Recommendations for patients with diabetes mellitus during hajj pilgrimage

| October 2012 | 988 L e t t e r t o e d it o r • If possible, prepare a cool pack to store insulin. • Prepare glucose and ketone dipsticks (to know the state of diabetes control during Ihram). • Choose shoes, sandals and flip flops with appropriate shape and size (front of shoes should be wide enough to avoid extra pressure on your feet and toes during long walking). • Pack your medications in carry-on luggage rather than in checked baggage. This is not only to prevent loss from bags being misplaced, but also because baggage stored in cargo holds can be subject to extreme temperature changes that may alter the potency of insulin.[12]