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Blog | Alto Pharmacy

A healthy pregnancy begins well in advance of trying to conceive. Preconception health planning sets you up to feel your best while growing a baby, allowing you to work towards health goals and manage preexisting conditions that could potentially result in complications.

How to Have the Healthiest Pregnancy Possible

It can also help you make any necessary changes to your treatment plan — for example, if you take a medication that is considered unsafe during pregnancy, your doctor can help you safely transition to an alternative.

Below, we break down some of the most important steps to take as you focus on your health and wellness while building or growing your family.

1. Consult your doctor about your health history

As you begin to plan for a baby, schedule a doctor’s appointment to identify any health issues that can impact pregnancy — whether it’s your first, second, third, or fourth.

While chronic health conditions like diabetes, hypertension, thyroid disease, and asthma are sometimes linked to pregnancy complications, you can prevent health challenges during pregnancy by staying proactive about treatment. For those with diabetes, this means working with your provider to maintain healthy blood sugar levels before trying to conceive. The same goes for hypertension and blood pressure levels.

Read Navigating Pregnancy With Type 1 or Type 2 Diabetes

Be sure to discuss any past pregnancy complications, if relevant. Experiencing certain complications in a first pregnancy can increase your risk of having them again in a later pregnancy. These complications include:

This does not mean that a recurrence is inevitable. Proactively managing your risk before and during pregnancy is the most important thing you can do to prevent these complications.

You should also share any health issues that you experienced during postpartum, including mental health challenges.

Changing a medication regimen or treatment plan

A pre-pregnancy care checkup is also an opportunity to discuss potential changes to your treatment plan. Bring all medications you are currently taking with you to this appointment, including vitamins and herbal remedies.

Never stop taking a prescribed medication without first consulting your doctor. Many medications cannot be abruptly discontinued and require you to slowly titrate, or taper off, over a period of time

It is recommended to focus on preconception health at least three months prior to pregnancy. However, everyone has unique health needs, and you may need more time to prepare for a healthy pregnancy. Try, as much as possible, to be patient and give your body the time and space it needs.

2. Get all recommended vaccines and screenings

At the beginning of your family building journey, ask your doctor which vaccines are recommended for your age. Certain infections or illnesses can cause birth defects or pregnancy complications. Many of these can be prevented with vaccines. And since illness-fighting antibodies can pass through the placenta, vaccinated individuals can pass along immunity to their growing baby in the womb.

It’s important to stay up to date since the recommended timing of vaccines varies. Not all can be given during pregnancy while others can. Your doctor can clarify which vaccines are recommended before pregnancy, during pregnancy, and after delivery. (Two of the most important vaccines for pregnant women, the flu vaccine and the Tdap vaccine (tetanus, diphtheria, pertussis), can be safely administered during pregnancy.)

Additionally, sexually transmitted infections (STIs) including HIV, HPV, and viral hepatitis can cause pregnancy complications and harm a developing fetus. Fortunately, treatment can prevent transmission to a baby. Screening for these infections is a critical step in planning for a healthy pregnancy.

3. Take steps to live your healthiest life

In the months before trying to conceive, revisit your health habits and make any changes to your routine or lifestyle that can support the healthiest pregnancy possible. There are several key areas to focus on.

Several nutrients are especially important to consume in the months before pregnancy. 

The American College of Obstetricians and Gynecologists recommends taking a prenatal vitamin with at least 400 micrograms of folic acid every day for at least a month before pregnancy through the first trimester. This important nutrient supports a baby’s growth and development and can prevent certain birth defects.

Depending on your health history and previous pregnancies, your provider may advise you to increase your intake of folic acid with an additional supplement.

(You can add prenatal vitamins to your next Alto delivery!)

Calcium helps build a developing fetus’s bones and teeth. Dairy products including milk, cheese, and yogurt are the primary sources of calcium, but you can also get this nutrient from other sources including:

If you are concerned about your calcium intake, ask your doctor about calcium supplements.

Iron also helps support a healthy pregnancy. Some prenatal vitamins include iron. It can also be found in the following iron-rich foods:

In addition, be sure to eat foods that support your body’s absorption of iron, including the following fruits and veggies, which are rich in vitamin A and beta-carotene:

If you have anemia, your doctor may recommend additional iron supplements.

An omega-3 fatty acid called DHA, or docosahexaenoic acid, is important for fetal growth and development. It can be found in some foods such as fatty fish. Depending on your diet, your doctor may recommend taking supplemental DHA before and during pregnancy and in the postpartum period. Some prenatal vitamins contain DHA, but not all, so be sure to check the ingredient list.

Since heavy caffeine consumption can affect fertility, it is recommended to reduce your intake to 200-300 mg per day.

Aim for about 150 minutes of moderate physical activity per week, incorporating some muscle-strengthening exercises.

Being underweight or overweight can cause health issues during pregnancy. Try to reach and maintain a healthy weight in the months before trying to conceive. Your provider is an important resource and can advise you on whether your weight may impact your pregnancy.

Smoking, drinking alcohol, and using certain drugs — including misusing prescription medication — can cause serious health issues during pregnancy like preterm birth and birth defects. When planning for a future pregnancy, do not be afraid to ask for any support needed to give up harmful behaviors. Your provider can offer resources. 

It’s also important to avoid secondhand smoke during pregnancy.

Genetics are a factor in your baby’s health and the progression of your pregnancy. Prior to pregnancy, discuss your family’s health history as well as your partner’s with your provider. This allows them to identify any genetic risk factors.

Some couples and individuals may be referred to a genetic specialist for reasons such as the following:

A family history of a genetic condition, birth defect, chromosomal disorder, or cancer

Two or more pregnancy losses or a stillbirth

Having given birth to a child with a genetic condition, birth defect, or intellectual disability

These risk factors do not guarantee that your baby will develop a health condition or that you will have a complicated pregnancy. Genetic testing can determine the likelihood of passing on a genetic issue to a child. A genetic specialist can help you understand your options for testing.

5. Prioritize your partner’s health as well

Preconception health concerns both parents. Male partners should also take steps to become as healthy as possible, which will improve their own reproductive health and fertility. This includes limiting their alcohol intake, quitting smoking or using harmful substances, and eating a healthy diet. (These lifestyle factors have been linked to issues with sperm production.)

Other important steps for male partners to take before trying to conceive include getting screened for STIs and consulting with a provider about family health history and medication use.

Alto Pharmacy can support you in preparing for a healthy pregnancy, however that looks for you. From delivering prenatal vitamins straight to your doorstep, supporting you in managing a chronic condition, or helping you navigate fertility treatment, we make it as simple as possible to focus on your health.

We offer free, same-day delivery and in-app medication management tools like reminders and auto refills. Additionally, our pharmacists are available to answer any questions you may have about medications or side effects.

To learn more, reach out any time through secure in-app messaging or by phone at 1-800-874-5881.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

Traveling during fertility treatment may feel overwhelming, but it’s definitely doable. While the fertility journey involves many moving parts, careful planning and coordination with your care team can help you take a trip without impacting your treatment. Use the suggestions below to prepare for your travels. 

A Guide to Traveling During Fertility Treatment

Advanced preparation is important when traveling with any medication. Given the complex and time-sensitive nature of fertility treatment, the planning process involves a few more steps.

First, consult your doctor about your plans and make sure your intended travel dates don’t conflict with your treatment. In vitro fertilization (IVF) requires very thorough travel planning, since it entails multiple in-person doctor’s appointments and a very carefully timed egg retrieval. Other treatments such as intrauterine insemination (IUI) may leave more room for flexibility.

Regardless of your specific treatment plan, make sure you are up to date on vaccines and be sure to monitor health-related travel alerts. The CDC advises that women who intend to conceive consult their physician before traveling to a destination with potential exposure to the Zika virus.

