature protection
Waterproof bagProtect from spills
Sharps container (small)Safe needle disposal
Organization pouchesKeep everything findable

Medical Documentation Kit

Keep physical copies of:

DocumentPurpose
Doctor’s letterExplains need for supplies
Prescription copiesProof of legitimacy
Insurance cardsAccess to care
Emergency contact cardIn case you’re incapacitated
Medication listShows what you take
Allergy informationCritical for emergencies

I laminate important cards and keep digital copies as well.

Sick Day Kit

Illness happens. These items help you manage:

ItemQuantityPurpose
Oral rehydration salts10 packetsDehydration
Anti-nausea medicationAs neededIf prescribed
Anti-diarrheal1 packSymptom management
Thermometer1Monitor fever
Ketone strips25Monitor for DKA
Crackers/bland snacksSmall supplyWhen you can eat

Technology Backup Kit

For pump and CGM users:

ItemPurpose
Extra batteriesFor any battery-powered devices
Charging cablesPhone, pump controller, receiver
Portable battery packKeep devices charged
Backup phone (optional)If CGM app is critical
Written dose informationWhen tech fails completely

Written Backup Information

Keep a card with:

  • Your total daily basal dose
  • Your basal rate by hour (if on pump)
  • Your correction factor
  • Your carb ratio
  • Your target blood sugar
  • Long-acting insulin conversion (total basal = daily long-acting dose)

When technology fails, you need to know your numbers without looking them up.

Repair and Maintenance Kit

ItemPurpose
CGM adhesive patchesKeep sensors attached
Skin prep wipesBetter adhesion
Medical tapeBackup for adhesives
Alcohol wipesClean injection sites
Band-aidsCover failed sites
Small scissorsCut tape, open packages

Climate-Specific Additions

Hot Climates

ItemPurpose
Extra FRIO pouchesRotation for cooling
Insulated bagAdditional protection
Ice pack spaceFor extreme heat
Extra adhesive suppliesSweat causes failures

Cold Climates

ItemPurpose
Insulated casePrevent freezing
Hand warmersEmergency warming
Inner pocket storageBody heat protection

High Humidity

ItemPurpose
Extra CGM patchesMore adhesive failures
Skin prep wipesCombat moisture
Silica gel packetsKeep supplies dry
Waterproof casesProtect electronics

Organization Systems

My Pouches

I use a color-coded pouch system:

ColorContents
RedEmergency/hypo treatment
BlueInsulin and delivery
GreenMonitoring supplies
YellowSick day kit
ClearDocuments

This lets me find what I need quickly, even stressed or low.

Labeling

Label everything with:

  • Contents
  • Expiration dates
  • Special instructions

When you’re hypoglycemic or stressed, clear labels help.

Quantities by Trip Length

Weekend Trip (2-3 days)

CategoryAmount
Insulin4-5 days worth
Pump supplies1 extra change
CGM sensors1 extra
Test strips50

Week-Long Trip (5-7 days)

CategoryAmount
Insulin10-14 days worth
Pump supplies2-3 extra changes
CGM sensors1-2 extra
Test strips75-100

Extended Travel (1+ month)

CategoryAmount
InsulinTrip length + 50%
Pump suppliesTrip length + 1 month extra
CGM sensorsTrip length + 3-4 extra
Test strips150-200 minimum
Long-acting backup2-3 pens
Complete MDI backupFull kit

Resupply Planning

For long trips, plan resupply points:

  1. Know where you can buy supplies in your destinations
  2. Identify reliable pharmacies with your insulin brands
  3. Have supplies shipped if using a service like ours
  4. Plan buffer time for shipping delays

Pre-Trip Checklist

Before every trip:

  • All insulin within expiration date
  • Insulin stored properly (not frozen, not overheated)
  • Meter batteries fresh
  • CGM transmitter has sufficient life remaining
  • Pump supplies adequate
  • Cooling case functional (FRIO tested)
  • Prescriptions and letters current
  • Emergency contacts updated
  • Insurance card accessible
  • Backup calculations written down

Common Mistakes to Avoid

MistakeConsequence
All supplies in checked bagDisaster if bag is lost
No long-acting backupStranded if pump fails
Expired suppliesDon’t work when needed
No written dose infoConfusion during tech failure
Insufficient glucoseCan’t treat hypos
No cooling planRuined insulin

Weight Considerations

My complete emergency kit weighs approximately:

ComponentWeight
Personal item kit~300g
Main carry-on kit~1.5kg
Sick day kit~400g
Documentation~100g
Total~2.3kg

It’s not light. It’s worth it.

Cost Considerations

Building an emergency kit isn’t cheap:

Item CategoryApproximate Cost
Backup insulin$100-500 depending on insurance
Extra CGM sensors$200-400
Glucose meter$20-40
Test strips$50-100
Cooling cases$30-60
Glucagon$200-400
Misc supplies$50-100

Expensive, but cheaper than an emergency abroad without supplies.

Why I Pack This Way Now

I used to be casual about backups. I figured if something went wrong, I’d figure it out. Then I had a pump failure in rural Indonesia with no backup long-acting insulin.

I spent 18 hours doing corrections every 2-3 hours with rapid-acting insulin because that’s all I had. My blood sugar swung wildly. I barely slept. It was one of the worst nights of my diabetes life.

The next day I found a pharmacy with Lantus. But those 18 hours taught me that “I’ll figure it out” is not a plan.

Now I pack like a paranoid person. Some people think I’m overprepared. Maybe. But I’ve never had another night like that one, and I plan to keep it that way.


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