Winter is the perfect time for a trip to the mountains. Climbing is not only a good way to get physical activity but also part of the fun. And if you have diabetes, there is no need to completely miss out on it. But you should be careful and know some rules to avoid the risks during your trip. At high altitude, energy requirements are higher. The cold depletes the body’s resources. The body needs to burn more energy to keep warm and struggles to stay hydrated because of the dry air. The risk of hypoglycemia is thus increased. Here are some tips for managing Type 1 diabetes under extreme conditions, and enjoying the adventure!

• Except for warm clothing, remember to bring a sufficient amount of food, drink, and medicine;
• Pack your emergency kit. And don’t forget to pack backup insulin and syringes. It is important to have spares of all your equipment just in case; 
• At high altitude, the body needs more energy, and in particular the energy from carbohydrates. A moderate effort such as hiking consumes 60 to 80 grams of carbohydrates per hour. So carry foods that are rich in carbs;
• Check your glucose level during and after climbing. Try to examine the impact that hiking has on your blood sugar level;
• Protect your CGM with an adhesive patch as it can be easily damaged under your clothes during your trip. Fixic adhesive patch will provide a strong grip and protect your sensor.