Be Prepared!

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.

Emergency Preparedness

1. Emergency Preparedness and You
   http://emergency.cdc.gov/preparedness
2. Ready—Prepare.Plan.Stay Informed.
   http://www.ready.gov
3. Federal Emergency Management Agency
   http://www.fema.gov

Insulin, Drug, and Equipment Advice

1. Insulin Storage and Potency
   Switching Between Products in an Emergency
   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.
2. Blood Glucose Meters and Hurricane Disasters
   http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/
   http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/BreastPumps/ucm055987.htm#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.
3. Diabetes Disaster Preparedness
   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.

Winter Weather and Extreme Heat

1. Be Prepared: Staying Safe and Healthy in Winter Weather
   https://www.cdc.gov/Features/WinterWeather/
   Winter storms and cold temperatures can be hazardous, but if you plan ahead, you can stay safe and healthy.
2. Prepare for Diabetes Care in Heat and Emergencies
   https://www.cdc.gov/features/DiabetesHeatTravel/

Health Advice

1. Kidney Community Emergency Preparedness and Response
   http://www.kidney.org/help/index.cfm
   Provides essential information to help dialysis patients, transplant recipients, and kidney health care professionals before and during emergencies.
2. Do You Have High Blood Pressure?
   http://emergency.cdc.gov/disasters/pdf/hypertension.pdf [PDF–947 KB]

4. Hand Hygiene in Emergency Situations
   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.

5. Keep Water Safe after a Natural Disaster
   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.
6. Emergency Wound Care After a Natural Disaster
   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.
7. Foot Care for People with Diabetes
   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.

General Hurricane Recovery Information

1. Hurricane Recovery Information from FirstGov.gov
   https://www.usa.gov/disasters-and-emergencies
2. Social Security’s Hurricane Information
   http://www.socialsecurity.gov/hurricane/
3. Information for Evacuees and Other Affected Persons
   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.

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