 Watches (e-pill CADEX Black model):
Medication Reminder 12 Alarm Watch & Medical ID is Easy-to-Program and Easy-to-Use Diabetic Watch. Excellent display with large digits and characters. ( click photos to enlarge them). FREE Shipping & Handling. More Diabetic WatchesThis watch is absolutely amazing. It has gotten me on schedule again, and thank heavens! I also love the data bank feature, and snooze alarm. Congratulations to the company for a great product! H. Davis12 Alarm Watch
Set up to 12 daily diabetes reminders including text message (name and strength of medication or other prompts). Message scrolls across the display. NO RE-SET required - auto repeats every day. Programing is EZ with the included watch easy to understand manual. Features Diabetes Medical Alert and 12 Alarm Watch Timer: Up to 12 daily alarms
Alpha reminder message & beeping alarm
Medical Snooze
Long alarm duration - up to four (4) hours
Medical ID databank
ALERT button displays Medical ID databank
Normal time & date function
Not Suitable for Hearing Impaired -
Do not wear in shower or swimming pool
Medical Identification ID Databank stores critical health information (similar to a medical ID bracelet). IN an emergency, medical personnel can simply press the ALERT button to display your medical alert information: What is a Medical ID Databank? | 12 Alarm Watch SILVER | Watch YouTube CADEX Video
I bought the watch thinking that if I needed to give medical data to a doctor or EMS and couldn't the watch could. I'm a diabetic who has had a kidney transplant. I take many different meds & insulin. The alarms remind me when to take the meds. I am beyond pleased with the watch! N. Rath
Name and phone number
Medical conditions (diabetic, asthmatic, hemophiliac etc)
Allergic reactions (penicillin, bee sting, peanuts etc.)
List of medications, blood type, date of birth
Doctor's name & phone, emergency contact info
Insurance company & policy number
Recommended by doctors, nurses and emergency medical personnel. Not Suitable for Hearing Impaired.
This e-pill diabetes medication reminder alarm watch timer and diabetic medical alert is Recommended by Good Housekeeping and member tested & recommended by National Health & Wellness Club.
Alarm wrist watch with audible alarm that can be set for twelve reminders a day. Includes medical alert feature that stores health information (medical ID) for use by medical personnel.
Medical Snooze: CADEX diabetes alarm watch lets you turnoff immediate beeping, and then gives you a subtle double beep every three minutes until you take your medications. It will nag you until medications have been taken.
Activate YES/NO: The e-pill CADEX has a practical master switch to turn off all alarms (when you are in church or meetings etc.)
Never forget to take your medications again with this outstanding reminder watch. Order your CADEX medication reminder watch from e-pill today! 30-Day Money Back Guarantee.
Constructed of impact resistant plastic, soft pliable rubber watch strap. Packaged in a nice metal gift box great for storing the watch.
Size: 1 1/2" x 1/2" | Color: BLACK w/ Black Strap | Digit size 1/4"
Warranty: One Year Warranty. 30-Day Money Back Guarantee. FREE Standard Shipping & Handling (U.S. Customers only). |
 e-pill Multi-Alarm easy to program medication reminder The best multi-alarm medication reminder clock found on the market! Simply slide a switch!
Pill Timer Multi-Alarm up to 37 Daily Alarms
The e-pill Multi-Alarm Pocket is a Medication Reminder alarm timer. Simple to use ...simple to set. Helps you remember to take your diabetes medications every day every time. Simply slide a switch at the desired times from 6:00AM through Midnight on the hour or half hour. Once set, the alarms will reset at midnight for the next day. "I already have this e-pill multi-alarm... husband ordered for me. Works great. We are ordering this one for our daughter and her family"C.W.The alarm sounds for 10 seconds on, 10 seconds off for 4 minutes or until the STOP button is depressed. This great e-pill POCKET Pill Timer comes with complete instructions and travel pouch. Price is $39.95 incl. FREE Standard Shipping (US Customers only, Non-US Customers pay $15.00 for S&H). Simple to use MEDICATION REMINDER
Slide switch programming (hour/top row switches or half-hour/bottom row switches)
Pocket-sized, fits in purse or shirt pocket
Multiple daily alarm settings (up to 37 alarms) - No need to reset alarm - Repeats every day!
Complete with batteries and soft case
Used in clinical trials
Now with Missed Pill Indicator
Our e-pill Multi-Alarm is an innovative simple to-use reminder (alarm clock type device). One of our most popular items.
You can set up to 37 alarm times per day - on the hour or half hour. This is the best multi-alarm found on the market today! Improves patient compliance for yourself or a loved one! Makes a great gift. 30-day money back guarantee. Easy to set pill timer / medication reminder. Never forget your meds again!
Slide a switch at the desired alarm time (on the hour or half hour). You set it once, and the alarm will reset itself at midnight for the next day. Easily change your medical reminders (for example - if you want to sleep-in tomorrow!). Alarms can be set on the hour (top row) or half hour (bottom row) from 6:00 AM to Midnight (up to 37 times = 37 switches per day = up to 37 reminders per day). Easy to set & easy to verify alarm settings by looking at the switches! Very popular with Diabetes patients. (click to enlarge photos)
Order your own e-pill Multi-Alarm NOW! Print order form and mail payment (check) + order form to us today. Or order ON-LINE by pressing order button below. Easy to set - Easy to change pill reminder alarms.
Not suitable for persons with hearing difficulties (high pitched tone).
Specifications
The alarm will sound for 10 seconds on 10 seconds off for 4 minutes.
Missed Pill Indicator (MISSED PILL?)
Price $39.95 includes batteries and pocket case.
Small, fits in your purse or shirt pocket!
Size: 5 1/2" x 1 1/4"
Battery: 2 x 389 (G110) (included) Battery life: 1 Year
For you convenience we will set the clock to the correct time and time zone. Your e-pill Multi-Alarm is ready to go when you receive it. Never forget to take your medicine again!
Warranty: One Year Warranty. 30-Day Money Back Guarantee. |
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 The World's Diabetes Pillbox & Diabetes Medication Alarm (Med Alert) SystemWe searched the world ... and found the world's best pill box organizer & medication reminder timer combination ... in Denmark. Never Forget to Take your Diabetes Meds Again! Avoid Medication Errors! (click to enlarge photo) Feel Better & Keep your Diabetes Medicines Organized! I don't want to sound over-dramatic here,
but the simple fact is that this one product, all by itself, truly, substantially changed the life of the person for whom it was bought. M.K.
Convenient & compact storage pack made of
durable high quality canvas includes Seven (7) EZ-to-OPEN Medinizer pill boxes (with the respective day of the week clearly imprinted on the front of each one). Pill Box (Medinizer) can be ordered separately.
Each pill box has 4 LARGE CAPACITY pill compartments to hold your medications. Includes our popular e-pill Multi-Alarm with 'Missed Pill' feature electronic pill reminder timer;
e-pill EzSET Multi-Alarm. Free Shipping & Handling (US only). 30 Day Money Back guarantee! Super Organizer -- Super Pill Timer Reminder -- Super Practical
Great product for organizing & planning your weekly medicines.
Use at home, on business trip, vacation, college etc. Very flexible use. Take one day’s medicine for daily use or carry the whole weekly organizer with you. This product is member tested & recommended by National Health & Wellness Club. The e-pill 7-Day Organizer & Reminder comes complete with electronic medication reminder and batteries. Electronic Medication Reminder can be carried either in the outer pocket, inside the weekly organizer canvas bag itself, in your briefcase or purse. e-pill Multi-Alarm PLUS (no Tray), up to 37 Daily Alarm settings, simple to use, easy to program with slide switches, innovative reminder device. No reset required (timer automatically resets every day at midnight). Complete system with everything included (canvas bag, 7 daily organizer, pill timer, batteries). Weekly organizer (canvas bag) size: 6 1/2 inch x 6 1/2 inch x 2 inch | Daily organizer size: 6 1/4 inch x 1 7/8 inch x 13/16 inch with 4 LARGE CAPACITY pill compartments, dish washer safe | Each compartment holds twenty five (25) aspirin sized tablets | Color: Blue with Clear Lid, Canvas Bag is dark blue. Batteries (replaceable): 2 x AAA included. Battery life 1 year. Shipping: Free Standard Shipping (US customers only, $15.00 Non-US customers). |
 |
 Watches:
e-pill MeDose (medos) Watch: Multi (6) Alarm (Vibration or Sound) Wrist Watch with Leather BandVibrating (discreet) 6 Independent Daily Alarms + Count Down Timer
The e-pill MeDose "Black/Silver" is a nicely designed medication reminder watch (vibrations or sound), it looks like a normal watch; it shows real time, (can also be set for two time zones), day-date, month, have a timer and stopwatch. 30 Day Money Back Guarantee. Photo & Instructions click to enlarge photo!Most Popular SIX - ALARM VIBRATING WATCH on the market!
Photo & Instructions | Red/Blue Design | Silver/Black Design. Watch Vibrates! - time to take your pills or get an injection!
- Multi-Alarm (up to six alarms per day)
- Vibration or Sound Alarm
- Vibrating discreet alarm helps hearing impaired patients
- Count Down/Up Timer & Chronograph
- Auto Calendar
- Back Light
Great for anybody who does not want the world around them to know they are on medication. Developed for children and Adults with diabetes. Discreet and Practical. Watch vibrates - time to go to the school nurse & get an insulin injection! Great watch for all diabetes patients. Also used as a reminder device to assist patients with attention deficit disorder (A.D.D.), attention deficit hyperactivity disorder (A.D.H.D.), learning disorders, (L.D.), bed-wetting and chronic diseases such as asthma and HIV/AIDS. Battery life 4-6 months. Manufactured by: ROLAND the apple pro production inc. Guarantee: One year manufacturers guarantee
Color....: Black/Silver, Black Leather Strap
Size.....: Watch size 1 1/2" x 1/2"
Battery..: Replaceable CR2032 3 Volt, Battery life 4-6 months |
 International Diabetes Organizations
142 Countries
Argentina to Zimbabwe
Useful both as a pre-planning travel tool before embarking on a trip to a foreign country as well as for use when you are there in the event of a diabetic emergency. This list is a valuable resource for the international traveler. Contact Information for Diabetic Organizations in 142 Countries. Below are names, addresses, telephone #'s, fax #'s, and e-mail addresses for diabetic organizations in 142 countries: Albania
Shoqata Shqipëtare Diabetike
Albanian Diabetes Association
Klinika Endokrinologji
Rs Dibres No 370
Tirana
Albania
Tel +355-42-63644
Fax +355-42-63644
E-mail drspit@sanx.net
Anguilla
Anguilla Diabetes Association
PO Box 1202
The Valley
Anguilla
Tel +1-264-4972426/3763
Fax +1-264-4975486
Antigua and Barbuda
Antigua and Barbuda Diabetes Association
PO Box 469
St John's
Antigua & Barbuda
Tel +1-268-4639084
Fax +1-268-4622461
Argentina
Liga Argentina de Protección al Diabético
Argentine League for the Protection of Diabetics
Tucumán 1584 - PB "A"
1050 Buenos Aires
Argentina
Tel/Fax: 54-11/4371-81-85
E-mail llapdi@ciudad.com.ar
Website www.diabetesaldia.com/banners/lapdi.htm
Sociedad Argentina de Diabetes
Argentinian Diabetes Society
Calle Paraguay 1307
Piso 8, Dpto 74
1057 Buenos Aires
Argentina
Tel: 54-1/4815-1379
Fax: 54-1/4813-8419
E-mail sad@diabetes.org.ar
Website http://www.diabetes.org.ar
Mutual Provincial de Ayuda al Diabético –
MIPADI
Zarate 246
5500 Mendoza
Argentina
Tel: 54-261/4258388
Fax: 54-261/4201292
E-mail MIPADI@infovia.com.ar
Aruba
Diabetes Foundation of Aruba
# 242 - A Santa Cruz
Aruba
Tel: 297/585017
Fax: 297/5851912
E-mail diabetesaruba@usa.net
Australia
Diabetes Australia
5th Floor, 39 London Circuit
ACT 2600 Canberra City
Tel: 61-2/62323800
Fax: 61-2/62301535
E-mail admin@diabetesaustralia.com.au
Website http://www.diabetesaustralia.com.au
Austria
Österreichische Diabetes Gesellschaft
Austrian Diabetes Society
Währingerstrasse 76/ 13
1090 Vienna
Austria
Tel 43- 650/7703378
Fax 43-1/2645229
Wesite www.oedg.org
Azerbaijan
Azerbaijan Diabetes Society
40 Uz. Hajibeyov Str
Room 221 Government House
370016 Baku
Azerbaijan
Tel 994-12/985765
Fax 994-12/938488
E-mail root@womcom.baku.az
Bahamas
Bahamas Diabetic Association
Rosetta Street
SS-19932 Nassau
Bahamas
Tel: 242-356-2349
Fax: 242-356-2306
E-mail bda@netbahamas.com
Bahrain
College of Health Sciences
PO Box 20321
Manama
Bahrain
Tel +973-279664
Fax +973-251360
E-mail chs@health.gov.bh
Website www.chs.edu.bh
Bangladesh
Diabetic Association of Bangladesh
BIRDEM-DAB
122 Kazi Nazrul Islam Avenue
1000 Dhaka
Bangladesh
Tel +880-8616641/50
Fax +880-2-9677772/2-8613004
E-mail sg_dab@dab-bd.org
Barbados
Diabetes Association of Barbados
Flat 1 Ramsgate Apartments
Woodside Gardens
Bay Street
Barbados
Tel/Fax: 1-246/427-9338
Belarus
Belarussian Humanitarian Organisation
Bagrationa Str 70-25
220037 Minsk
Belarus
Tel +375-17-2356797
Fax +375-17-2102949
Belgium
Vlaamse Diabetes Vereniging
Flemish Diabetes Association
Ottergemsesteenweg 456
9000 Gent
Belgium
Tel: 32-9/220-05-20
Fax: 32-9/221-00-82
E-mail vdv@diabetes-vdv.be
Wesite http://www.diabetes-vdv.be
Association Belge du Diabète
ABD
Belgian Diabetes Association
Place Homere Gossens 1
1180 Brussels
Belgium
Tel: 32-2/374-3195
Fax: 32-2/374-8174
E-mail abd.diabete@swing.be
Wesite www.diabete-adb.be
Belize
Belize Diabetes Association
PO Box 2054
Belize City
Belize
Tel: 501-147-145
Fax: 501/212-166
Email swas@btl.net
Bermuda
Bermuda Diabetes Association
PO Box DV506
CR04 Devonshire
Bermuda
Tel: 441/2392027
Fax: 441/2396338
E-mail diabetescentre@bermudahosptals.bm
Website http://www.bermudahospitals.bm
Bolivia
Bolivian Society of Endocrinology, Metabolism and Nutrition
Po Box 3804
Santa Cruz
Bolivia
Tel: 591-3/3378485
Fax: 591-4/4485948
E-mail douglastucan@cotas.com.bo
Website www.sbmn.org
Brazil
Associacao de Diabetes Juvenil
Rue Padre Antonio Tomas, 213
CEP 05003-010 Sao Paulo
Brazil
Tel +55-11-36753266
Fax +55-11-36753266
E-mail adj@adj.org.br
Website www.adj.org.br
Federation of National Diabetes Association - FENAD
Rua Eça de Queiróz 198
Vila Mariana
CEP 04011-031 Sao Paulo
Brazil
Tel: 55-11/5572-6179
Fax: 55-11/5572-6179
E-mail fenad@fenad.org.br
Website www.fenad.org.br
Sociedade Brasiliera de Diabetes (SBD)
Brazilian Diabetes Society
Rua Afonso Brás 579, salas 72/74
Vila Nova Conceição
04511-011 São Paulo - SP
Brazil
Tel +55-11-38424931
Fax +55-11-38460729
E-mail info@diabetes.org.br
Website www.diabetes.org.br
British Virgin Islands
British Virgin Islands Diabetes Association
Diabetes Resource Centre
PO Box 31
Road Town, Tortola
British Virgin Islands
Tel: 1-284/494-4125
Fax: 1-284/494-7057
E-mail bvidiabetesassociation@surfbvi.com
Bulgaria
Bulgarian Diabetes Association
Sevastokrator Kaloyan Str 24
Boyana
1616 Sofia
Bulgaria
Bulgarian Society of Endocrinology
Damian Gruev Street 6
1303 Sofia
Bulgaria
Tel +359-2-9871497 or 9877201
Fax +359-2-9874145
E-mail dimitar.tcharaktiev@hop.egp.ap-hop-paris.fr
Cambodia
Cambodian Diabetes Association
4, Street 55
Sangkat Chak tomuk
Khan Daun Penh, Phnom Penh
Cambodia
Tel +855-12787170
Fax +855-42941499
Cameroon
Cameroon Diabetes Association (ACADIA)
ACADIA
Faculty of Medicine & Biomedical Science
University of Yaounde 1
BP 8046 Yaounde 8
Cameroon
Tel +237-9868190
Canada
Canadian Diabetes Association
National Live Building
522 University Avenue, Suite 1400
M5G 2R5 Toronto, Ontario
Canada
Tel +1-416-4087020
Fax +1-416-4087015
E-mail info@diabetes.ca
Website www.diabetes.ca
Diabète Québec
Quebec Diabetes Association
8550 Boulevard Pie-IX
Bureau 300
H1Z 4G2 Montreal, Québec
Canada
Tel +1-514-2593422 ext 231
Fax +1-514-2599286
E-mail direction@diabete.qc.ca
Website www.diabete.qc.ca
Cayman Islands
Cayman Islands Diabetic Association
PO Box 2063 GT
Grand Cayman
Cayman Islands
Tel: 1-345/914-2663
Fax: 1-345/949-2998
E-mail svperry@candw.ky
Central African Republic
Association des Diabétiques en Centrafrique
Central Africa Diabetes Association
BP 1984
Bangui
Central African Republic
Tel +236-610200
Fax +236-614494
E-mail asdiaca@yahoo.fr
Chad
Association Tchadienne de Lutte Contre le Diabète
Chad Association for the Fight Against Diabetes
BP 703
N'Djamena
Chad
Tel +235-534008
E-mail cssiitsn@intnet.td
Chile
Fundación Diabetes Juvenil de Chile
Juvenile Diabetes Foundation of Chile
La Concepción 80, local 1
Providencia
Santiago de Chile
Chile
Tel +56-2-2366110
Fax +56-2-2366240
E-mail contacto@diabeteschile.cl
Website www.diabeteschile.cl
Sociedad Chilena de Endocrinología y Metabolismo
Chilean Society of Endocrinology and Metabolism
Bernarda Morín 488
Segundo Piso Providencia
Santiago 9
Chile
Tel +56-2-2230386
Fax +56-2-3412909
E-mail sochem@sochem.cl
Website www.sochem.cl
China
Associaçao de Apoio aos Diabéticos de Macau
Macau Diabetes Association
PO Box 729
Macau
China
Tel +853-785834
Fax +853-785834
Chinese Diabetes Society of the Chinese
Dept of Endocrinology
Peking Union Medical College
100730 Beijing
China
Tel +86-10-65295084
Fax +86-10-65233582
E-mail xianghd@public.bta.net.cn
Colombia
Asociación Colombiana de Diabetes
Calle 39A, No. 14-78
Santafé de Bogotá
Colombia
Tel +57-1-2880777 or 2883420
Fax +57-1-3231582
E-mail adiabete@cable.net.co
Federación Diabetológica Colombiana
FDC
Calle 94 no. 15-32
Oficina 101
Bogotá D.C.
