Thursday, October 14, 2010

Diabetic Backpacking Pack List

SUPPLIES
Take an Original + a Back-up that you store somewhere different in your pack or in your partner’s
Glucagon kit (know how to use it and teach your hiking partners)
Meter + xtra batteries
Test Strips
Pen Needles (double what you’ll need)
Syringes (as many as you’d need if your pens malfunction)
2 forms of each insulin you use
Example: Novonordisk insulin pen
Novolog vial
Lantus Flexpen
Lantus Vials
What if your vials break! What if your pen breaks? Do you have backup? Do you have enough of a method of delivery (pen needles/syringes) to use just one form for your whole trip?
Hand Sanitizer
Hand Wipes
Lancets
Lancet Device
PELICAN CASE!So useful for all water susceptible devices and supplies. I keep my meter, test strips, a few pen needles, and an insulin pen of each type in my pelican case along with some hand wipes. One kit for all your diabetic needs during a break.
Frio Packs!Another wonderful invention that is especially useful on the trail. Frio packs have an inner layer of dry crystals that retain moisture and keep supplies cool. The packs can be re-wet in a cold mountain stream when they begin to warm up and dry out.

FOOD!

Essential food supplies will cover all of your carbohydrate needs if you are low. In addition you will need power food that you can snack on and enjoy that won’t be pure carbohydrate. Here are some tips:

Bring a lightweight mug and a spoon!

Straight-up carbs:
* A full plastic tube of honey - I take 12 oz. and have made it through half of this on just a one night trip. Be over prepared.
*granola bars
*dried fruit
*crackers
*Fruitabu organic fruit roll-ups (taste good, no added sugar, organic fruit!)
Real Food food:
Breakfast Example:
*Organic instant oatmeal packets (3 for two people)
 - add hot water
 - add freshly picked mountain blueberries
 - add walnut pieces
+ Coffee! = hot and delicious and slow to release carbohydrates
Lunch Example:
*Low-Carb spinach tortillas - I like "OLE Xtreme Wellness
+ powdered hummus (fantastic foods) just add water (the oil is superfluous)
+ fresh basil leaves
+ Shelton's Turkey Jerky
Note:  chew well, turkey jerky is not your usual sandwich meat.
Follow with one low-carb whole wheat tortilla spread with NUTELLA, sprinkled with cranberries and walnut pieces
Dinner Time!:
Darn' Good Chili from Bear Creek or Bear Mountain, something along those lines
(just add hot water, stir and simmer
+ Dr. Kracker crackers in pumpkin seed cheddar flavor as edible spoons
* throw in a can of veggies, fresh herbs, or eat with carrot sticks for some fiber and nutrients
* munch on jerky for protein, or just enjoy plant protein from the beans

On one or two night trips simply rearranging a few ingredients has proved delicious and different enough to keep us pretty happy. 

Miscellaneous Considerations:

*Bring a phone but keep it turned off so that you can check the time but not risk receiving a call if you hit an area with service.  What a bummer to hear a phone ring in the woods.
*Coffee
*Warm clothes, especially rain gear should always be in your pack.  The first trip of the summer we did was in June and by afternoon we were soaked and freezing despite leaving the city on an 85 degree day. 
*Extra contacts and your glasses if you require them
*A headlamp! + xtra batteries
*nutella
*Water bottles (@ least two nalgenes each)
*Water filtration system (We carry a pump and laser purifier) + backup (either iodine tablets or xtra method)
*a Map (and know how to read it)
*Flame Orange Vest (if you're going in hunting season)
*a lighter and matches
*coffee
*Sock Liners (no more blisters protect those feet!)
*bandaids + first-aid kit, benadryl, neosporin, alcohol wipes, etc.)
*biodegradable soap for poison ivy contact, dirty hands, etc
*t.p. and trowel
*plastic bags
*nutella
*Swiss Army Knife
*Camera!
*and all those other backpacking things you can find out about online or in an REI catalogue or from friends who go, like a sleeping bag, etc. 
 - This is by no means a comprehensive list, it is just the things I've found particularly helpful/essential for me on the trail. I would say to make a written list of your diabetic supplies and pack that in advance, ensuring you have functioning supplies and backup.  Go over your list and go through a typical day in your head to make sure you don't leave any supplies out.  Teach your partner/s about diabetes and your routine, as well as what changes to look for in your behavior that would indicate low or high blood sugar.  Teach them how to use a glucagon kit.  You should have a kit and your partner should have one in their pack.  Honey is a particularly valuable carb because it can be squeezed directly in your mouth if you encounter a severe low without the risk of choking.  Tell your partner/partners that if you are coming up from a barely conscious or unconscious low, to roll you on your side to avoid choking risk because vomiting is likely.  These things do not make for a very sexy talk, but the more you and your partners know the more you can enjoy your trip and not worry about your health. 

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