always take 2 times as much medications and supplies, take copies of prescriptions, wear a medical bracelet or tag, carry emergency supplies at all times, carry fast acting sugars at all times incase of a hypoglycemic episode, carry long acting food such as peanut butter and crackers, pack dried fruits, nuts, and seeds as snacks, measure portions in advance, check BGL frequently, remember change in time zone example if going to California talk with MD and he/she will let pt. know to whether to add or subtract insulin dosages, eating and activities can effect medication dosage speak with MD if you know, get rest avoid stress this can cause hyperglycemia, travel with someone who is familiar with diagnoses, call the airplane and hotel in advance see what your meal options are let them know of your diagnoses, care medication and supplies on with carry on, if underneath plan or train it will not do you any good, drink a glass of water every 1 hour. remember if insulin becomes hot its not as effective and if to cold it will hurt upon injection so roll between pam or hands to warm up. eat something every 4 hours, research substitutes before traveling, remember going west day get longer take more, go east days shorter take less polyuria, polydipsia, polyphagia, rapid weight gain, family history of diabetes, poor healing of scratches, abrasion and wounds, blurred vision, itching, drowsiness, increases fatigue, tingling and numbness in the feet aka neuropathy inspect each foot daily for cuts, scratches, blisters, abrasions, or discoloration of toes, us a mirror, wash feet in warm (not hot) water using mild soap, do not sock feet because this can cause them to creak, thoroughly dry feet after wash, paying attention to between the toes, rub non scented, non-medicated cream for dry skin cut nails along the bed not to short can cut the skin, file the nail for remaining shape edges, have corns, calluses, and ingrown toe nails managed by podiatrist, wear a clean pair of white cotton socks each day, wear properly fitted shoes with firm soles make sure they are not pinching or binding foot, never walk barefooted, test the temp of bath water wrist or forearm before steeping into the shower, elevate the feet whenever possible to improve circulation. Never wear open toes shoes are sandals this, use socks and blankets to warm feet, do not use a heating pad or hot bottle near them. has anyone your family ever been told they have diabetics. How about your parents? have you had any recent unexplained weight loss and don't forget to ask if it was purposeful. Have you become increase hungry over the past few month are you drinking more fluids, has you thirst increased, do you urinate more than you use to, have you noticed that you are more tired over the last 6 months ago, do you have any numbness, have you had trouble with scratches and wound healing or becoming infected, have you noticed tingling or funny sensation in you hands, legs, feet,, is constipation become a problem, are you have any sexual difficulties any impotence in men and anu frequency caginal infections women, asses patient hearing and vision, use aids as appropriate, ensure adequate lighting, set a time for teaching session that is agreeable with patient arrange a quiet, non distracting environment to pt., be certain that the pt. is comfortable before beginning, keep sessions short no more than 15-20 minutes at a time, go slowly and seek feedback that the patient has understand each points when finished presentation limit information to a few major conceptions session, allow time for the patient to jot down important points, use bold type printed material with a shite or yellow background, leave printed material should be written at a fifth to tenth grade reading level depending on the patient, if the pt. becomes frustrated of distractions or distracted, stop session and reschedule it, summarize what has been taught and what has been learned at the end of the session.