Colombia
Tel +57-1-6359710/11/12
Fax +57-1-6359711
E-mail fediacol@cable.net.co
Website www.fdc.org.co
Costa Rica
Asoc. Costarricense de Endocrinología, Diabetes
ACEDYN
Col. de Médicos y Cirujanos Costa Rica
PO Box 548
1000 San José
Costa Rica
Tel +506-2327891
Fax +506-2315727
E-mail mkdpon@sol.racsa.co.cr
Cote d’Ivoire (Ivory Coast)
Association des Diabétiques de Côte d'Ivoire
ADIACI
BP 4241
01 Abidjan
Côte d'Ivoire (Ivory Coast)
Tel +225-471072
E-mail lokroua@yahoo.fr
Croatia
Hrvatski Savez Dijabeticka Udurga
Croatian Diabetes Association
Ilica 48/2
10000 Zagreb
Croatia
Tel +385-1-4847807
Fax +385-1-4847807
E-mail diabetes@diabetes.hr
Website www.diabetes.hr
Cuba
Sociedad Cubana de Diabetes
Cuban Society of Diabetes
Apartado 6275
Zona Postal 6
Habana
Cuba
Tel +537-8326367
Fax +537-333417
E-mail diabetes@infomed.sld.cu
Cyprus
Cyprus Diabetic Association
PO Box 25354
1309 Nicosia
Cyprus
Tel: 357-2/669-540
Fax: 357-2/662-152
E-mail cyprusdiabeticassociation@cytanet.com.cy
Czech Republic
Ceska Diabetologicka Spolecnost
Czech Diabetes Society
Faculty Medicine 1 - Charles University
U Nemocnice 1
128 08 Prague 2
Czech Republic
Tel +420-2-24916745
Fax +420-2-24916745
E-mail jan.skrha@lf1.cuni.cz
SVAZ Diabetik ù Ceské Republiky
Union of Diabetics of the Czech Republic
Koperníkova 1490/11
120 00 Praha 2
Czech Republic
Tel +420-2-22513327
Fax +420-2-22513381
E-mail info@diabetes.cz
Website www.diazivot.cz
Denmark
Diabetesforeningen - Danish Diabetes Association
Rytterkasernen 1
5000 Ödense C
Denmark
Tel: 45-66/12-90-06
Fax: 45-65/91-49-08
E-mail pj@diabetesforeningen.dk
Website http://www.handicap.dk/diabetes.default.htm
Dominica
Sociedad Dominica de Diabetes
SODODIA
Dominica Diabetes Association
Roseau Health Center
Upper Lane
Roseau
Dominica
Tel +1-767-4482802
Fax +1-767-4499868
E-mail clevebutler@yahoo.com
Dominican Republic
Instituto Nacional de Diabetes, Endocrinología y Nutrición
INDEN
Av Paseo del Yaque
Los Rios
1214 Santo Domingo
Dominican Republic
Tel 1-809-3850451
Fax 1-809-3850550
E-mail pat.diabetes@codetel.net.do
Website www.inden.org
Sociedad Dominicana de Diabetes
SODODIA
Dominican Diabetes Society
Aptdo de Correos 61, PO Box 160
Central Office
Santo Domingo
Dominican Republic
Tel +1-809-3850418
Fax +1-809-3853550
E-mail pat.diabete@codetel.net.do
Ecuador
Asociación Ecuatoriana de Diabetes
AED
Sebastian Guarderas Oe 2-52 y
Manuel de la Peña
Quito
Ecuador
Tel +11-593-9-9913544
Fax +11-593-3-2227203
E-mail njd_quito@yahoo.com
Federación Ecuatoriana de Diabetes
FEDIabetes
Edificio Eloy Alfaro 403
Ave. Eloy Alfar of. 355
5932 Quito
Ecuador
Tel +593-2-438959
Fax +593-2-436054
E-mail fediabetes@andinanet.net
Egypt
The Egyptian Diabetes Association
40 Safia Zaghloul Street
21111 Alexandria
Egypt
Tel +20-3-5439928
Fax +20-3-5431698
E-mail eda@diabetesegypt.org
El Salvador
Asociación Salvadoreña de Diabéticos
ASADI
Alameda Roosevelt, Final 53
Av Norte No. 123
2840 San Salvador
El Salvador
Tel +1-503-2605682
Fax +1-503-2605680
Eritrea
Eritrean Diabetes Association
PO Box 5636
Asmara
Eritrea
Tel +291-1-188286
Fax +291-1-188285
E-mail diabetic@tse.com.er
Estonia
Estonian Diabetes Association
Sütiste Road 17
13419 Tallinn
Estonia
Tel +372-5119001
Fax +372-5070091
E-mail eda@diabetes.ee
Website www.diabetes.ee
Ethiopia
Ethiopian Diabetes Association
PO Box 31840
Addis Abeba
Ethiopia
Tel 251-1-625808
E-mail ethiodiabetes@lycos.com
Fiji
Fiji National Diabetes Foundation
Ministry of Health, PO Box 2223
Government Buildings
Suva
Fiji
Tel +679-320844
Fax +679-320746
E-mail nchp@healthfiji.gov.fj
Finland
Finnish Diabetes Association
Kirjoniementie 15
33680 Tampere
Finland
Tel: 358-3/2860-111
Fax: 358-3/3600-462
E-mailjorma.huttunen@diabetes.fi
Website http://www.diabetes.fi
France
Association Française des Diabétiques
AFD
Rue Alexandre Dumas 58
75544 Paris Cedex 11
France
Tel +33-1-40092425
Fax +33-1-40092030
E-mail afd@afd.asso.fr
Website www.afd.asso.fr
Gambian
Gambian Diabetes Association
PO Box 1853
Banjul
Gambia
Tel +220-228223
Fax +220-225909
E-mail balamere@qanet.gm
Georgia
Georgian Union of Diabetes and Endocrine Associations
GUDEAS
Diabetes Centre of Georgia
5 Ljubljana Str
0159 Tbilisi
Georgia
Tel +995-32-527010
Fax +995-32-940081
E-mail diabet@access.sanet.ge
Website www.diabet.ge
Germany
Deutsche Diabetes-Union e. V.
German Diabetes Union
Städt Krankenhaus München III Med Abt.
Kölner Platz 1
80804 München
Germany
Tel +49-89 / 30 68-25 23
Fax +49-89 / 30 68-39 06
E-mail info@diabetes-union.de
Website www.diabetes-union.de
Ghana
Association Guinéenne d'Education et d'Aide aux Diabétiques
Guinean Association for the Education and Help to Diabetics
BP 1206
Conakry
Ghana
Tel +224-414336
Fax +224-414336
E-mail naby@mirinet.net.gn
Ghana Diabetes Association
PO Box KB 68
Korle-Bu, Accra
Ghana
Tel +233-21-660702
Fax +233-21-668286
Greece
Hellenic Diabetes Association
9, Meandrou Street
11528 Athens
Greece
Tel +30-210-7210935
Fax +30-210-7210935
Website www.ede.gr
Hellenic Federation of Diabetics
4 Bouboulinas Str
45445 Ioannina
Greece
Tel/Fax: 30-651/73634
pendi@otenet.gr
Grenada
Grenada Diabetes Association
St John Street
St Georges
Grenada
Tel +1-473-4402932
Fax +1-473-4402932
E-mail bbrathwaite@sgu.edu
Guatemala
Patronato de Pacientes Diabéticos de Guatemala
11 Calle No. 1-04 Zona 1
01001 Guatemala City
Guatemala
Tel +502-23261616
Fax +502-23261660
E-mail info@papadigua.net
Website www.papadigua.net
Guyana
Guyana Diabetic Association
Guyana Nurses Association Hall
Charlotte And Alexander Streets
Georgetown
Guyana
Tel +011-592-222-4418
Fax +011-592-222-4413
E-mail dhse@sdnp.org.gy
Haiti
Fondation Haïtienne de Diabète et de Maladies Cardiovasculaires - (FHADIMAC)
PO Box 48
Port-au-Prince
West Indies
Haïti
Tel +509-456335
Fax +509-559839
E-mail info@fhadimac.org
Website www.fhadimac.org
Honduras
Coordinadora Nacional de Lucha contra la Diabetes - CONALUDI
14-15 av Golle SO
B Suyapa
San Pedro Sula
Honduras
Tel: 504/552-6959
Fax: 504/557-6152
Hong Kong
Diabetes Hong Kong
Unit 1802, 18/F Tung Hip Commercial Bldg
244-252 Des Voeux Road Central
Hong Kong SAR
Hong Kong
Tel +852-2723 2087
Fax +852-2-723 2207
E-mail info@diabetes-hk.org
Website www.diabetes-hk.org
Hong Kong Society of Endocrinology, Metabolism
HKSEMR
Queen Elizabeth Hospital
c/o Department of Medicine
Kowloon
Hong Kong
Tel +852-2958888
Fax +852-23844698
E-mail kinlchoi@hotmail.com
Website www.endocrine-hk.org
Hungary
Magyar Diabetes Tarsasag
Hungary
Hungarian Diabetes Association
Bajsy Zsilinszky Hospital
Maglodi ut 89/91
1106 Budapest
Hungary
Tel +36-1-2607619
Fax +36-1-2607619
E-mail kempet@bel1.sote.hu
Iceland
Samtök Sykursjúkra
Icelandic Diabetic Association
Hátún 10B
108 Reykjavík
Iceland
E-mail diabetes@diabetes.is
Website www.diabetes.is
India
Diabetic Association of India
S.L. Raheja Hospital
Raheja Rugnalaya Marg, Mahim
400016 Mumbai
India
Tel +91-22-56529999
Fax +91-22-24449418/24443893
E-mail info@rahejahospital.com
Indonesia
Pengurus Besar Persatuan Diabetes Indonesia
Indonesian Diabetes Association
FK UI/RS Dr Cipto Mangunskusumo
Jl Salemba Raya No 6
Jakarta
Indonesia
Tel +62-21-3100075
Fax +62-21-3928658
E-mail endo_id@indo.net.id
Iraq
Iraqi Diabetes Association
Al-Yarmook Hospital
Al-Qadsia Province
Baghdad
Iraq
Tel +964-15425727
Fax +964-15425727
Ireland
Diabetes Federation of Ireland
76 Lower Gardiner Street
1 Dublin
Ireland
Tel +353-1-8363022
Fax +353-1-8365182
E-mail info@diabetes.ie
Website www.diabetes.ie
Irish Endocrine Society
Mater Hospital
Eccles Street
Dublin 7
Ireland
Tel +353-1-8093000
Fax +353-1-9828675
Islamic Republic of Iran
Iranian Diabetes Society
IDS
46 Ramin Malakooti Street
Patris Lomumba
14439 Tehran
Islamic Republic of Iran
Tel +98-21-8253113
E-mail diabetessociety@yahoo.com
Israel
Israel Diabetes Association
46 Derech Hamakabim St
PO BOX 15601
75359 Rishon Lezion
Israel
Tel +972-3-9508222
Fax +972-3-9508111
E-mail eli7@actcom.co.il
Italy
Associazione Italiana per la Difesa degli
AID
Via della Scrofa 14
00186 Rome
Italy
Tel +39-06-68803784
Fax +39-06-68803784