Lastly, make sure that you have more than enough of your fertility medication(s) and supplies on hand. Aim for several additional days’ worth. Needles used to inject medications require a prescription in some states, so bring extra to avoid unnecessary hassle.

If you are traveling near an Alto location, same-day delivery of fertility medications and supplies may be available.

Pack your medications and supplies in a carry-on

When traveling by plane, it’s always best to pack important medications and supplies in your carry-on rather than in a checked bag. Bring everything you need to safely administer your medications, including syringes, needles, alcohol swabs, hand sanitizer, gauze, and a sharps disposal container.

While the U.S. Transportation Security Administration (TSA)’s current limit on liquids, gels, and creams in a carry-on is 3.4 ounces (100 milliliters), there are exceptions for medications. Bringing needles onto a plane is acceptable when accompanied by injectable medications.

Give yourself extra time to allow for additional screening of these items. The following tips may help you get through security as efficiently as possible.

Inform the TSA officer that you are carrying more than 3.4 ounces of liquid medication before your screening process begins, if applicable.

Bring a copy of your prescription(s) with you.

Keep all medications and supplies in their original packaging.

Put your medications and supplies in a separate, clear bag, as they will need to be separated from the rest of your belongings.

Store your medications at the appropriate temperature

Refrigeration is essential with many fertility medications. (At Alto, we ensure that medications are held at the right temperature before you receive them and guide you on safe at-home storage.)

Many people use frozen gel packs and insulated medication bags to store fertility medications at an appropriate temperature while traveling. (This approach is particularly useful for air travel.) As you finalize your travel plans, verify that your hotel or other accommodation offers access to a refrigerator or mini fridge.

Choose a flexible and reliable pharmacy partner

Fertility treatment can be stressful, let alone traveling during the process, but we’ll be with you every step of the way. We offer free, same-day delivery of medication and supplies right to your doorstep, and our dedicated fertility team is here to answer any questions you may have before your trip.

Interested in learning more about how Alto can support your fertility treatment? Request a price quote online or reach out through secure in-app messaging or by phone at 1-800-874-5881.

An asthma attack is an acute flare-up of symptoms defined by sudden shortness of breath and difficulty breathing. Managing asthma attacks includes both proactively responding to symptoms when they arise and staying on track with treatment in the long term. Learn more here.

Treatment and Prevention of Asthma Attacks | Alto Pharmacy

Many individuals with asthma are familiar with the experience of an asthma attack — an acute flare-up of symptoms defined by sudden shortness of breath and difficulty breathing. These exacerbations vary in intensity and require efficient and prompt treatment.

Management of asthma attacks is twofold. To immediately address symptoms in the moment, work with your provider to identify your asthma attack warning signs and establish a treatment strategy. In the longer term, identify and avoid triggers and stay on track with treatment, so as to reduce the frequency and intensity of these flare-ups.

Here’s more on recognizing, treating, and preventing asthma attacks.

Effective management of an asthma attack starts by recognizing the signs and symptoms and understanding what to do when they occur.

While individual experiences of an asthma attack may vary, these are some common signs and symptoms. Your doctor can help you in identifying your individual warning signs of an asthma attack.

The following symptoms of a severe asthma attack warrant immediate medical attention:

Severe breathlessness or wheezing, especially at night or in the early morning

Difficulty speaking due to shortness of breath

No improvement from quick-relief medication

Everyone with asthma should have an asthma action plan that documents their treatment needs, including what steps to take when asthma symptoms intensify. Work with your doctor to create your individual asthma action plan.

If and when you experience a flare-up of asthma symptoms, follow the steps in your treatment plan. If your PEF readings fall between 51% to 79% of your baseline, a common first step is to take quick-relief or “rescue” asthma medications.

These medications are taken on an as-needed basis, as prescribed by your doctor, and relax airway muscles to open the lungs. They relieve shortness of breath and wheezing within minutes and can stop an asthma attack in progress.

