Gap Years & Globe Trotting with T1D
So, you’re thinking about taking a gap year and travelling around the world? Maybe backpacking through Southeast Asia, volunteering in Africa or inter-railing across Europe? That sounds incredible! If you have Type 1 Diabetes you’re probably wondering: Can I actually do this?
The answer is YES- but it takes a bit more planning. Whether you’re dreaming of exploring temples in Thailand, road-tripping across Australia or trekking the Andes- here’s how to make your travels safe, smooth and full of adventure.
1. Choose a Destination That Works for You
Some places are easier to manage T1D than others. Consider:
Healthcare access- Are there good hospitals nearby in case of an emergency?
Climate & Food- Hot, humid weather can affect insulin absorption and some local diets might be tricky to manage
Language barriers- Learn how to say “I have diabetes” and “Where is the nearest pharmacy?” in the local language.
If you’re not sure where to start- Europe, Australia and New Zealand are very diabetes friendly, with good healthcare and easy access to supplies.
2. Pack Like a Pro (Diabetes Edition!)
Packing for a long trip? Your diabetes kit is as important as your passport!
Twice as many supplies as you think you’ll need (insulin, pump supplies, test strips, CGM sensors)
Backup insulin pens (even if you use a pump- just in case!)
Frio packs or a mini insulin cooler (to keep insulin at the right temperature)
Glucose tablets, snacks and fast-acting sugar
A doctor’s letter (explaining why you have all of these medical supplies)
Medical Device Awareness Card (from City Aviation Authority’s website)- can be helpful if travelling with a CGM or pump
Extra prescriptions (so you can get supplies abroad if needed)
Medical ID (bracelet, necklace or an alert on your phone)
3. Get the Right Travel Insurance
This is a big one! Standard travel insurance might not cover Type 1 Diabetes, so make sure you:
Declare our diabetes when applying for insurance- hiding it could void your policy.
Choose a plan that covers pre-existing conditions, including emergency hospital visits, lost medication and replacement insulin.
Check if your insurer will courier new supplies to you if yours get lost or stolen
Make sure you’re covered for activities like hiking, snorkelling or adventure sports
Keep a copy of your policy details and emergency contact numbers saved on your phone and printed in your bag.
Top Tip: Look for insurance providers that specialise in covering long-term trips and medical conditions. Compare policies before booking to get the best cover.
4. Airports & Security: The TSA Tango
Flying with diabetes gear can be stressful, but it’s totally manageable
Keep all diabetes supplies in your hand luggage (checked bags can get lost or exposed to extreme temperatures)
Tell security you have a medical condition before going through screening
Insulin pumps and CGMs don’t always mix well with full-body scanners, so ask for a manual pat-down instead.
Bring snacks and glucose gel- some airports have nothing good for low blood sugars
5. Time Zones & Insulin Adjustments
Travelling across multiple time zones? Your insulin schedule will need some tweaking.
MDI (Multiple Daily Injections): Gradually adjust your long-acting insulin schedule by an hour or two each day before departure
Pumps: Change your time zone settings as soon as you land
Speak to your diabetes team before your trip to get a plan in place
6. Eating Around the World with T1D
Trying new foods is one of the best parts of travelling, but some cuisines can be tricky for blood sugar.
Use carb-counting apps (especially if you’re unfamiliar with a dish)
Don’t be afraid to ask what’s in the food- some sauces, breads and drinks have hidden sugar
Try new foods in moderation at first, so you can see how your blood sugar reacts
7. Be Ready for the Unexpected
Stuff happens- flights get delayed, your bag gets lost or your pump stops working. Here’s how to stay ahead:
Always carry extra supplies in your day bag
Know the nearest hospital and pharmacy wherever you go, research if your insulin is supplied in your destination country
If you’re travelling to remote areas, consider travel insurance that covers pre-existing conditions.
Have a backup plan for every scenario (including what to do if your tech fails).
8. Stay Active, Stay Safe
Hiking, swimming and exploring all day? Brilliant! Exercise can lower blood sugar, so:
Carry fast-acting sugar at all times
Check your levels before, during and after activity
If you use a CGM, set temporary alerts for lows
9. Connect with Other T1D Travellers
You’re not alone! There are loads of T1D travellers sharing tips and experiences online. Check out:
Instagram & Facebook groups for Type 1 travellers
Beyond Type 1’s map to find people with T1D around the world
Diabetes travel blogs for real-life advice and stories
10. Enjoy Every Moment!
Having T1D shouldn’t stop you from seeing the world. With a bit of planning, you can travel, eat and explore just like anyone else. Stay smart, listen to your body and get ready for the adventure of a lifetime!