E-mail assitdiab@tiscalinet.it
Website www.assitdiab.it
Associazione Medici Diabetologi
AMD
Viale Carlo Felice 77
00185 Rome
Italy
Tel +39-06-7000599
Fax +39-06-7000499
E-mail amdass@tiscalinet.it
Website www.aemmedi.it
FAND - Associazione Italiana Diabetici
FAND
Via Dracone 23
20126 Milan
Italy
Tel +39-02-2570453
Fax +39-02-2570176
E-mail info@fand.it
Website www.fand.it
Societa Italiana di Diabetologia
SID
Italian Diabetology Society
via Pisa 21
00162 Rome
Italy
Tel +39-06-44240967
Fax +39-06-44292060
E-mail siditalia@siditalia.it
Website www.siditalia.it
Jamaica
Diabetes Association of Jamaica
1 Downer Avenue
Kingston 5
Jamaica
Tel +1-876-9785915
Fax +1-876-9781883
E-mail diabetesja@kasnet.com
Japan
Japan Diabetes Society
5-25-18 Hongo
Haiteku Hongo Bldg.,3rd Fl
113-0033 Bunkyo-ku, Tokyo
Japan
Tel +81-3-38154364
Fax +81-33-8157985
E-mail jdstokyo@za2.so-net.ne.jp
Website www.jds.or.jp
Jordan
Jordanian Association for the Care of Diabetes
PO Box 9704
Amman 11191 - Jordan
Tel: 962-6/516-0207
Fax: 962-6/515-9807
Email jorscd@next.jo
Kazakhstan
Diabetes Association of the Republic of Kazakhstan
DARK
Kazakstan
Office 9
164 Gaidar Street
480009 Almaty
Kazakhstan
Tel +7-3272- 400810
Fax +7-3272-416158
E-mail diab@dark.almaty.kz
Kenya
Kenya Diabetic Association
PO Box 55098
Nairobi - Kenya
Tel: 254-2/336-725
E-mail kdiabass@yahoo.com
Korea Republic
Korean Diabetes Association
KDA
Room No 101à, Renaissance Tower Bldg
456 Gongdeuk-dong, Mapo gu
121-706 Seoul
Korea, Republic of
Tel +82-2-7149064 or 9080
Fax +82-2-7149084
E-mail diabetes@kams.or.kr
Website www.diabetes.or.kr
Kuwait
Kuwait Diabetes Society
KDS
PO Box 1202
13031 Safat
Kuwait
Tel +965-2468874
Fax +965-5333276
E-mail kds@kma.org.kw
Kyrgyzstan
Diabetes Association of Kyrgyzstan
199 Panfilov Str
720000 Bishkek
Kyrgyzstan
Tel +996-312-662684
Fax +996-312-621261
E-mail diabet_kg@mail.ru
Lebanon
Lebanese Diabetes Association
Centre Makassed
Makassed Center - 4th Floor
Mar Elias Street
Beirut
Lebanon
Tel +961-7-300515
Fax +961-7-739424
Lesotho
Lesotho Diabetes Association
PO Box 925
Maseru
Lesotho
Tel +266-22-327000
Fax +266-22-327555
E-mail diabetes@leo.co.ls
Libyan Arab Jamahiriya
Libyan Diabetic Association
PO Box 11052
Tripoli
Libyan Arab Jamahiriya
Tel +218-21-4776992
Fax +218-21-3600659
Lithuania
Lithuanian Diabetes Association
Gedimino Av 28/2 - 404
01104 Vilnius
Lithuania
Tel +370-5-2620783
Fax +370-5-2610639
E-mail info@dia.lt
Website www.dia.lt
Luxembourg
Association Luxembourgeoise du Diabète
ALD
Luxembourg Diabetes Association
12-14 bd d'Avranches
PO Box 1316
1013 Luxembourg
Luxembourg
Tel +352-485361
Fax +352-220836
E-mail diabete@pt.lu
Website www.ald.lu
Macedonian
Macedonian Diabetes Association
Vodnjanska 17
1000 Skopje
Macedonia
Tel +389-2-147254
Fax +389-2-212480
E-mail info@endocrinology.org.mk
Malaysia
Persatuan Diabetis Malaysia
Malaysian Diabetes Association
No 2 Lorong 11/4 E
46200 Petaling Jaya
Selangor Darul Ehsan
Malaysia
Tel +60-3-79574062
Fax +60-3-79604514
Maldives
Diabetes and Cancer Society of Maldives
H Deens Villa
Meheli Goalhi
Male
Maldives
Tel +960-328987
Fax +960-316243
E-mail dcsm@dhivehinet.net.mv
Mali
Association Malienne de Lutte contre le Diabète
AMLD
Centre Hospitalo-Universitaire
Gabriel Toure
Bamako
Mali
Tel +223-230780
Fax +223-226090
E-mail diabete@malinet.ml
Malta
Ghaqda Kontra D-dijabete
Maltese Diabetes Association
British Legion Premises
111 Melita Street
Valletta
Malta
Tel +356-21-221518
Fax +356-21-437418
E-mail info@diabetesmalta.org
Website www.diabetesmalta.org
Mauritius
Mauritius Diabetes Association
C/o 18 Williams Newton Street
Port Louis
Mauritius
Tel +230-2122430/2124406
E-mail bonnemarmite@intnet.mu
Mexico
Federación Mexicana de Diabetes
Mexican Diabetes Federation
Tonala No. 21, 3er. Piso Col.
Roma Norte
06700 Mexico City
Mexico
Tel +5255-55160697
Website www.fmdiabetes.org
Sociedad Mexicana de Nutrición y Endocrinología
Mexican Society of Nutricion & Endocrinology
Ohio no 27
Col El Rosedal, Del Coyoacán
04330 Mexico DF
Mexico
Tel +52-55-56105652
Fax +52-55-52115820
E-mail smne@terra.com.mx
Sociedad Mexicana de Nutrición y Endocrinología
Mexican Society of Nutricion & Endocrinology
Ohio 27
Col El Rosedal
Mexico DF 04330 - Mexico
sociedad@smne.org.mx
Morocco
Ligue Marocaine de Lutte contre le Diabète
2, Place Moulay Ali Cherif
or: PO Box 6583
11100 Rabat
Morocco
Tel +212-7-675201
Fax +212-7-675155
E-mail chu.cc.ibnsina@sante.gov.ma
Mozambique
Associacao Mocambicana dos Diabéticos
av Ho Chi Min No 1142
2167 Maputo
Mozambique
Tel +258-1-310389
Fax +258-1-422698
E-mail dalila@zebra.uem.mz
Nepal
Nepal Diabetes Association
Tipureshwor
Po Box 3245
Kathmandu - Nepal
Tel: 977-1/266-540
Fax: 977-1/441-7979
mdb@ntc.net.np
The Netherlands
Diabetesvereniging Nederland
DVN
Dutch Diabetes Association
Fokkerstraat 17
PO Box 470
3830 LD Leusden
Netherlands
Tel +31-33-4341952
Fax +31-33-4630930
E-mail j.gillissen@dvn.nl
Website www.dvn.nl
Nederlandse Vereniging Voor Diabetesonderzoek
NVDO
Dutch Association for Diabetes Research
Diabetes Centre VU, Medical Centre
PO Box 7057
1007 MB Amsterdam
Netherlands
Tel +31-20-4440533
Fax +31-20-4440502
Website www.nvdo.net
Netherlands Antilles
Sociedat Kurasoleno Di Diabetiko
SOKUDI
Diabetic Association of Curaçao
Schonegevelstraat 21
PO Box 181
Willemstad, Curaçao
Netherlands Antilles
Tel +599-9-8888844
New Zealand
Diabetes New Zealand
115 Molesworth street
PO Box 12 441
6001 Wellington
New Zealand
Tel +64-4-4997145
Fax +64-4-4997146
E-mail diabetes@diabetes.org.nz
Website www.diabetes.org.nz
Nicaragua
Fundación Pro-Ayuda a Enfermos Crónicos
FUNPEC
Calle 14 de Septiembre ITR Ciudad
Jarin Una Cuadra Abajo
Managua
Nicaragua
Tel +505-2-256239
Fax +505-2-491320
Nigeria
Diabetes Association of Nigeria
College of Medicine
University of Lagos
PMB 12003 Lagos
Nigeria
Tel +234-01-4737253
Fax +234-015840079
E-mail efedaye@yahoo.com
Website www.diabetesng.org
Norway
Norges Diabetesforbund
Norwegian Diabetes Association
Østenjøveien 29
PO Box 6442, Etterstad
0605 Oslo
Norway
Tel +47-23051800
Fax +47-23051801
E-mail norges.diabetesforbund@diabetes.no
Website www.diabetes.no
Pakistan
Diabetic Association of Pakistan
5-E/3, Nazimabad
74600 Karachi
Pakistan
Tel +92-21-6616890
Fax +92-21-6680959
Panama
Asociación Panameña de Diabeticos
Panamanian Diabetes Association
Apartado 0815-00473 zona 4
Panama City
Panama
Tel +507-2256239
Fax +507-2256239
Papua New Guinea
Diabetic Association of Papua New Guinea
HOPE worldwide (PNG)
PO Box 3478
Boroko, NCD
Papua New Guinea
Tel +675-3256901
Fax +675-3230419
E-mail hopepng@datec.com.pg
Paraguay
Fundación Paraguaya de Diabetes
Bomberos Voluntarios No. 809
esq. Celsa Speratti
221-557 Asuncion
Paraguay
Tel +595-21-673270
Fax +595-21-673270
E-mail fupadi@highway.com.py
Sociedad Paraguaya de Diabetología
Paraguayan Society of Diabetology
Cerro Cora 975
Brasil y Manuel Dominguez, Oficina 311
Asunción
Paraguay
Tel +595-21-204601
Fax +595-21-204801
E-mail felca@conexion.com.py
Peru
Asociación de Diabéticos Juveniles del Péru
ADJ
Juvenile Diabetes Association of Peru
Calle Luis Pasteur 1371
Lince
14 Lima
Peru
Tel +51-1-2224747
Fax +511-2222922
E-mail adjperu@telefonica.net.pe
Asociación Peruana de Diabetes
Peruvian Diabetes Association
Avenida San Felipe 610
Jesus Maria
11 Lima
Peru
Tel +51-1-2614524
Fax +51-1-5782408
E-mail jbpenaloza@terra.com
Philippines
Philippine Diabetes Association
Unit 25, Facilities Centre
548 Shaw Boulevard
1550 Mandaluyong City
Philippines
Tel +63-2-5349559
Fax +63-2-5311278
E-mail phildiab@pworld.net.ph
Website www.diabetesphil.org
Poland
Polskie Stowarzyszenie Diabetyków
Polish Diabetes Association
ul Powstancow Wielkopolskich 33
85-090 Bydgoszcz
Poland
Tel +48-52-3411251
Fax +48-52-3460692
E-mail a.bauman@diabetyk.org.pl
Website www.diabetyk.org.pl
Polskie Towarzystwo Diabetologiczne
Polish Diabetological Association
Department of of Metabolic Diseases
ul Kopernika 15 Street
31-501 Krakow
Poland
Tel +48-12-4213972
Fax +48-12-4219786
Portugal
Associação Protectora dos Diabéticos de Portugal
