I post a lot, of course, about Diabetes, most specifically the technology behind the solutions that I use in my own personal struggle. Diabetes is tough enough in the "Western" world with (nearly) all the technology in the world available, but it's wicked hard, darn near impossible, in underdeveloped nations.
当然，我发布了很多有关糖尿病的文章，尤其是我个人奋斗中使用的解决方案背后的技术。 在(几乎)世界上所有可用的技术下，糖尿病在“西方”世界中已经足够强大，但在不发达国家中，它是邪恶的，几乎是不可能的。
When I travel, as a diabetic, there's a number of things that cause me trouble:
当我旅行时，作为糖尿病患者，有很多事情会给我带来麻烦：
Time Zones: When you're 11 hours away from home (it's 4:30pm in Arusha right now, but it's 3:30am at home) the body tends to take at least one day per one hour time change to adjust. I'm just literally about now getting my self on local time. I don't mean this in a jet-lag per specific, but from a blood-sugar point of view.
时区：当您离家11个小时(现在是阿鲁沙的下午4:30，但现在是凌晨3:30)时，身体往往需要花费至少一天的时间才能进行调整。 我只是从字面上看现在正在当地时间上。 我并不是说每时每刻都在浪费时间，而是从血糖角度来看。
Diabetics have different sugar/carb sensitivities at different times of days. An apple at noon affects me differently than an apple at 9pm. This becomes tricky when you have to calculate "what time it is in your body " versus local time, versus home time.
糖尿病在一天中的不同时间具有不同的糖/碳水化合物敏感性。 中午的苹果对我的影响与晚上9点的苹果对我的影响不同。 当您必须计算“体内时间”相对于本地时间，相对于本地时间时，这变得很棘手。
Diabetics have a marked sugar rise called the "Dawn Phenomenom." Regular folks have this to, it's the body's internal alarm clock as it releases sugar to prepare to you start the day. Some people get it at 3am, others at 9am, but it happens in nearly everyone. What this means for a diabetic is a sudden rise in blood sugar in the morning. Many diabetics set their alarms for very early in the morning just to take a shot, only to go right back to sleep. It's a hassle. Less so with a pump, but still irritating. When you travel across timezones you have to keep track of when the body
糖尿病患者的糖分明显升高，称为“黎明现象”。 普通人必须这样做，这是人体的内部闹钟，因为它释放糖分为您开始新的一天做准备。 有些人是在凌晨3点拿到的，其他人是在9am拿到的，但几乎每个人都发生过。 对于糖尿病患者而言，这意味着早晨血糖突然升高。 许多糖尿病患者早上很早就发出警报，只是想开枪，然后马上回去睡觉。 麻烦了用泵少一些，但仍然很刺激。 当您跨时区旅行时，您必须跟踪身体何时
thinks this is supposed to happen. It'll start moving, as I said, at about an hour a day as you adjust to local time.
认为这应该发生。 正如我所说，随着您适应当地时间，它将开始移动，大约每天一个小时。
This can also cause a problem for diabetics who use long acting insulin that lasts for 24 hours or 12 hours at a time, because shots can
对于使用一次持续24小时或12小时的长效胰岛素的糖尿病患者，这也会引起问题，因为注射可能
overlap and severe insulin reactions can happen if timing is paid attention to.
如果注意时机，可能会发生重叠和严重的胰岛素React。
Equipment: Every diabetic has their favorite or preferred manufacturer. The farther you are from home, sometimes the harder it is to get the stuff you're used to. South Africa has international manufacturers in-country and fairly decent prices, but when you get farther and farther "out of town" you'll be paying a premium for diabetic supplies. I use a specific brand of supply for my insulin pump and I always bring three times (or more) as many supplies as I could possible need. For example, I change my pump every 4-6 days, but I bring enough supplies to change the infusion set every other day. I brought enough insulin for 6 months. You can always have someone at home DHL you stuff, but it's a LONG 24 to 36 hour wait while you suffer.
设备：每个糖尿病患者都有自己喜欢的或偏爱的制造商。 您离家越远，有时就越难获得您习惯的东西。 南非有国际制造商在国内，价格也相当不错，但是当您离家越来越远时，您将为糖尿病用品支付高价。 我为胰岛素泵使用了特定品牌的耗材，并且总是携带三倍(或更多)数量尽可能多的耗材。 例如，我每4-6天更换一次泵，但我带来了足够的耗材，每隔一天更换一次输液器。 我带了足够的胰岛素六个月。 您总是可以在家中有人DHL，但是您要忍受24至36个小时的漫长等待。
Most pump manufacturers have a loaner program where you can bring an extra pump along with you for a simple (and large) refundable deposit. I also packed replacement batteries for everything, including those hard to find watch batteries for my meter.
大多数泵制造商都有一个贷款计划，您可以在其中附带一台额外的泵，以获取简单(且较大)的可退还押金。 我还包装了所有东西的备用电池，包括那些很难找到电表电池的电池。
Heat: Newsflash - it's hot in Africa. We're 4 degrees from the equator and it's hot as hell. A lovely hell, but hell nonetheless. Insulin is supposed to be refrigerated and lasts about 20-28 days at room temperature. You'll know right away if your insulin goes back because suddenly it just stops working. I always bring many ice-packs and insulated flexible containers to store my stuff in. For example, the power and water were out all day yesterday, but my insulin (I think) stayed cool, even as the refrigerator was without power.
热力：新闻快讯-非洲很热。 我们离赤道4度，那里很热。 一个可爱的地狱，但尽管如此。 胰岛素应被冷藏，并在室温下持续约20-28天。 您会立即知道胰岛素是否会返回，因为它突然停止工作了。 我总是带很多冰袋和隔热的柔性容器来存放我的东西。例如，昨天的电源和水整天都没电了，但是即使冰箱没有电源，我的胰岛素(我认为)也保持凉爽。
Sugar: Nothing sucks more than having a low blood sugar reaction and being 100km from anywhere and have no sugar. It's not just stupid, it's damned dangerous. I brought 50 granola bars from the states and packed tubes of glucose tablets in each bag so there's always glucose nearby.
糖：低血糖React，到任何地方都只有100公里且没有糖，最吸引人的就是糖。 这不仅是愚蠢的，还很危险。 我从各州带来了50个格兰诺拉麦片棒，并在每个袋子中装满了葡萄糖片试管，因此附近总是有葡萄糖。
For those that live here with Diabetes, fortunately there's many organizations promoting diabetes care in Africa like the IDF and there was just a Next World Diabetes Congress meeting last week in South Africa. Access to insulin and glucose strips is the first step along with education. I'm very blessed to have the financial means (mostly insurance) to have a pump and sufficient test strips to manage my blood sugar tightly.
对于那些住在这里的糖尿病患者来说，幸运的是，有许多组织在非洲推广糖尿病的护理，例如IDF，而上周在南非举行的下一届糖尿病世界大会也刚刚召开。 获得胰岛素和葡萄糖试纸是教育的第一步。 我很幸运有财务能力(主要是保险)拥有一个泵和足够的试纸来严格控制我的血糖。
翻译自: https://www.hanselman.com/blog/arusha-tanzania-2006-day-14-travelling-as-a-diabetic
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