|
||||||||
National Center for Chronic Disease Prevention and Health Promotion Home | About the Program | Site Map | Contact Us |
|
News & InformationDiabetes Care During Natural Disasters, Emergencies, and Hazards
During natural disasters, emergencies, and hazards people with diabetes face particular challenges to their health care. If you are an evacuee or are in an emergency situation, it is of prime importance to identify yourself as a person with diabetes and any related conditions, so you can obtain appropriate care. It is also important to prevent dehydration by drinking enough fluids, which can be difficult when drinking water is in short supply. In addition, it is helpful to keep something containing sugar with you at all times, in case you develop hypoglycemia (low blood glucose). To prevent infections, which people with diabetes are more vulnerable to, pay careful attention to the health of your feet, and get medical treatment for any wounds. The CDC has compiled many natural disaster and emergency resources in English, Spanish, and several other languages. Below are additional links which may be especially useful for people with diabetes. Some of the following documents are available in Portable Document Format — Learn more about PDFs. For simple publications explaining the basics about diabetes, visit our page of resources for health educators
Insulin, Drug, and Equipment Advice
http://www.fda.gov/cder/emergency/insulin.htm Patients should try to keep their insulin as cool as possible, avoiding direct heat and direct sunlight as well as freezing if placed on ice. Although a physician should supervise when switching insulin products, here are recommendations for emergency situations. http://www.fda.gov/cder/emergency/default.htm Drug products should be discarded if they came in contact with flood or contaminated water. In the case of urgently needed life-saving drugs, if the container is contaminated but the contents appear unaffected (pills are dry), the pills may be used until a replacement can be obtained. http://www.fda.gov/cdrh/emergency/hurricane.html#bgm Heat and humidity can damage blood glucose meters and test strips. If you use a blood glucose meter, check the meter and test strip package insert for information on use during unusual heat and humidity. http://www.state.nj.us/health/fhs/documents/diabetes_disaster_guidelines.pdf* (PDF 211 KB) This brochure includes helpful disaster management tips about insulin, pens, and syringes; food safety; foot care; managing hot weather, erratic mealtimes, physical exertion, and sick days. Health AdviceFor simple publications explaining the basics about diabetes, visit our page of resources for health educators
http://www.cdc.gov/diabetes/pubs/emergency_flyer.htm En Español: ¿Tiene Diabetes? http://www.cdc.gov/diabetes/spanish/emergency_flyersp.htm A colorful, illustrated one-page handout reminding people with diabetes to take their medicine, check their feet for injuries, monitor their blood glucose, and try to eat healthy foods. In printer-friendly format. http://emergency.cdc.gov/disasters/pdf/hypertension.pdf (PDF 947 KB) En Español: ¿Tiene la presión arterial alta? http://emergency.cdc.gov/disasters/hurricanes/katrina/espanol/pdf/hypertension.pdf (PDF 947 KB) A colorful, illustrated one-page handout reminding people with high blood pressure to take their medicine, eat healthy foods, get physical exercise, and get their blood pressure checked soon. http://emergency.cdc.gov/disasters/handhygiene.asp After an emergency, it can be difficult to find running water. However, it is still important to wash your hands to avoid illness or infection, especially when testing your blood glucose or treating a wound. http://emergency.cdc.gov/disasters/foodwater.asp#water Water may not be safe to drink, clean with, or bathe in after a hurricane or flood, which can be a particular problem for people with diabetes, who especially need to drink fluids and keep wounds clean. http://emergency.cdc.gov/disasters/woundcare.asp People often receive wound injuries during and after a natural disaster, and wound care is of particular importance for people with diabetes. http://www.cdc.gov/diabetes/faq/concerns.htm#10 Trench Foot or Immersion Foot http://emergency.cdc.gov/disasters/trenchfoot.asp Foot wounds or infections can develop into serious problems for people with diabetes, so foot care is especially important. http://www.cdc.gov/diabetes/faq/concerns.htm#17 Cold and flu care is very important when you have diabetes, because being sick can raise your blood glucose, prevent you from eating properly, and make your immune system more vulnerable to serious illness. http://www.medicare.gov/Publications/Pubs/pdf/10150.pdf (PDF 146 KB) This booklet suggests a 3-day emergency diet to follow if your dialysis must be delayed, directions for disinfecting water, and lists of supplies to keep on hand for further emergency situations. http://www.kidney.org/help/index.cfm* This Web site, provided by the National Kidney Foundation, provides essential information to help dialysis patients, transplant recipients, and their families before and during emergencies. It includes a toll-free telephone help line, links to regional end-stage renal disease networks and related emergency preparedness resources, and mental health resources. H1N1 Flu (Swine Flu) Information
Health Coverage
http://www.socialsecurity.gov/emergency/ The Social Security Administration is working to deliver monthly payments to beneficiaries affected by recent hurricanes, through temporary U.S. Postal Service delivery stations, Social Security offices, and through direct deposit. General Hurricane Recovery Information
http://www.firstgov.gov/Citizen/Topics /PublicSafety/Hurricane_Katrina_Recovery.shtml Past Hurricane Information
http://emergency.cdc.gov/disasters/evaccenters.asp Health and violence prevention fact sheets for evacuees, addressing parenting stress, mental health, sexual violence, youth violence, high blood pressure, head lice, hand hygiene, carbon monoxide, and wound care. http://www.cdc.gov/HealthyYouth/crisis/hurricane.htm Information for schools supporting evacuated students, addressing immunizations, mental health, meals, school supplies, and maintaining routines. http://www.firstgov.gov/Citizen/Topics /PublicSafety/Hurricane_Katrina_Recovery.shtml This website contains pertinent information for Katrina evacuees. En Español: Huracán Katrina y Rita http://usasearch.gov/search?v%3Aproject=firstgov-espanol&language=spanish&query=huracan http://www.diabetes.org/hurricane-katrina.jsp* This diabetes-specific Web site includes information about local medical resources available in affected areas. http://www.tsbp.state.tx.us/hurricanemain.htm* The Texas State Board of Pharmacy has reported that it will relax rules to allow Texas pharmacists to provide up to a 30 day supply of medication in an emergency refill. http://www.astrazeneca-us.com/help-affording-your-medicines/* Participants in the AstraZeneca Foundation Patient Assistance Program (PAP) can call 1-800-424-3727 to request a product refill or replacement, and change of address. Patients not enrolled in the AstraZeneca PAP are urged to visit a physician, pharmacist, local clinic/hospital or disaster relief agency to receive the AstraZeneca product that they have been prescribed. http://llynews360.client.shareholder.com/* Eli Lilly and Company is donating insulin to those in need in the affected areas, and will assess the appropriateness of donations of other medicines as the specific needs become clearer. All of the company's product donations will be coordinated through Heart to Heart and the American Red Cross. http://press.novonordisk-us.com* Novo Nordisk has designated $500,000 of its contributions to provide immediate care for people with diabetes. In addition, it is providing insulin products and advanced delivery devices, including prefilled insulin pens that can be used for a limited time without refrigeration. Since insulin should be stored in a cold place before it is given to people, Novo Nordisk has a system in place to provide clinics and shelters with refrigerators and generators. In addition to insulin, Novo Nordisk will provide its other therapies as the need arises.
Documents on this page are available in Portable Document Format (PDF). Learn more about viewing and printing these documents with Acrobat Reader. * Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: May 1, 2009
Page last modified: May 1, 2009 Content Source: National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation |