Security Guidelines for Air Travel With Diabetes


If you have diabetes, you should be aware of recent changes to airport security that will impact your packing and preparation for air travel. The following tips can help you make traveling with your diabetes management tools easier:

  • Be prepared with the original prescription label for all prescription medications and devices you are traveling with. Make sure that the prescription name matches the one on your ticket. Also be sure that you have all proper medical ID, such as your diabetes ID card and Medic Alert necklace or bracelet.
  • Give yourself enough time to check in and board the plane. Anticipate that you will be stopped, searched, and possibly questioned about your diabetes supplies. As stress can affect your diabetes, give yourself enough time to comfortably navigate security checkpoints.
  • If you have been wearing an insulin pump for a while, be certain to have a current prescription from your doctor. Ask your doctor to re-issue a prescription, if necessary.
  • The same applies for any continuous glucose monitoring device you may be wearing. Because these devices are relatively new, TSA personnel are likely to be unfamiliar with them. Bring your prescription to avoid problems.
  • Make sure you bring syringes and vials of insulin in their original packaging and with a prescription. Even if you use an insulin pump, be sure to bring back-up insulin and syringes.
  • Don't panic if your insulin cannot be refrigerated for the flight. It will last in room temperature for up to several weeks.
  • Know what is and isn't allowed by the TSA guidelines: Prescription medicine with a name that matches the passenger's ticket; up to 8 oz. of liquid (insulin) or low blood sugar treatment gel and up to 4 oz. of non-prescription liquid medications are permitted.
  • If you need to bring extra diabetes supplies that are in excess of the amount allowed in your carry on, be sure to pack them in your checked luggage. Since checked baggage may be subjected to cold temperatures, be sure to carefully insulate any insulin bottles. Inspect the insulin after you arrive for crystallization or cloudiness. If you suspect that the insulin may be spoiled, discard the bottle and do not use it.
  • Many people with diabetes carry a tube of cake icing to treat a hypoglycemic episode – for your travels, replace this cake icing with a gel marketed specifically for the treatment of low blood glucose. A source of complex carbohydrate like a granola bar, meal replacement bar, or cheese and crackers is also great to bring as a meal or snack in case the plane is delayed or missed.
  • If you travel with a glucagon kit, be sure that you have your prescription for it and that it matches the name on your ticket.
  • If a discussion about your diabetes supplies occurs at the security checkpoints, take measures to stay calm. Ask to speak with the Transportation Security Officer Supervisor if the discussion escalates to an uncomfortable level.
  • Plan in advance – The TSA officers are responsible for making sure the passengers and the plane are safe. The more information you have from your doctor, the easier security checks can be.
  • If you feel you must lock your bags, use a TSA-approved lock that screeners can open without having to damage the lock or your luggage. These locks feature a special symbol that security personnel are trained to recognize.
  • If removing your shoes is a concern, bring a doctor's note explaining why you cannot remove them. Also, call ahead to the airline to explain the situation and get their recommendation for what you should do once you reach the security gate.

For more information on the recent changes to air travel policies, visit the Transportation Security website at

Reviewed by Constance Brown-Riggs, MSEd, RD, CDE, CDN 7/14

Last Modified Date: July 25, 2014

All content on is created and reviewed in compliance with our editorial policy.

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by Brenda Bell
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...
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