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Always carry emergency glucose, glucose monitor and medication.

Stop insulin freezing e.g. inside pocket close to skin.

Avoid infection. Get help fast if you become ill. Never stop insulin.

Remember exercise reduces and rest increases insulin need.

Before booking get a specialist eye test. If you have eye damage avoid going very high.

Before booking get expert medical advice if you have poor circulation or nerve damage.

Establish good glucose control over preceding months.

Get a robust glucose monitor (and spare) that will work at altitude and in the cold.

Find out what you will be eating. Plan your diet.

Take spare insulin to cover changes in requirements.

Practise managing diabetes when exercising hard and in adverse conditions.

Make contact with ‘Mountains for Active Diabetics’ (MAD).

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