APDP
Portuguese Diabetes Association
Rua do Salitre, 118 - 120
1250-203 Lisbon
Portugal
Tel +351-213816100
Fax +351-213859371
E-mail diabetes@apdp.pt
Website www.apdp.pt
Sociedade Portuguesa de Diabetologia
Potuguese Society of Diabetology
Praça Marquês Pombal 16 A
1250 - 163 Lisboa
Portugal
Tel +351-96-8252297
Fax +351-21-3859371
E-mail spd@diabetes.com.pt
Website www.spd.pt
Puerto Rico
Asociación Puertorriqueña de Diabetes
PO Box 190842
00919-0842 San Juan
Puerto Rico
Tel +1-787-2810617
Fax +1-787-2817175
E-mail diabetes@coqui.net
Website www.diabetespr.org
Asociación Puertorriqueña de Educadores en Diabetes
Puerto Rican Association of Diabetes Educators
PO Box 40397
'00940 San Juan
Puerto Rico
Tel +1-787-2681274
Fax +1-787-2681274
Sociedad Puertorriqueña de Endocrinología y Diabetología
SPED
Puerto Rican Society of Endocrinology and Diabetology
PO Box 364208
00936-4208 San Juan
Puerto Rico
Tel +1-787-7934445
Fax +1-787-7817280
E-mail info@spedpr.org
Website www.spedpr.org
Qatar
Qatar Diabetes Association
PO Box 752
Al Laqta
974 Doha
Qatar
Tel +974-4874310 or 4876084
Fax +974-4876065
E-mail qda-idf@qf.org.qa
Website www.qda.org.qa
Romania
Association for Protection of Romanian
Pridvorului Street 19
Bl20 ap 45 sector 4
75173 Bucharest
Romania
Tel +40-1-3033190
Fax +40-1-3239794
E-mail bruckner@fx.ro
Societatea Romana de Diabet, Nutritie si
Romanian Society of Diabetes, Nutricion and Metabolic Disease
2 Clinicilor Street
3400 Cluj-Napoca
Romania
Tel +40-264-199578
Fax +40-264-194455
Russia
Russian Diabetes Federation
Micluho-Muklay Str. 38-200
117279 Moscow
Russian Federation
Tel +70-95-2362442
Fax +70-95-2362442
E-mail mda.rdf.goustova@mail.ru
Rwanda
Association Rwandaise des Diabétiques
PO Box 2238
Kigali
Rwanda
Tel +250-08538711
E-mail asrwdiab@yahoo.fr
Saint Lucia
St Lucia Diabetic and Hypertensive Association
15 St Louis Street
PO Box 452
Castries, Western Indies
Saint Lucia
Tel +1-768-4527693
Fax +1-768-4536688
E-mail stluciadiabetic@candw.lc
Samoa
Diabetes Association of Samoa
Tupua Tamasese Meole Hospital
Private Bag
Apia
Samoa
Tel +685-21212
Fax +685-22905
Saudi Arabia
Saudi Diabetes and Endocrine Association
PO Box 1498
31925 Al Khobar
Saudi Arabia
Tel +966-3-8974921/23
Fax +966-3-8974920
E-mail sdea@rawabiss.com
Senegal
Association Sénégalaise de Soutien aux Diabétiques
ASSAD
BP 28747
12023 Dakar
Senegal
Tel +221-8234427
Fax +221-8228187
E-mail gueye.baye.oumar@caramail.com
Serbia and Montenegro
Diabetes Association of Serbia and Montenegro
Karadjordjeva 36/II st 5A
11000 Belgrade
Serbia and Montenegro
Tel +381-11-3283267
Fax +381-11-3283578
E-mail diabetesyu@net.yu
Website www.diabeta.net
Yugoslav Association for the Study of Diabetes
Diabetes and Metabolic Disease
Dr Subotica 13
11000 Belgrade
Serbia and Montenegro
Tel +381-11-3616317 (ext 134)
Fax +381-11-685357
Seychelles
Diabetic Society of Seychelles
Deenu's Building, Quincy Street
PO Box 88
Victoria, Mahe
Seychelles
Tel +248-322239
Fax +248-324028
E-mail deenu@seychelles.net
Singapore
Diabetic Society of Singapore
Ang Mo Kio Hospital
17 Ang Mo Kio Avenue 9 #02-12
569766 Singapore
Singapore
Tel +65-64506132/6142
Fax +65-65531801
E-mail dss@diabetes.org.sg
Website www.diabetes.org.sg
Slovakia
Slovenska Diabetologicka Spolocnost
Slovakian Diabetes Society
1 Interna Klinika MFN a JLF UK
Kollarova 2
036 59 Martin
Slovakia
Tel +421-43-4203485
Fax +421-43-4220261
E-mail kl1i@jfmed.uniba.sk
Website www.diadays-tn.sk
ZVAZ Diabetikov Slovenska
Association of Diabetic Patients of Slovakia
Ustrenda rada
Ustredie
Presovska 39
821 08 Bratislava 2
Slovakia
Tel +421-2-55422426
Fax +421-43-4134771
E-mail bukovska@mfn.sk
Slovenia
Zveza Drustev Diabetikov Slovenije
SLODA
Slovenian Diabetes Association
Einspielerjeva Ulica 3
1000 Ljubljana
Slovenia
Tel +386-1-2362726
Fax +386-1-2362727
E-mail sloda@siol.net
Website www.diabetes-zveza.si
South Africa
Diabetes South Africa
DSA Randburg
PO Box 604
Fontainebleau
2032 Gauteng
South Africa
Tel +27-11-7929888
Fax +27-11-7936561
E-mail national@diabetessa.co.za
Website www.diabetessa.co.za
Society for Endocrinology,
SEMDSA
PO Box 783155
2146 Sandton
South Africa
Tel +27-114898525/8500
Fax +27-117172521
E-mail semdsa@worldonline.co.za
Website www.semdsa.org.za
Spain
Federación Española de Diabetes
Spanish Federation of Diabetes
D Ramon de la Cruz 88
Oficina 1
28006 Madrid
Spain
Tel +34-91-4013342
Fax +34-91-4020227
E-mail fedespa@arrakis.es
Sociedad Española de Diabetes
Spanish Diabetes Society
D Ramon de la Cruz 88
28006 Madrid
Spain
Tel +34-91-4013342
Fax +34-91-4020227
E-mail secretaria@sediabetes.org
Website www.sediabetes.org
Sweden
Svenska Diabetes Förbundet
Swedish Diabetes Association
PO Box 1107
Sturegatan 4B
172 22 Sundbyberg
Sweden
Tel +46-8-56482100
Fax +46-8-56482139
E-mail info@diabetes.se
Website www.diabetes.se
Swedish Society for Diabetology
Sahlgrenska University Hospital
413 45 Göteborg
Sweden
Switzerland
Schweizerische Diabetes-Gesellschaft
Swiss Diabetes Association
Rütistrasse 3a
5400 Baden
Switzerland
Tel +41-56-2001790
Fax +41-56-2001795
E-mail sekretariat@diabetesgesellschaft.ch
Website www.diabetesgesellschaft.ch
Syrian Arab Republic
Syrian Diabetes Association
PO Box 6858
Damascus
Syrian Arab Republic
Tel +963-11-2318900
Fax +963-11-2318900
E-mail sda@mail.sy
Taiwan
Chinese Taipei Diabetes Association
Dept of Internal Medicine
National Taiwan University Hospital
7 Chun-Shan South Road
Taipei 100
Taiwan
Tel: 886-2/2375-3352
Fax: 886-2/2370-1898
ctda@ms29.hinet.net
Tanzania United Replublic
Diabetes Association of Zanzibar
DAZ
PO Box 1902
Zanzibar
Tanzania, United Republic of
E-mail dralisalum@hotmail.com
Tanzania Diabetes Association
India/Nyanza Street
Dar es Salaam
Tanzania, United Republic of
Tel +255-22-2114991
Fax +255-22-2113459
E-mail diabetes@cats-net.com
Thailand
Diabetes Association of Thailand
Phra Mongkutklao Hospital
Ratchawithi Road, Phaya Thai
10400 Bangkok
Thailand
Tel +662-2464061
Fax +662-2464061
E-mail sitvy@mahidol.ac.th
Trinidad and Tobago
Diabetes Association of Trinidad and Tobago
Room 14 Fairfield Complex
Bacolet Street
Scarborough
Trinidad & Tobago
Tel +1-868-6722379
Fax +1-868-6720864
E-mail diabetesassoc_tt@yahoo.com
Turkey
Türk Diabet Cemiyeti
Turkish Diabetes Association
Dr Celal Öker Sokak 10
Harbiye
80230 Istanbul
Turkey
Tel +90-212-233 60 86-87
Fax +90-212-248 55 23
E-mail info@diabetcemiyeti.org
Website www.diabetcemiyeti.org/tarihce_e.htm
Turkish Diabetes Foundation
Turkiye Diyabet Vakfi
Turgut Özal cad. Bati apt. no. 135
Kat 2 D 10
Capa 34280 Istanbul
Turkey
Tel +90-212-6335171
Fax +90-212-6335198
E-mail info@turkdiab.org
Website www.turkdiab.org
Uganda
Uganda Diabetic Association
PO Box 16602
Wandegeya
Kampala
Uganda
Fax +256-41-532591
Ukraine
Ukrainian Diabetic Federation
a/b #9
04114 Kiev
Ukraine
Tel +380-44-4310250
Fax +380-
United Arab Emirates
Emirates Diabetes Society
PO Box 6600
UAE Dubai
United Arab Emirates
Tel +97-14-3377377
Fax +97-14-3344082
E-mail ema@emirates.net.ae
UK - United Kingdom
Diabetes UK
10 Parkway
NW1 7AA London
United Kingdom
Tel +44-20-74741000
Fax +44-20-74241001
E-mail info@diabetes.org.uk
Website www.diabetes.org.uk
USA - United States
American Diabetes Association
1701 North Beauregard Street
Alexandria, VA 22311
USA
Tel: +1-703/549-1500
Fax: +1-703/549-1715
lcann@diabetes.org
http://www.diabetes.org
Uruguay
Asociación de Diabéticos del Uruguay
Paraguay 1273
11100 Montevideo
Uruguay
Tel +598-2-9016214
Fax +598-2-9016214
E-mail info@adu.org.uy
Website www.adu.org.uy
Sociedad de Diabetología y Nutrición del Uruguay
Av Luis A de Herrera 2092 - ap 101
11300 Montevideo
Uruguay
Tel +598-2-4810089
Fax +598-2-9016214
E-mail sdiab@adinet.com.uy
Venezuela
Sociedad Venezolana de Endocrinología y Metabolismo
Venezuelan Endocrinology and Metabolism Society
Ave El Golf
Quinta Setentaiseis (76)
Urb El Bosque - Colegio de Medicos Estado Miranda
Caracas 1050
Venezuela
Tel/Fax: 58-2/731-3039
svem@cantv.net
Asociación Venezolana de Diabetes
Venezuelan Diabetes Association
Avenida Los Leones c/c Av Madrid
Policlínica Barquisimeto
Consultorio 23
Barquisimeto Edo Lara - Venezuela
Tel: 58-51/53-52-73
Fax: 58-51/54-51-70
diabetes@inname.com
Federación Venezolana de Asociaciones y Unidades de Diabetes - FENADIABETES
Sociedad Venezolana de Endocrinologia y Metabolismo
Colegio Médico del Estado Miranda
Av El Golf, Qta 76, Urb El Bosque
Caracas 1050
Venezuela
Tel: 58/731-30-39
Fax: 58/731-30-39
FENADIABETES
Fundación de Atención al Diabético - FUNDIABETES
av Cajigal - Residencias Danubio
Piso 2 - Apto 2-5
San Bernardino
Caracas - Venezuela
Tel: 582/5528-167
Fax: 582/520-476
fad1telcel.net.ve
Zambia
Diabetes Association of Zambia
PO Box 109X
Ridgeway
Lusaka
Zambia
E-mail chishimbalumbwe@yahoo.com
Zimbabwe
Zimbabwe Diabetic Association
Old Central Hospital, Parirenyatwa
P.O. Box 1797
Harare
Zimbabwe
Tel +263-4-732089
Fax +263-4-753256
E-mail melitusngoni@yahoo.com
To print this list visit: www.DiabetesAndTravel.com |
 Vibrating
Six Alarm
Diabetic Watch
for Children with DiabetesWatches:
e-pill MeDose Pediatric Diabetic Watch: Multi 6 Alarm Vibration Wrist Watch for Children with DiabetesThe e-pill MeDose (medos) "Pediatric" is a nicely designed medication reminder watch (vibrations or sound) for children with diabetes, it looks like a normal youth watch; it shows real time, (can also be set for two time zones), day-date, month, have a timer and stopwatch. FREE Shipping & Handling. 30-Day Money Back Guarantee! Only SIX - ALARM VIBRATING CHILDREN'S WATCH on the market!Watch Vibrating! - time to get your injection or take your pills!
- Multi-Alarm (up to six alarms per day)
- Vibrating discreet alarm for children with diabetes
- Vibration or Sound Alarm
- Count Down Timer & Chronograph
- Auto Calendar
- Back Light
Great for pediatric diabetic patients ( children) or anybody who does not want the world around them to know they are on medication. Developed for children with diabetes. Read an independent REVIEW of the e-pill MeDose watch.
Watch vibrates - time to go to the school nurse & get your insulin! Photo & Instructions
Also used as a reminder device to assist children with attention deficit disorder (A.D.D.), attention deficit hyperactivity disorder (A.D.H.D.), learning disorders, (L.D.), bed-wetting and chronic diseases such as diabetes, asthma and HIV/AIDS. This is not a glucose watch. This is the model designed for Children! Cool looking kids watch. Color: Red & Blue with Velcro Strap. Size: 1 1/2 inch x 1/2 inch. Manufactured by: ROLAND the apple pro production inc. Warranty: One Year Warranty. 30-Day Money Back Guarantee. |
 MD.2 automatic medication that monitors medication taking and alerts caregiver by phone using computer voice if medications pill organizer medications tablet Top-of-the-line: e-pill MedSmart PLUS Medication Dispenser 2nd Generation (e-pill MD2) is our most sophisticated Automatic Pill Dispenser and Medication Reminder System for tablets and capsules (pill organizer & pill dispenser). Improve patient compliance with this state of the art monitored dispensing and reminder device. For the customer who wants the very best - MedSmart PLUS from e-pill Medication Reminders is #1...... Compare: Automatic Pill Dispenser & Remonte Monitoring Reminder Systems | Battery Operated VersionMy mother has Alzheimer’s (and Diabetes) and would constantly forget to take her medications. Now, she never forgets and even calls the e-pill MD2 ‘her little frisbee’. A.P.Diabetes: Use the e-pill MD2 at home or in an assisted living facility. This dispenser is the perfect device for your diabetic patient. Fits right on the kitchen counter top. ( click on photos to enlarge them) Easy SET-UP via 800 NUMBER (24 hours/7 days per week support. Peace of mind knowing that MedSmart PLUS will call you (the caregiver) if the patient, your parent or a loved one is not taking their medications. Loud Alarm including flashing Visual Alarm (light). The MedSmart PLUS is the most sophisticated dispensing system in the world. Developed here in the US, marketed by e-pill Medication Reminders. High capacity (holds up to 28 medication events) allows the machine to operate without reloads for up to 28 days (once a day medication regimen) and can dispense up to SIX times per day. e-pill MedSmart PLUS = PEACE of MIND knowing that MEDICATIONS are DISPENSED! Monitored Automatic Medication Dispenser
Alerts Caregiver by Phone (or e-mail or TEXT message) if medications are not dispensed or if the MedSmart is running low on medications
MedSmart PLUS fits easily on a countertop
Holds 28 medication events, dispenses up to 6 times per day
Stores 2-4 weeks of medications for most patients
Highest capacity - up to 20 different pills per medication time
Alerts/phones caregiver when a refill is needed
Lockable cabinet keeps medications safe (2 keys included)
Early Dose feature allows dosing flexibility
Built in Power Backup (alternative power for up to weeks)
Support Center monitoring provides on call 24/7 customer service (via toll-free number)
Easy Set-Up
The e-pill MD2 (e-pill MedSmart PLUS 994019) needs an power outlet and a phone jack (operates on your normal phone line - no need for extra phone lines). The unit comes complete with everything you need to get going (and a great instructional video VHS tape for you and the patient).
Manufactured by AMAC. One Year warranty. Free shipping in the USA, ships UPS only.
Warranty: One Year Warranty by Manufacturer. 30-Day Money Back Guarantee. |
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 Automatic medication ("pill") dispenser & reminder from e-pill. Up to 4 medication times / day. SMART AUTOMATIC DIABETES ORAL MEDICATIONS "PILL DISPENSER" Automatic Pill Dispenser for Oral ("Pills") Diabetes Medicationsfrom e-pill Medication RemindersMy mother lives 1200 miles away. I used to call her twice a day to make sure she had taken her medicine. Now I don’t have to worry. R.SSMART AUTOMATIC PILL DISPENSER - HIGH TECH Pill Box from e-pill Medication Reminders.
e-pill electronic "pill" dispenser (Medtime XL automatic medication dispenser/pill organizer/pill box, Med-Time XL) and reminder system helps ensure that that all your diabetes medications are taken properly (pill identification) and on time. (click to enlarge photo) Taking the right meds on time is as important as what meds are being taken. Med-Time XL size: About two dinner plates (see photo). Made in Sweden (Careousel). 30 Day Money Back Guarantee! Ideal gift for a loved one. More about Med-Time. Fully Automatic Pill Dispenser
Easy SET-UP
SIMPLE to use
Unlimited # Dispenses per Day (up to 28 times per day)
Medication TRAYS (2 included)
Lockable with KEY (2 included)
Long Alarm time duration (up to 60 minutes)
NO monthly FEES
FREE Shipping in the US
Never forget to take your medications again!
Avoid medication errors!
Right Medications | Right Dose | Right Time
Med-Time XL is a device for dispensing medicine, reminding the user when medicine shall be taken, and making the correct dose available. More info / photos: open and how Med-Time works.
Medication Time:
Alarm will sound & pills rotate into position. Lift up device, turn the dispenser upside down to allow the pills to fall into your hand. All other medicine is inaccessible.
Alarm stops by turning device upside down (or after 60 minutes). Ideal for anyone on a complex medication schedule or for those who have difficulty with manual dexterity. Compare Automatic Medication Dispensers
Program & Load:
Technical Specifications Load the pills in the medication tray (two trays are included). Set the alarm clock, you can program up to 1,2,3,4,5,6 up to 28 alarms per day (4 AA batteries are included). Tray (pill box) has 28 compartments, each can hold several pills (each compartment has a capacity equal to 15 Aspirins). For added capacity you may set 2 or 3 alarms for the same time and double or triple the capacity. Early dose feature allows patient to access medications up to 30 minutes before scheduled medication time.