Common quick-relief asthma medications include:

Albuterol (ProAir® HFA, Proventil® HFA, and Ventolin® HFA)

Inhalers are the most common form of quick-relief asthma medications. Albuterol and levalbuterol are also available as a liquid solution for nebulizer use.

A quick-relief medication may sufficiently relieve symptoms and improve PEF readings. If symptoms do not improve, emergency medical care may be necessary. Your asthma action plan should help you determine when to seek emergency care.

In many cases, asthma attacks may be preventable. When followed on an ongoing basis, the steps below can help lower your chances of experiencing an asthma attack.

1. Follow your treatment plan and take maintenance medications as prescribed (if applicable).

Many individuals with moderate to severe asthma take long-term maintenance medication in addition to a quick-relief medication.

These medications ease inflammation in the airways, preventing exacerbations and controlling symptoms. You must take them as prescribed every day to experience their benefits.

There are two main types of long-term asthma control medications:

Inhaled corticosteroids including Flovent® HFA and Qvar Redihaler® 

Combination inhalers that contain both corticosteroids and long-acting beta agonists (LABAs) including fluticasone and salmeterol (Advair Diskus®); budesonide and formoterol (Symbicort®); mometasone and formoterol (Dulera®); and fluticasone and vilanterol (Breo Ellipta®)

Asthma attacks may be caused by a variety of triggers including:

Each individual has different triggers. To identify yours, make a note of your asthma symptoms as they appear, including environmental factors that may have contributed to them. As you begin to learn your triggers, take necessary precautions to avoid them.

3. Avoid all cigarette smoke, including secondhand and thirdhand smoke.

Everyone with asthma can benefit from limiting their exposure to cigarette smoke, a frequent trigger of asthma attacks.

In addition to refraining from smoking yourself, avoid exposure to secondhand smoke and thirdhand smoke, the residual smoke that remains on clothing or surrounding indoor surfaces. (Don’t hesitate to ask your doctor for smoking cessation resources if needed.)

Allergic asthma accounts for 60% of all asthma cases in the U.S. and is triggered by allergens such as household dust mites, pet dander, and pollen. There are many ways to reduce the presence of allergens in your home, including:

Using the AC rather than opening windows when pollen counts are high

Using a dehumidifier to keep indoor air dry, which will in turn prevent mold growth and dust mites

Vacuuming at least once a week, ideally using a vacuum cleaner with a high-efficiency particulate air (HEPA) filter, which catches smaller particles like allergens

It’s especially important for those with asthma to stay current with vaccines, as respiratory infections like the flu can become more serious and/or trigger asthma symptoms.

Check with your doctor about which vaccines you need. For detailed vaccine recommendations by age group, reference the CDC’s recommended immunization schedules for children and adolescents and adults.

Alto Pharmacy is here every step of the way to help you manage your asthma. Our team of pharmacists is available to answer questions about your medications, and we offer free, same-day delivery and medication management tools like reminders and auto refills in our app.

Reach out by phone at 1-800-874-5881 or in-app messaging to learn how we can support your treatment plan.

All third party trademarks (including logos and icons) referenced by Alto Pharmacy remain the property of their respective owners. Unless specifically identified as such, Alto’s use of third party trademarks does not indicate any relationship, sponsorship or endorsement between Alto and the owners of these trademarks.

Treatment and Prevention of Asthma Attacks

For the 25 million individuals living with asthma in the U.S., preparing for a trip or time away from home involves a few extra steps. It’s important to pack carefully and make sure you have everything you need to manage your asthma, including medication and medication delivery devices. Additionally, since environmental triggers can worsen certain types of asthma, researching your location and carefully planning your activities and accommodations is key.

A Guide to Traveling With Asthma

Use the suggestions below to prepare for your next trip and read our previous blog, Managing Your Medications While Traveling, for more on what to consider when traveling with medication.

Travel doesn’t always go as expected, so bring more of your asthma medication than you need. Plan ahead to refill your medication in advance of your trip, if needed. If you are prescribed both a quick-relief medication and a longer-term control medication, make sure you have enough of both. Depending on the severity of your asthma symptoms, you may want to order a medical identification bracelet.

Depending on your plans, you may wish to consult with your healthcare provider to discuss how your upcoming travel may impact your overall health or your asthma treatment needs. Ask if there are any recommended vaccines for your trip. 

An asthma action plan documents your individualized treatment plan. It should include what steps to take if your asthma symptoms intensify, a list of your medications and dosages, and your doctor’s contact information. If you have an existing asthma action plan, make sure it’s up to date. If you don’t already have one, work with your doctor to create one before your trip.

View the American Lung Association’s guide on creating an asthma action plan.

Before departing for your trip, review the details of your health insurance plan. Check whether your plan covers doctor’s appointments or emergency visits to a hospital or urgent care in another state or country.

If you are traveling internationally, be mindful that prescription laws vary by country. It’s a good idea to contact the U.S. embassy of the country you’re visiting for more details. Some countries may only allow a 30-day supply for certain medications and/or require you to carry an official prescription or additional information from your doctor with you.

Allergic asthma accounts for approximately 60% of all asthma cases in the U.S. With this type of asthma, inflammation in the airways and the development of asthma symptoms occurs after exposure to allergens. Common allergens, or allergic asthma triggers, include household dust mites, pet dander, and pollen.

If you have allergic asthma, there are steps you can take before your trip to prevent a flare-up of symptoms. For example, when staying in a hotel, request a room that is non-smoking and pet-free. You can also anticipate exposure to pet dander while in transit by contacting your airline or train company and asking about their policies.

There are tools that share your destination’s pollen forecast, including Accuweather and Pollen.com.

Here’s a list of potential asthma medications and medication delivery devices to pack. Some may not be relevant for your treatment plan, and if you’re unsure what to bring, ask your care team. In addition, confirm which temperature your medications should be stored at and take those guidelines into account when packing.

Enough medication for your trip, plus extra

Medication delivery devices including a nebulizer or spacer (if applicable) - if you are traveling by plane, contact your airline in advance to learn how to pack your nebulizer. If traveling internationally, make sure your device will work with power outlets in your destination.

Your health insurance card and provider’s contact information

Medications should always be packed in your carry-on rather than a checked bag. While the U.S. Transportation Security Administration (TSA)’s current limit on liquids, gels, and creams in a carry-on bag is 3.4 ounces (100 milliliters), there are exceptions for medications. Give yourself extra time to allow for screening of these items. If you use a nebulizer, it will likely require additional screening.

Customs officials may ask for proof of your prescription records if your medications don’t have labels or are from another country. If you are traveling internationally, carry physical proof of your prescription to avoid any issues when passing through security or customs. A prescription label or a copy of your prescription will work. (For most inhalers, the prescription label is on the box rather than the inhaler itself.)

While many pharmacy apps allow you to show digital proof of prescription records on your phone, you should have a physical label or prescription copy in case you do not have internet access.

While at your destination, always carry your quick-relief medication with you in case of an emergency. Take appropriate precautions to limit your exposure to asthma triggers. If your allergic asthma symptoms are triggered by poor air quality and pollution, checking daily air quality reports — included on many weather apps and websites — can help you prepare. Avoid exposure to smoke as much as possible.

If you are visiting a location with high temperatures, be sure to stay hydrated and consume enough fluids.

Alto Pharmacy is here every step of the way to make it easy to manage your asthma symptoms and prepare for travel. Our team of pharmacists is available to answer questions about your asthma medications, and we offer free, same-day delivery and medication management tools like reminders and auto refills in our app.

Reach out by phone at 1-800-874-5881 or in-app messaging to learn how Alto can support your asthma treatment plan.

