Travel levels chart the risk of hypoglycemia, especially if many time zones are crossed. Long-haul travel can also cause dehydration which can increase the potential for high blood sugar levels and possibly diabetic ketoacidosis. Here we provide guidelines for insulin users to discuss with their diabetes team. These are simple rules for individuals planning ativan lantus insulin travel across 5 or more time zones and who are using lexapro and fatigue and headaches or twice a day long-acting background basal insulin.

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