EASY to SET-UP: Load tray (pill box) & lock (2 keys included) your Med-Time XL. An empty (prescription) Medical Information/Drug Information Chart is included. Keep your medications organized and make pill identification easy with our automatic medication dispenser! It is ready to remind & dispense! Never forget to take your diabetes medications (or any other medication) again.
1 medication time per day – refill tray every 28 days (4 weeks!)
2 medication times per day – refill tray every 14 days (2 weeks!)
3 medication times per day – refill tray every 9 days
4 medication times per day – refill tray every 7 days (once per week!)
5 medication times per day – refill tray every 5 days 6 medication times per day – refill tray every 4 days ...
up to...
28 medication times per day - refill tray once a day
Manufactured by: American Medical Alert Corporation (AMAC). One Year Warranty. 30-Day Money Back Guarantee.
Size: Width 7 1/2 inch x 2 1/4 inch Weight: 17 oz (empty)
Shipping: FREE Standard Shipping (US customers only, $15.00 Non-US) |
 Technology Tackles Aging-In-Place
Out of Sight, But Not Out of Mind — Technology Tackles Aging-in-Place
By Kate Jackson, Social Work Today, Vol. 4, No. 7, Page 22
If we could, all of us would likely choose to age at home. Technology is helping to make that ideal reality for many people ..... click to see the full story about e-pill Medication Reminders in Socialwork TodayE-Pill
Stefan Solvell, president and manager of e-pill, LLC, provider of practical patient compliance and age-in-place products, explains that research has revealed that one-quarter of all nursing home admissions are due to poor medication compliance. Even in the wider population, statistics suggest that on any given day, only one-third of prescriptions written by physicians make it to the pharmacy and are taken on a regular basis, and another one-third are not taken in the way doctors intended for them to be taken. One-third of prescriptions never get filled. “The statistics are very clear, and it’s obvious that you cannot expect to get efficacy from any drugs unless you take them,” says Solvell. The situation can be exacerbated by age, since elders are likely to be taking multiple medications with often complicated dosing schedules. In response to this problem, Solvell’s company has created the e-pill, electronic devices that help elders remember to take the appropriate medications, at the right time, and in the right amounts. The e-pill is actually the company’s generic term for all the items in its catalog of products that assist elders with medications. Solvell had been a vice president of marketing at a large pharmaceutical company and was concerned that no matter how good the medications were, if the patients didn’t take them or take them properly, the drugs were useless. The result of his concern was a variety of patient compliance devices—30 different types of e-pills ranging in price from approximately $35 to several hundred dollars—to meet a variety of needs. For example, some elders simply need reminders to take medications. Others need to be reminded if they have already taken their drugs. There are also special products for people with specific needs, such as patients with Parkinson’s disease or diabetes. This simple technology, he says, not only keeps elders in their own homes longer, but it also helps keep them out of the hospital. As much as 10% of all hospitalizations in the United States result when physicians need to monitor medication use or ensure compliance. “That’s an expensive way to create compliance,” says Solvell. For elders, the most popular e-pill, he says, would be the automatic pill dispensers—devices that hand out the right medications, at the right time, in the right dosages. e-pills are not covered by insurance at this time, but Solvell envisions a time when healthcare professionals might write prescriptions for these products that will be be filled at pharmacies and by durable medical equipment companies. For more information, visit: Medication Reminders www.epill.com, Parkinson's patients www.medclock.com, Diabetes patients www.medicalwatches.com, Baby boomers www.age-in-place.com, Falls Prevention / Hip Protectors www.hiprotector.com and ADD/ADHD patients www.eadultadd.com. |
 e-pill is currently not selling the GlucoWatch® BioGrapher by Cygnus®. (click on photo to the left to read USA Today GlucoWatch article.)Most popular DIABETES watch: e-pill CADEX
Download GlucoWatch information.
Please note we do NOT sell GlucoWatches | VIDEO how CADEX Diabetes Alarm Watch and ICE Alert works
Animas Corporation, which is now a Johnson & Johnson company, purchased the intellectual property and all of the assets of the original manufacturer of the GlucoWatch G2 Biographer, Cygnus Inc. in Redwood City, California.
Animas Corporation is no longer selling the current model GlucoWatch G2 Biographer system. Animas continues to sell AutoSensors and provides customer support for the GlucoWatch.
Diabetic Watch / Diabetes Watch: To learn more about e-pill Medical Watches for the diabetic patient including MeDose, CADEX, HAGER, Almeda, Timex USB and HealthWatch click on any icon below. |
 ProtectAll® Insulin CaseSimply refrigerate or place the cooler in a cold bucket of ice for a couple of hours prior to use. Traveling has never been easier. The Medicool ProtectAll keeps your insulin safely cool for up to 12 hours. The cooler accommodates two bottles of insulin, or a Pen System and two spare Pen botles.
ProtectAll Travel Insulin Case
For day trips it can hold a prefilled syringe or two. Additional compartments and pockets securely store your syringes, meter, test strips, lancing device and lancets, etc. Internal vinyl pockets hold credit cards and personal ID. (click to enlarge photo)
Carry around waist or over shoulder.
Strap adjusts up to 52 inches.
Cordura® (BLUE) Plus material (Made by DuPont).
Manufacturer: Medicool Inc | Size: Size 9" x 4½" x 4" | Color: Blue |
 Insulin DI CaseDI Case: Discreet yet stylish, the D.I. Case is the handiest carrying case available for transporting your insulin and syringes.
Pocket Insulin Case
Simulating a designer eyeglass case, the DI Case is made of lighweight aluminum with a fitted insert that holds two vials of insulin, two syringes and alcohol swabs. Also compatible with a prefilled, disposable Pen. Fits comfortably in your pocket or purse. Weighs only four ounces. Comes in simulated black leather. Perfect for everyday use. Suggested companion product: e-pill Multi-Alarm. |
 Reprinted with permission of: EDWARD A. BENSON, MD
TABLE 2: Insulin Adjustment Traveling EAST Across Multiple Time Zones | Day of Departure | First Morning at Destination | 10 Hours after Morning Dose | Second Day at Destination | | Single dose schedule | usual dose | 2/3 usual dose N/L plus usual R/H,if appropriate | remainig 1/3 of morning dose N/L, if blood glucose over 240 plus R/H if appropriate | usual dose | | Two doses schedule | usual morning and evening doses | 2/3 usual morning N/L dose plus usual R/H if appropriate | usual evening dose plus remaining 1/3 of morning dose N/L is blood glucose over 240 | usual two doses | | Multiple daily doses schedule | usual morning & evening UL dose plus R/H with meals | 2/3 usual morning UL dose plus R/H with meals | usual evening UL dose plus remaining 1/3 or morning UL if blood glucose over 240 | usual doses |
TABLE 3: Insulin Adjustment Traveling WEST Across Multiple Time Zones | Day of Departure | 18 Hours after Morning Dose | First Morning at Destination | | Single dose schedule | usual dose | 1/3 usual dose N/L followed by meal or snack if blood glucose over 240 and usual R/H dose if appropriate | usual dose | | Two doses | usual morning and evening doses | 1/3 usual morning dose N/L if blood glucose over 240 plus usual dose R/H if appropriate | usual two doses | | Multiple daily doses | usual morning and evening doses followed by meal or snack | 1/3 usual morning dose UL if blood glucose over 240 plus R/H as appropriate | usual doses | *Note: On return journey, people traveling west use eastbound schedule (Table 2)
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 Help make the "Golden Hour" work for you or a loved one!
Golden Hour n \ 'gõl-den \ 'aù (e) r \
- defined by emergency medical personnel as the first 60 minutes of intensive care during which it is possible to save the life of a injured or traumatized person. |
 Choose from these Practical MeDose, CADEX, WatchMinder and HealthWatch Reminder Watch Accessories: ( click to enlarge image)
PENDANT Kit (very popular with female patients)
BLUE Strap for Kids
RED Strap for Kids
LEATHER Strap (Brown)
MEDICAL CONDITION Watch Emergency MEDICAL ID (fits on the strap) with Wallet card
DIABETES Watch Emergency MEDICAL ID (fits on the strap) with Wallet card |

Reprinted with permission of: EDWARD A. BENSON, MD
by
e-pill, LLC (e-pill Medication Reminders www.epill.com)
49 Walnut Street, Bldg 4
Wellesley, MA 02481, USA
www.MedicalWatches.com
Management of Diabetes During Intercontinental Travel Edward Benson, M.D.
Donna Hamilton, R.N., C.D.E.
Section of Endocrinology and Metabolism
Virginia Mason Medical Center
Diabetes Management over Multiple Time Zones
Overseas travel poses special problems for people with diabetes. They need to know how to adapt their treatment programs to unfamiliar foods, irregular schedules, and unaccustomed exercise. Insulin injections and mealtimes must be adjusted to accommodate crossing multiple time zones. People with diabetes should also know how to obtain medical care in unfamiliar surroundings.
This article presents updated information on management of diabetes during travel. The traveler with diabetes can now measure blood glucose levels directly and accurately, thereby reducing the risk of hypoglycemia or ketoacidosis.
By taking certain precautions, patients with diabetes can travel safely on extended trips across multiple time zones.
What to Take The overseas traveler should carry sufficient insulin to last the entire trip (Table 1). The reason for carrying a full supply (and some extra just to be safe) is that insulin purchased overseas may have a different potency and species of origin than the person’s usual insulin. Contrary to common belief, insulin need not be refrigerated. It retains full potency for months or even years at room temperature. Insulin should be distributed between carry-on and checked baggage, in case one or the other component of the luggage goes astray.
At least one bottle of Regular insulin should be included, even if it is not a usual part of the daily insulin dose. Regular insulin may be necessary to maintain control of diabetes during illnesses such as the flu.
The traveler should also carry U-100 syringes in a quantity sufficient to last the entire trip. While U-100 insulin and syringes are standard in the United States, many countries still use U-40 and U-80 syringes. Despite the widespread belief that foreign customs inspectors balk when confronted with insulin syringes, we have never heard of any person with a diabetes identification tag encountering difficulties.
Sugar cubes or other forms of easily carried sugar are essential supplies. A traveling companion or tour director should be given an ampule of glucagon (1mg glucagon with a separate 1 ml bottle of diluent) or glucagon emergency kit and taught how to mix and inject it should the person with diabetes be found stuporous or comatose.