It’s understandable to feel overwhelmed after receiving a diagnosis of chronic obstructive pulmonary disease (COPD) — living with a chronic lung disease brings changes to many aspects of life. Many people don’t realize that the condition is highly treatable, and that there are things you can do to slow the progression of COPD. To help you better understand and manage your COPD, let’s take a look at five common misconceptions surrounding this lung disease.

Misconception About COPD

Chronic obstructive pulmonary disease refers to a group of progressive lung diseases. The two primary diseases under this umbrella are chronic bronchitis and emphysema. Most people with COPD have both conditions, but it’s possible to have just one.

Chronic bronchitis and emphysema affect the lungs in different ways. Chronic bronchitis causes inflammation in the airways leading to your lungs, which leads to a chronic cough and increased mucus. Emphysema destroys your lungs’ fragile air sacs, or alveoli, obstructing airflow. When alveoli become damaged, the lungs cannot fully expel air carrying carbon dioxide out of the body, so some of it remains trapped in your lungs. Oxygen-rich air is then blocked from entering the lungs, which causes gradually worsening shortness of breath.

COPD may not be curable, but it is highly manageable. There are many treatment options that can ease symptoms and improve your quality of life, while also preventing the condition from progressing into a more advanced stage. In addition to lifestyle changes, COPD treatment may consist of medications, supplemental oxygen therapy (typically used for COPD caused by emphysema), and surgery in more advanced cases.

Medications commonly used to treat COPD include bronchodilators, which relax the muscles around the airways to make breathing easier, and inhaled corticosteroids, which reduce inflammation in the airways and prevent COPD exacerbations, or flare-ups.

Other medications may be used to treat exacerbations or more severe cases of COPD, including oral steroids and phosphodiesterase-4 inhibitors.

3. After a COPD diagnosis, it’s too late to quit smoking.

There is never a bad time to stop smoking and quitting is the most important thing you can do to manage COPD. Since COPD is a progressive lung disease, symptoms gradually become more severe over time. While it’s true that you cannot reverse the damage to your lungs caused by smoking, you can prevent COPD from progressing into a more advanced stage by maintaining healthy lifestyle habits. In fact, many people with early-stage COPD are able to regain near-normal lung function after quitting tobacco use. Even if your COPD has already progressed to a more advanced stage, quitting smoking will help reduce symptoms and prevent flare-ups and other health complications.

If you are having trouble quitting, ask your doctor for smoking cessation resources. They may be able to prescribe nicotine replacement therapy to help with withdrawal symptoms and cravings. Watch our webinar for more on the role of smoking cessation in COPD treatment.

The lung damage caused by COPD can affect other areas of the body. The condition can increase your risk of developing heart disease or having a heart attack. It may also lead to pulmonary hypertension, a condition characterized by high blood pressure in the arteries that transport blood to your lungs. The risk of these potential health complications is one reason it’s so important to get an early diagnosis, and to follow the treatment plan your doctor recommends in order to slow progression.

People with COPD are also more likely to contract the flu or pneumonia — and to have more intense symptoms of these illnesses — so as part of your COPD treatment plan, stay current with your yearly flu and pneumonia vaccines.

Quite the opposite — regular physical activity is key to maintaining a good quality of life and living healthily with COPD. While it may seem counterintuitive to exercise when you’re short of breath, physical activity can make it easier to breathe in the long run by strengthening your respiratory muscles.

It’s important to take it slow and practice gentle exercises that don’t overexert your lungs. Your doctor can help you determine appropriate activities based on your experience of COPD.

You may also benefit from a pulmonary rehabilitation program, which helps many people with COPD manage their condition and improve their quality of life. Pulmonary rehabilitation is an outpatient exercise and education program where physical therapists, dietitians, and other healthcare professionals share breathing techniques, nutritional advice, exercise recommendations, and other strategies for living with COPD.

Let Alto Pharmacy support your COPD treatment

We’re here every step of the way to help you manage COPD symptoms and get the medications you need, with free same-day delivery and easy-to-use medication management reminders in our app.

