“…Glucose needs change with changes in physical activity, delays in meals, changes in diet (e.g., unknown carbohydrate values in unfamiliar foods), and physiologic stress which may ultimately lead to needing changes in insulin dose [23][24][25][26]. Additional travel-related issues that need to be considered are co-morbidity control, travelrelated infections, problems carrying injection material through travel security checkpoints, and unanticipated problems with their glucose meters, insulin pumps, or continuous glucose monitors.…”