The traveler with diabetes should also take a blood glucose monitor and a supply of blood glucose testing strips sufficient to last the trip. Reagent strips purchased overseas may give blood glucose readings in units different from those used in the United States.
TABLE 1: What to Take | Insulin sufficient to last entire trip | | U-100 syringes to last entire trip | | At least one bottle of Regular insulin | | Blood glucose monitor, test strips and lancets | | Ketone-detecting strips (for use during illness) | | Sugar cubes or packets | | Glucagon emergency kit or Glucagon ampule (1mg with 1ml diluent) | | Snacks | | Diabetes identification tag or bracelet | | Billfold card detailing insulin dose and doctor’s name and telephone number |
Adjustment of Insulin Dosage The management of diabetes is usually based on a 24-hour medication schedule. When traveling north or south, no adjustments in the 24-hour schedule are needed. However, east or west travel across time zones extends or abbreviates the day, depending on the direction of travel. When five or fewer time zones are crossed, no change is required in the usual insulin routine. When crossing six or more time zones, however, adjustment in the usual schedule is advisable.
The timing of oral diabetes medication is not as critical as that of insulin. People taking pills for their diabetes should simply take their medicines at the prescribed time using local time.
Frequent blood glucose monitoring is essential for safety. In addition to the typical measurements before breakfast and dinner, travelers should check blood glucose levels whenever their daily routine is disrupted. Even individuals normally lax about home glucose monitoring should test at least twice daily while traveling. When in doubt, measure. If the person feels even slightly ill, blood glucose should be measured.
Traveling East Across Six or More Time Zones One Dose Schedule
Individuals who normally take insulin once daily before breakfast should take the usual dose at the usual time on the day of departure (Table 2). Meals provided in-flight will usually suffice but supplemental snacks may be necessary if meals are delayed. Leaving the wristwatch unadjusted during flight so that it continues to correspond to the time at the point of departure will make it easier to judge whether there is an undue delay between meals.
The first morning at the destination, just before breakfast (local time), two-thirds of the usual morning dose of NPH or Lente (NPH/L) is taken since fewer than 24 hours will have elapsed since the previous morning’s insulin injection. This reduced dose is designed to prevent hypoglycemia early in the day, particularly under circumstances that may involve extra activity or disruption of meal schedules. The usual doses of Regular or Humalog (R/H) are taken with meals.
To protect against an elevation in blood glucose as a result of the reduced morning dose, blood glucose should be tested before dinner that evening; that is, about 10 hours after the morning insulin dose.
If the blood glucose level is 240 mg/dl or less, no further insulin is needed until the next morning. If the blood glucose is greater than 240 mg/dl, the remaining one-third of the usual N/L insulin dose that was omitted that morning should be taken. The usual insulin dose is resumed beginning the morning of the second day at the destination.
Two Dose Schedule
People who customarily take two insulin injections daily will give the usual morning and evening doses the day of departure. They will also administer only two-thirds of their usual morning dose of NPH or Lente insulin the first morning at the destination (Table 2). That evening, if a blood test for glucose before dinner shows 240 mg/dl or less, they simply take their usual evening dose of insulin. However, if the blood glucose is greater than 240 mg/dl, they should add to their evening dose the one-third of the morning dose of NPH or Lente that was omitted.
"Practicing internal medicine allows me to see a diverse population of people with a variety of medical problems. It is a privilege to get to know my patients well and follow them over the years."
Those who take Ultra-Lente (UL) insulin should follow directions of the one or two dose schedule as appropriate. Plus, take the normal doses of Regular and Humalog (R/H) at actual meal times.
Insulin Pump
Those who have continuous infusion with insulin pumps should leave settings as is and change the clock on the pump when they arrive at their destination. Boluses follow usual rules.
TABLE 2:
Insulin Adjustment When Traveling East Across Multiple Time Zones | Day of Departure | First Morning at Destination | 10 Hours after Morning Dose | Second Day at Destination | | Single dose schedule | usual dose | 2/3 usual dose N/L plus usual R/H,if appropriate | remainig 1/3 of morning dose N/L, if blood glucose over 240 plus R/H if appropriate | usual dose | | Two doses schedule | usual morning and evening doses | 2/3 usual morning N/L dose plus usual R/H if appropriate | usual evening dose plus remaining 1/3 of morning dose N/L is blood glucose over 240 | usual two doses | | Multiple daily doses schedule | usual morning & evening UL dose plus R/H with meals | 2/3 usual morning UL dose plus R/H with meals | usual evening UL dose plus remaining 1/3 or morning UL if blood glucose over 240 | usual doses | *Note: On return journey, people traveling east use westbound schedule (Table 3)
Traveling West Across Six or More Time Zones One Dose Schedule
On the day of departure, the usual morning dose of insulin is taken before breakfast (Table 3). In flight, meals are eaten at the times provided for other passengers. It is advisable to check blood glucose before meals or at 6-hour intervals during the flight. The usual doses of Regular or Humalog (R/H) are taken with meals. About 18 hours after the morning insulin injection, whether still in flight or at the destination, the blood glucose should be tested. If the blood glucose is 240 mg/dl or less, the individual may safely wait until the first morning at the destination to take the usual insulin dose at the usual time (local time), even though more than 24 hours will have elapsed. However, if the blood glucose level is greater than 240 mg/dl, a supplemental dose of insulin equal to one-third of the usual morning dose of NPH or Lente should be taken followed by a meal or snack. For example, if the usual morning dose is 30 units of Lente plus 12 units of Regular insulin, the supplemental dose is 10 units Lente plus 12 units of Regular. The next morning (local time), the usual insulin dose is taken.
Two dose schedule
Patients who normally take insulin on a twice-daily schedule should leave their wristwatches unadjusted during the flight. They should take their usual morning dose. Then, at about the time of the evening meal at the point of departure (i.e., about 10-12 hours after the morning dose of insulin), the usual second insulin dose is taken, followed by a meal or snack (Table 3). From that time on, they follow the same plan as travelers who take one injection daily. Thus, at about 18 hours after the first dose of insulin and 6 hours after the second, the blood is tested and if the blood glucose is more than 240 mg/dl an extra dose of insulin equal to one third of the morning dose of NPH or Lente is taken.
Those who take Ultra-Lente (UL) should follow directions of one or two dose schedule as appropriate. Plus take Regular and Humalog (R/H) at actual meal times.
Insulin Pump
Those who have continuous infusion with insulin pumps should leave settings as is and change the clock on the pump when they arrive at their destination. Boluses follow usual rules.
TABLE 3:
Insulin Adjustment When Traveling West Across Multiple Time Zones | Day of Departure | 18 Hours after Morning Dose | First Morning at Destination | | Single dose schedule | usual dose | 1/3 usual dose N/L followed by meal or snack if blood glucose over 240 and usual R/H dose if appropriate | usual dose | | Two doses | usual morning and evening doses | 1/3 usual morning dose N/L if blood glucose over 240 plus usual dose R/H if appropriate | usual two doses | | Multiple daily doses | usual morning and evening doses followed by meal or snack | 1/3 usual morning dose UL if blood glucose over 240 plus R/H as appropriate | usual doses | *Note: On return journey, people traveling west use eastbound schedule (Table 2)
Prevention of Hypoglycemia Travel usually involves a drastic departure from daily routine. Meals may be delayed or unavailable. Physical activity is often greatly increased. These factors increase the risk of hypoglycemia. The principle of eating extra food when engaged in extra activity becomes especially important when traveling. Suitable snacks such as crackers, dried fruits, or nuts should be carried for use if meals are delayed or to supplement meals if necessary. Sugar cubes or other sources of rapidly absorbed sugar should also be available in case hypoglycemic symptoms develop.
Traveling companions should be advised of the early signs of hypoglycemia and should understand the importance of administering sugar-containing drinks if the person becomes glassy-eyed, confused, irritable, or is noted to be sweating inappropriately. If the person is too confused to swallow, food or fluid should not be administered. Glucagon, if available, should be administered by injection.¹ Skilled medical care should be obtained without delay for stuporous or unconscious individuals.
General Precautions All persons taking medicines for diabetes, whether insulin or pills, should wear a necklace or bracelet to identify themselves as having diabetes. Those whose diabetes is controlled with diet alone should not wear identification, to avoid confusion should the individual be found unconscious.
It is usually advisable for persons with diabetes to see their physicians shortly before departure. This visit should be used not only to discuss diabetes care but also to evaluate other known or suspected health problems. The feet of travelers with diabetes are especially vulnerable to injury and infection.² The traveler should be aware of the dangers of producing blisters by extended walking, particularly in new shoes. Any sign of infection of the feet mandates a visit to a physician.
Obtaining Medical Assistance The names of English-speaking physicians practicing in foreign countries can be obtained by writing to the International Association of Medical Assistance to Travelers (IAMAT), 417 Center Street, Lewiston, NY 14092, (716) 754-4883, E-mail: iamat@sentex.net or by contacting a local United States embassy (IAMAT Web page). Emergency aid is usually best obtained at the emergency room of a university hospital.
Of Special Notice Development of minor illnesses should lead to steps to prevent ketoacidosis. Additional insulin coverage, or following rules for sick days, may be required.4 In non-emergency circumstances, the best means of obtaining proper medical advice may well be a telephone call to the individual’s own physician back home. The cost of a long-distance call from anywhere in the world is usually less than the cost of even the most minor medical care, and calling the physician who knows the patient best is usually money well spent. In addition, the physician may know of a reliable colleague located within reachable distance.
References
- Hypoglycemia: Recognition, Prevention, and Treatment. Available from the Section of Endocrinology and Metabolism, Virginia Mason Medical Center, PO Box 900, Seattle WA 98111.
- Foot Care for People with Diabetes. Available from the Section of Endocrinology and Metabolism, Virginia Mason Medical Center, PO Box 900, Seattle, WA 98111
- Gortner DA. Advice for international travelers - 1984. Bulletin Mason Clinic summer 1984; 38:55-56.
- Care During Illness: Prevent Ketoacidosis. Available from Section of Endocrinology and Metabolism, Virginia Mason Medical Center, PO Box 900, Seattle, WA 98111.
Bulletin of the Virginia Mason Medical Center 38:145-152, Winter 1984-1985; revised May 2000
Reprinted with permission of: EDWARD A. BENSON, MD
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