And our team of pharmacists are always here to answer your questions by phone or in the Alto app. Reach out any time through in-app messaging or by phone at 1-800-874-5881.

Traveling with any type of medication requires advanced planning. For those with diabetes, it’s even more imperative to prepare, as there are additional factors to consider like insulin temperature control and TSA screening of diabetes supplies and equipment. Use the suggestions below to make sure you have everything you need to manage your diabetes while away from home.
Consulting your doctor

Traveling With Diabetes: How to Prepare

Traveling with any type of medication requires advanced planning. For those with diabetes, it’s even more imperative to prepare, as there are additional factors to consider like insulin temperature control and TSA screening of diabetes supplies and equipment. Use the suggestions below to make sure you have everything you need to manage your diabetes while away from home.

Schedule an appointment with your diabetes care provider before your trip to make a plan for diabetes management during your travels. Be sure to cover the following:

How will planned activities impact your care needs?

What is the recommended frequency of blood sugar monitoring?

How might changing time zones impact the timing of your insulin dosage? 

Are there any recommended vaccines for your trip?

Keep in mind that eating and physical activity levels can shift during travel — sometimes unexpectedly — so it’s important to prepare for changes in your blood glucose levels.

Travel doesn’t always go as planned, so it’s important to have extra diabetes supplies and medication on hand. A good rule of thumb is to pack twice as many supplies as you think you’ll need and to bring additional paper prescriptions for insulin or other diabetes medications.

If traveling internationally, be mindful that prescription laws vary by country. It’s a good idea to contact the U.S. embassy of the country you’re visiting for more details. Some countries may only allow a 30-day supply for certain medications and/or require you to carry an official prescription or additional information from your doctor with you.

In addition, keep your health insurance card on you throughout the duration of your travels, and review your policy for travel-related details, including whether your destination is included in your provider network.

Here’s a list of potential diabetes medications and supplies to pack. Depending on your diabetes treatment plan, some may not be relevant for you. If you’re unsure what to bring — or how much to bring — ask your diabetes care team.

Enough insulin and syringes for your trip, plus extra

Enough oral medications for your trip, plus extra

Sources of glucose to restore blood glucose levels in the event of low blood sugar, or hypoglycemia, such as over-the-counter glucose tablets (Lift Glucose Chews, TRUEplus® Glucose Tablets, ReliOn™ Glucose Tablets), over-the-counter glucose gel (Dex4® Glucose Gel, Glutose™ 15/Glutose™ 45, Insta-Glucose®), or carbohydrate-rich snacks like dried fruits, trail mix, honey, or granola bars

For a detailed list of diabetes management essentials, read How to Prepare a Diabetes Emergency Kit.

If you are traveling on a longer flight with meal service, contact your airline and ask if it’s possible to request a meal tailored to your dietary needs, with low sugar, fat, and cholesterol values. Be sure to have other food on hand in case there are any issues with your meal.

Make sure others know that you have diabetes. If traveling with others, inform them of what to do in the event of a hypoglycemia emergency. If traveling alone, have a medical ID bracelet or another form of identification that communicates your diabetes diagnosis. You should also carry a list of your current medications and doses and provider contact information.

It’s always best to pack important medications in your carry-on rather than in a checked bag. Since you’ll be bringing additional supplies and medications as a back-up, make sure at least half of them are in your carry-on.

While the U.S. Transportation Security Administration (TSA)’s current limit on liquids, gels, and creams in a carry-on bag is 3.4 ounces (100 milliliters), there are exceptions for diabetes supplies and medications. Give yourself extra time to allow for additional screening of these items. If you use a diabetes device attached to your body, such as an insulin pump or glucose monitor, it will likely require additional screening as well.

Here are some tips that may help you get through security as efficiently as possible.

Consider printing a TSA notification card describing your condition to hand to the TSA officer.

