Welcome to Providence Pediatric Endocrinology & Diabetes. We offer specialized treatment for children and adolescents with problems affecting growth, puberty, the thyroid and more. Our practice is centered around kids. You want the best for your child – and so do we. Call us today for more information: 509-474-2880.
For information only. Providence does not endorse a certain brand or company.
Expect some challenges with diabetes, adapt the best you can, and make some fun memories.
This list is comprehensive, but not all-inclusive. You will have to decide what applies to your needs, or identify if there are other items or needs not listed here.
□ Back-pack to carry supplies for day trips
□ Back-up plan in case of insulin pump failure, conversion to injections
□ Extra batteries/charger for pump, meter, CGM
□ Backup external battery pack
□ Blood glucose meter X 2
□ Camel-water pack to stay hydrated on hiking or long day trips
□ CGM supplies (if applicable): charging unit/cord, extra sensors, alcohol wipes, adhesive options
□ Communication plan with supervising parent or adult of your child
□ Copy of all travel documents, letters, prescriptions in a place separate from supplies
□ Diabetes healthcare provider’s contact information
□ First-aid kit, antibiotic ointment, basic dressings
□ Frio bag or insulated bag for insulin storage
□ Glucagon X 2
□ Hand sanitizer
□ Head-lamp or small flashlight
□ Hypoglycemia treatment (skittles, glucose tabs, jelly beans)
□ Lancet device X 2, and lancets
□ Letter of explanation re: diabetes
□ Log book
□ Long-acting insulin vials or pens
□ Medical Alert ID bracelet or necklace
□ Medical insurance information
□ Money for hypoglycemia treatments; in the right currency
□ Other medications such as Tylenol, ibuprofen, Zofran
□ Pharmacy label on all medications (name must match travel ticket name)
□ Pump supplies (reservoirs, infusion sets, tubing, inserters, nickel, IV prep pads, tape & dressings)
□ Rapid-acting insulin vials or pens
□ Sharps disposal method (recommend BD Safe-Clip Needle Clipping and Storage Device)
□ Sick-day management plan
□ Snack variety (carb and non-carb options)
□ Test strips (enough for 12 tests/day)
□ Travel insurance coverage (if applicable)
□ U-100 Syringes or pen needles
□ Urine or blood ketostix
□ Walkie-talkie radio or cell phone (in some situations, i.e, hiking, Disney Land)
□ Watch or small travel alarm clock
□ Zip-lock bags or dry-bag to protect items from water exposure
When you are sick, your diabetes is significantly affected. Having a sick day plan in place is important to avoid getting into danger with diabetic ketoacidosis (DAK)—a potentially life-threatening condition. Do not assume your illness is just caused by the flu. DKA and flu symptoms are very similar (tiredness, nausea, vomiting, abdominal pain, body aches, high blood sugars and increased thirst/urination/hunger).
Treat with fast-acting carbohydrates
Recheck blood sugar in 15 minutes
Consider low dose glucagon If your child is nauseated and vomiting with low blood sugars less than 70 mg/dL.
Call the Pediatric Endocrinology & Diabetes Clinic, 509-474-2880, if there are no results or improvement after 2-3 treatments.
If your blood sugar is under your target, you cannot calculate ketone correction. Check blood sugar and ketones every three hours. Encourage fluids every hour.
Call the Pediatric Endocrinology & Diabetes Clinic, 509-474-2880, if you have treated large ketones twice and there are no results or improvements.
Test your blood sugars every two to three hours.
Hydrate. Drink one cup of water every hour. Fluids flush the ketones out of your body. If you cannot keep fluids down, call the clinic 509-474-2880, for a prescription of Zofran.
Insulin. Correct high blood sugar levels every three hours based on your ketone correction. Do not stop taking your daily Lantus if you are on multiple daily injections. If you have a pump, change your pump site immediately.
Nutrition. If blood sugars are trending low, consider sugar-containing electrolytes (Gatorade) If blood sugars are high, consider sugar-free containing electrolytes (G2/Power-aid Zero).
K are a result of fat breakdown due to not enough insulin in your body. Extra insulin is required. Check ketones every three hours until negative.