Traveling & Hiking With Diabetes: How We Built a Real-World Medical Kit (Not a Store-Bought Fantasy)

Most first aid kits are built for convenience — not reality.

If you travel internationally, hike on excursions, or live life outside predictable environments, you already know this. Add diabetes into the equation — especially Type 1 and Type 2 together — and off-the-shelf kits fall apart fast.

After completing the first module of my Wilderness First Aid (WFA) training, I took a hard look at our medical preparedness before an upcoming international trip. We’ll be traveling and hiking with:

  • My wife (Type 2 diabetic)

  • My mom (Type 1 diabetic)

  • What I found confirmed what I already suspected:
    👉 No ready-made kit actually covers real needs.

So we built our own.

This post walks through why, how, and what we carry — not as medical advice, but as travelers who believe in being prepared, not panicked.

Why Store-Bought Kits Don’t Work for Real Travel

Most prebuilt kits:

  • Focus on bandage quantity instead of decision-making

  • Ignore chronic conditions

  • Add gimmicks instead of redundancy

  • Assume help is always nearby

Diabetes doesn’t allow those assumptions.

Blood sugar issues don’t wait. Dehydration compounds risk. Minor foot issues can become trip-ending problems. And international travel adds delays, language barriers, and limited access to familiar care.

Preparedness isn’t about fear — it’s about margin.

Our Philosophy: Modular, Redundant, Practical

We built our system around three principles:

  1. Modular – Each category lives in its own pouch

  2. Redundant – Critical items exist in more than one place

  3. Usable Under Stress – No digging, no guessing

This mirrors what Wilderness First Aid training emphasizes: early recognition, simple interventions, and clear escalation points.

The Core Medical Travel Kit

This is our foundation — illness, injury, dehydration, and common travel problems.

What’s inside:

  • Adhesive bandages (fabric + waterproof)

  • Sterile gauze, rolled gauze, medical tape

  • Antiseptic wipes & antibiotic ointment

  • Burn gel

  • Elastic wrap (ACE)

  • Pain relief (acetaminophen, ibuprofen)

  • Antihistamines

  • Hydrocortisone cream

  • Thermometer

  • Nitrile gloves

  • Trauma shears

Nothing fancy — just things that actually get used.

Blister & Foot Care (Non-Negotiable)

If you hike, feet matter.
If you hike with diabetics, feet are critical.

Our blister module includes:

  • Moleskin sheets

  • Hydrocolloid blister pads

  • Second-skin gel pads

  • Medical tape

  • Small nail clipper & emery board

  • Extra socks

This kit lives in the daypack, not buried in luggage.

The Diabetes Module (Always Accessible)

This is its own pouch — never mixed with general supplies.

Key items:

  • Blood glucose meter + backup meter

  • Test strips & lancets

  • Insulin (split across bags)

  • Pen needles / syringes

  • Glucose tablets & glucose gel

  • Fast carbs (juice or equivalent)

  • Glucagon emergency kit

  • Ketone test strips

  • Insulin cooling case

  • Written dosing & emergency plan

Critical rule: insulin and glucose never ride in the same single bag.

Hydration & GI Support

Travel illness and dehydration are a fast track to blood sugar problems.

We carry:

  • Electrolyte packets (including low- or zero-sugar options)

  • Oral rehydration salts

  • Anti-diarrheal medication

  • Antacids

  • Stool softener

These items prevent small issues from becoming big ones.

Wilderness & Trauma Add-Ons

Because we hike and explore, we also carry real trauma capability — not “survival kit” toys.

What we added:

  • CAT Gen 7 tourniquet

  • Pressure dressing

  • Compressed or hemostatic gauze

  • Permanent marker (tourniquet time)

  • CPR face shield

These live in a small trauma pouch that can move between packs.

The Most Important Tool: A Simple Flowchart

Gear doesn’t save people — decisions do.

We created a one-page Medical & Diabetic Emergency Flowchart that walks through:

  • Conscious vs unconscious

  • Blood sugar ranges

  • Hypoglycemia treatment

  • Hyperglycemia & DKA warning signs

  • Trauma response

  • Clear evacuation triggers

It lives in the kit, on our phones, and is something anyone can follow under stress.

👉 Prepared, not panicked.

Final Thoughts

Preparedness isn’t about carrying everything.

It’s about:

  • Carrying the right things

  • Knowing why they’re there

  • Making calm decisions when things don’t go to plan

Whether you’re traveling internationally, living full-time on the road, or heading out on a day hike — chronic conditions demand respect, not fear.

That’s what Bigfoot Trails Basecamp is about.

Want the Flowchart?

We’ve made the Medical & Diabetic Emergency Flowchart available as a printable PDF for travel kits and daypacks.

👉 [Download link here]

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