If you take insulin, make sure you have what you need to keep it refrigerated. Keep in mind that insulin should not be held at extreme temperatures and storing it in an ice pack can make it unusable. Many people with diabetes use insulated medication bags to hold insulin at an appropriate temperature when traveling.

Read Taking Care of Your Insulin to learn more about safe insulin storage.

It’s important to stay proactive about your diabetes management. There may be times when you have to check your blood sugar even more frequently, for example, if you are more active than usual, and adjust your meal plans accordingly. Keep in mind that hot weather can also impact your body’s insulin use and your blood sugar levels.

Continue to hold insulin at an appropriate temperature during your travels and avoid leaving it in a hot car — including the glove compartment or trunk — or anywhere with direct sunlight. The same applies to other diabetes supplies like your blood sugar monitor and insulin pump.

If you are going on a longer trip, with a full itinerary, try to take it easy for the first few days as your body adjusts. Remember to bring snacks with you on busy days with long activities.

A diabetes pharmacy partner you can rely on

At Alto, we make it as easy as possible to manage your diabetes when traveling. We offer free, same-day delivery of medication and supplies right to your doorstep, and our dedicated diabetes team is here to answer any questions you may have before your trip.

Reach out any time via in-app secure messaging or phone at 1-800-874-5881.

For many individuals, the journey of living with type 2 diabetes starts early. Once referred to as adult-onset diabetes due to its prevalence among middle-aged and older Americans, the condition has become more common in children, adolescents, and young adults, due in part to growing childhood obesity rates. While some aspects of type 2 diabetes management, like glucose monitoring and healthy lifestyle choices, are important for all age groups, other parts of treatment may change with time. Here’s a snapshot of what type 2 diabetes may look like at each stage of life and tips for living with the condition.

Managing Type 2 Diabetes at Any Age

All type 2 diabetes treatment plans include healthy eating, frequent physical activity, and blood sugar monitoring regardless of age. Depending on a child or adult’s blood sugar levels and overall health, they may also need diabetes medication or insulin therapy to supplement these lifestyle changes. In addition to insulin, two other diabetes medications may be used to treat type 2 diabetes during childhood: metformin, an oral medication, and liraglutide, an injectable medication.

Younger children will need assistance with blood sugar monitoring, and if your child takes insulin, they will also need help with insulin administration. It’s important that teachers or other school staff are able to provide support during school days. Make sure that someone at the school is prepared to administer glucagon if your child’s blood sugar falls below a healthy range (known as hypoglycemia).

Inform your child’s teacher and/or other school staff of your child’s type 2 diagnosis before classes begin. Be sure to discuss daily treatment needs like blood sugar monitoring, insulin therapy, or other medication needs, as well as how to spot the signs and symptoms of low blood sugar. The American Diabetes Association (ADA) has resources that can help you start these conversations.

Living with type 2 diabetes as a young child can be emotionally challenging. It often helps to build connections with other children who are on the same journey. Explore programming for children with type 2 diabetes, like the ADA’s summer camps.

If your child is overweight, their doctor may recommend that you focus on slowing weight gain rather than losing weight since they are still growing. Follow your doctor’s recommendations and look for simple but impactful changes, like swapping carbohydrate-rich foods for a snackable fruit or vegetable, or trading soft drinks and fruit juices for water.

Whether you’ve had type 2 diabetes since childhood or are newly diagnosed, living with the condition as a young adult requires you to take an active role in the management of your health. It’s important to build a relationship with a care team that you trust to avoid any gaps in your treatment. Depending on your treatment plan, you may also have to learn about the logistics of filling prescriptions, ordering diabetes supplies, and coordinating with your insurance company.

Taking on additional responsibilities and navigating life more independently doesn’t mean that you’re completely on your own in managing your diabetes. If parents or another relative previously helped you with blood sugar monitoring, scheduling doctor’s appointments, or other aspects of care, use them as a resource during this transitional period as you become more confident managing your health. You may also want to expand your support system by working with a certified diabetes educator or connecting with other young adults living with type 2 diabetes.

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