Management of Diabetes During Air Travel: A Systematic Literature Review of Current Recommendations and their Supporting Evidence

Pavela, James; Suresh, Rahul; Blue, Rebecca S.; Mathers, Charles H.; Belalcazar, L. Maria

doi:10.4158/ep171954.ra

Cited by 13 publications

(3 citation statements)

References 48 publications

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“…Earlier work has suggested that >95% of individuals with DM who are dependent on insulin seek an appointment prior to a trip. [ 25 ]…”

Section: Discussionmentioning

confidence: 99%

Correlation between Illness Perception and Medication Adherence among Adult Patients with Type 2 Diabetes Mellitus in Saudi Arabia

Alharbi,

Alhofaian,

Alaamri

2024

Saudi Journal of Medicine &Amp; Medical Sciences

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Objectives: This study aimed to assess the level of illness perception and medication adherence among adult patients with type 2 diabetes mellitus (T2DM) in Jeddah, Saudi Arabia, with a specific focus on understanding how these two factors may be related. Materials and Methods: This descriptive correlation study included all adult patients with T2DM attending the Jeddah Care Centre for Diabetes and Hypertension at King Abdulaziz Hospital between January and April 2022. Data were collected using a questionnaire that elicited sociodemographic and clinical information, and the Arabic versions of the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale. Descriptive statistics and Pearson’s correlation analysis were used for data analysis. Results: A total of 365 patients were included (mean age: 50.9 ± 15.9 years), with the majority being female (53.4%). Overall, the level of medication adherence was moderate (mean score: 5.36 ± 1.73). Patients with lower medication adherence perceived the consequences of T2DM as more severe, had a stronger association with the illness identity, and experienced more intense emotional responses (for all, P < 0.001). Conversely, patients with higher adherence had a greater sense of personal control, a stronger belief in treatment effectiveness, and a better understanding of the illness (for all, P < 0.001). Conclusion: The study found a correlation between illness perception and medication adherence in patients with T2DM. Addressing patients’ perceptions may enhance their ability to manage the condition more effectively.

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“…Earlier work has suggested that >95% of individuals with DM who are dependent on insulin seek an appointment prior to a trip. [ 25 ]…”

Section: Discussionmentioning

confidence: 99%

Correlation between Illness Perception and Medication Adherence among Adult Patients with Type 2 Diabetes Mellitus in Saudi Arabia

Alharbi,

Alhofaian,

Alaamri

2024

Saudi Journal of Medicine &Amp; Medical Sciences

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“…As the incidence of DM and the number of peo-ple who travel increase day by day, the number of passengers with DM is also increasing [8,9]. In the literature, it is stated that individuals with DM experience metabolic emergencies such as hypoglycemia, hyperglycemia, and diabetic ketoacidosis due to conditions such as skipping or forgetting insulin administration hours during their travels, inadequate intake of nutrients and fluids after insulin administration, not adapting to their diet, and excessive fatigue [6][7][8][10][11][12][13][14][15]. Success in emergency interventions depends primarily on the presence of a well-trained and sufficient workforce in this regard [16].…”

Section: Introductionmentioning

confidence: 99%

Level of Knowledge and Awareness of Diabetic Emergencies Among Turkish Bus Drivers: Example of the Mediterranean Region

Şentürk

Terkeş

2021

Galician med. j.

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The objective of this research was to determine the level of knowledge and awareness of diabetic emergencies among Turkish bus drivers. Methods. The universe of this descriptive and cross-sectional study was all the individuals working as bus drivers in the Mediterranean Region between January-June 2019, and the study sample was 1292 drivers who met the inclusion criteria of the research. Data were collected by the Personal Information Form and the Diabetic Emergency Information and Awareness Survey Form. Descriptive statistics, the Mann-Whitney U test and the Kruskal-Wallis test were used in data evaluation. Results. The average age of bus drivers participating in the study was 38.29 ± 9.44 years, while their average work experience was 12.50 ± 8.92 years. Among them, 14.9% of bus drivers had a diabetic family member; 23.7% of bus drivers had a first aid certificate; 11.5% of bus drivers received diabetes-related training. The average score of drivers for the level of knowledge and awareness regarding diabetic emergencies was found to be 15.39 ± 4.72. There was a statistically significant difference between the drivers’ average scores for the level of knowledge and awareness and their age, education status, work experience, the presence of chronic disease, the presence of a diabetic family member, the presence of a first aid certificate, diabetes-related training, the place of receiving this training variables (p < 0.05). Conclusions. Bus drivers were found to have above average levels of knowledge and awareness of diabetic emergencies. Bus drivers are recommended to be trained on diabetic emergencies and raising awareness of diabetes mellitus to ensure a proper intervention in case of emergencies in individuals with diabetes mellitus during travels.

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“…[13] However, updated professional recommendations for pre-traveling diabetic patients are inadequate. [14]…”

Section: Introductionmentioning

confidence: 99%

Blood sugar control among type 2 diabetic patients who travel abroad

et al. 2019

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The dose adjustment of anti-diabetic drugs during traveling abroad remains an important issue for the diabetic patients. However, there are few studies exploring the changes in blood sugar in patients with type 2 diabetes mellitus (T2DM) when traveling abroad. The study aimed to investigate the hypoglycemic episodes, sugar control, and associated factors during travel among patients with T2DM. A questionnaire was administrated to T2DM patients visiting the family medicine clinic in a medical center from September 2016 to April 2017. The Chi-square test was used to examine the differences in risk factors of hypoglycemia between hypoglycemic group and non-hypoglycemic group. Multivariate logistic regression models were used to examine the risk factors for the hypoglycemia. A total of 65 males and 74 females completed the questionnaire. The mean age was 59.3 ± 12.1 year olds, the mean BMI was 28.1 ± 5.9 kg/m 2 , and the mean HbA1 C was 7.4 ± 1.1%. There was 8.6% of diabetic patients reporting hypoglycemic episodes during travel. The hypoglycemic episodes were significantly related to the numbers of crossing time zones after adjusting for possible confounders. Only 21.6% of subjects told physicians their travel plan whereas two third of the physicians did not provide pre-travel consultation. The hypoglycemic episodes sometimes occurred and were related to the numbers of crossing time zones in diabetic travelers. The proportion of pre-travel consultation was low in patients with T2DM. Besides, most of the physicians did not offer pre-travel education when patients mentioned their traveling plan. The willing and ability of physicians to offer the pre-travel diabetic education deserved further investigation.

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Management of Diabetes During Air Travel: A Systematic Literature Review of Current Recommendations and their Supporting Evidence

Cited by 13 publications

References 48 publications

Correlation between Illness Perception and Medication Adherence among Adult Patients with Type 2 Diabetes Mellitus in Saudi Arabia

Correlation between Illness Perception and Medication Adherence among Adult Patients with Type 2 Diabetes Mellitus in Saudi Arabia

Level of Knowledge and Awareness of Diabetic Emergencies Among Turkish Bus Drivers: Example of the Mediterranean Region

Blood sugar control among type 2 diabetic patients who travel abroad

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